title: Prioritizing government funding of adolescent vaccinations: recommendations from young people on a citizens' jury.
abstract: Adolescents' views, and preferences are often over-looked when public health policies that affect them are designed and implemented. The purpose of this study was to describe young people's views and preferences for determining government funding priorities for adolescent immunization programs.
  
  
  
  In 2015 we conducted a youth jury in metropolitan Adelaide, South Australia to deliberate on the question "What criteria should we use to decide which vaccines for young people in Australia should receive public funding?" Fifteen youth aged 15-19 years participated in the jury. Jury members were recruited from the general community through a market research company using a stratified sampling technique.
  
  
  
  The jury's key priorities for determining publically funded vaccines were: Disease severity - whether the vaccine preventable disease (VPD) was life threatening and impacted on quality of life. Transmissibility - VPDs with high/fast transmission and high prevalence. Demonstration of cost-effectiveness, taking into account purchase price, program administration, economic and societal gain. The jury's recommendations for vaccine funding policy were strongly underpinned by the belief that it was critical to ensure that funding was targeted to not only population groups who would be medically at risk from vaccine preventable diseases, but also to socially and economically disadvantaged population groups. A novel recommendation proposed by the jury was that there should be a process for establishing criteria to remove vaccines from publically funded programs as a complement to the process for adding new vaccines.
  
  
  
  Young people have valuable contributions to make in priority setting for health programs and their views should be incorporated into the framing of health policies that directly affect them.
authors.affiliation: Discipline of Paediatrics, School of Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia. Electronic address: adriana.parrella@adelaide.edu.au.
authors.forename: Adriana
authors.initials: A
authors.lastname: Parrella
authors.affiliation: School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia. Electronic address: annette.braunackmayer@adelaide.edu.au.
authors.forename: Annette
authors.initials: A
authors.lastname: Braunack-Mayer
authors.affiliation: Discipline of Paediatrics, School of Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia. Electronic address: joanne.collins@adelaide.edu.au.
authors.forename: Joanne
authors.initials: J
authors.lastname: Collins
authors.affiliation: Discipline of Paediatrics, School of Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia. Electronic address: michelle.clarke@adelaide.edu.au.
authors.forename: Michelle
authors.initials: M
authors.lastname: Clarke
authors.affiliation: School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia. Electronic address: rebecca.tooher@adelaide.edu.au.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Tooher
authors.affiliation: Flinders Health Economics Group, Flinders University, A Block, Repatriation General Hospital, 202-16 Daws Road, Daw Park, Adelaide, South Australia 5041, Australia. Electronic address: julie.ratcliffe@adelaide.edu.au.
authors.forename: Julie
authors.initials: J
authors.lastname: Ratcliffe
authors.affiliation: Discipline of Paediatrics, School of Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Marshall
mesh_terms: D000293:Adolescent; D005260:Female; D005380:Financing, Government; D006291:Health Policy; D006292:Health Priorities; D006801:Humans; D017589:Immunization Programs / Q000191:economics*; D008297:Male; D011639:Public Opinion; D013021:South Australia; D055815:Young Adult
keywords: Adolescents; Citizen's jury; Immunization policy