Priority setting of vaccine introduction in Bangladesh: A multicriteria decision analysis study
Issued Date
2022-02-28
Resource Type
eISSN
20446055
Scopus ID
2-s2.0-85125569896
Pubmed ID
35228286
Journal Title
BMJ Open
Volume
12
Issue
2
Rights Holder(s)
SCOPUS
Bibliographic Citation
BMJ Open Vol.12 No.2 (2022)
Suggested Citation
Haider M.S. Priority setting of vaccine introduction in Bangladesh: A multicriteria decision analysis study. BMJ Open Vol.12 No.2 (2022). doi:10.1136/bmjopen-2021-054219 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86110
Title
Priority setting of vaccine introduction in Bangladesh: A multicriteria decision analysis study
Author(s)
Other Contributor(s)
Abstract
Objective To prioritise vaccines for introduction in Bangladesh. Methods Multicriteria decision analysis (MCDA) process was used to prioritise potential vaccines for introduction in Bangladesh. A set of criteria were identified, weighted and assigned scores by relevant stakeholders (n=14) during workshop A. The performance matrix of the data of vaccines against the criteria set was constructed and validated with the experts (n=6) in workshop B. The vaccines were ranked and appraised by another group of stakeholders (n=10) in workshop C, and the final workshop D involved the dissemination of the findings to decision-makers (n=28). Results Five criteria including incidence rate, case fatality rate, vaccine efficacy, size of the population at risk and type of population at risk were used quantitatively to evaluate and to score the vaccines. Two other criteria, cost-effectiveness and outbreak potentiality, were considered qualitatively. On deliberation, the Japanese encephalitis (JE) vaccine was ranked top to be recommended for introduction in Bangladesh. Conclusions Based on the MCDA results, JE vaccine is planned to be recommended to the decision-makers for introduction into the national vaccine benefit package. The policymakers support the use of systematic evidence-based decision-making processes such as MCDA for vaccine introduction in Bangladesh, and to prioritise health interventions in the country.