Session III – Civil Society and Immunization Policy: Advisory Bodies/NITAGs, Access, Equity, Ethics

Moderator: David Curry, CVEP

Carol Baker, ACIP
Advisory Committee on Immunization Practices (ACIP) to the Center for Disease Control and Prevention
[slides: Global Vaccines 202X_Baker]
[video: here ]

Kamel Senouci, AMP, SIVAC Initiative
Civil Society in Decision Making for Immunization Policies: the example of National Immunization Technical Advisory Groups (NITAGs)
[slides: Global Vaccines 202X_ Senouci ]
[video: here ]

Cara Janusz, PAHO, ProVac
Strengthening National Immunization Technical Advisory Groups in the Americas
[slides:  Global Vaccines 202X_Janusz ]
[video: here ]

Helen Rees, SAGE

Lois Privor-Dumm, International Vaccine Access Center (IVAC)

Session Abstract
The formal role of civil society in helping shape immunization policy at global (SAGE) and national levels is either well established, in formation through the SIVAC initiative, or being strengthened through programs such as PAHO’s ProVac initiative: This complement to WHA and state governmental authority and responsibility is arguably among the most direct and crucial means to help assure that access, equity and ethics are factored into vaccine adoption, immunization practice and performance on the ground:But advisory bodies/NITAGs have varying terms-of-reference and roles in the recommendation process and members of such bodies are most often appointed by the governmental bodies they advise and serve within:  As the pipeline of new vaccines available for potential deployment grows, and the global and national economies remain under stress, these advisory bodies will likely face a range of pressures in making evidence-based decisions and recommendations, and evolution of their TORs, expanding or contracting their authority, responsibility and accountability:

This session briefly positions the current state-of-play and trends as we begin the decade of vaccines, and then explore major challenges, opportunities and milestones ahead, with a focus on access, equity and ethics


The Role of National Advisory Committees in Supporting Evidence-Based Decision Making for National Immunisation Programs
Edited by E.Anthony S. Nelson, Bradford D. Gessner, Denise DeRoeck and Philippe Duclos
ScienceDirect – Vaccine, Volume 28, Supplement 1, Pages A1-A110 (19 April 2010)


The Advisory Committee on Immunization Practices (ACIP) consists of 15 experts in fields associated with immunization, who have been selected by the Secretary of the U. S. Department of Health and Human Services to provide advice and guidance to the Secretary, the Assistant Secretary for Health, and the Centers for Disease Control and Prevention (CDC) on the control of vaccine-preventable diseases.  In addition to the 15 voting members, ACIP includes 8 ex officio members who represent other federal agencies with responsibility for immunization programs in the United States, and 26 non-voting representatives of liaison organizations that bring related immunization expertise.

The role of the ACIP is to provide advice that will lead to a reduction in the incidence of vaccine preventable diseases in the United States, and an increase in the safe use of vaccines and related biological products.

The Committee develops written recommendations for the routine administration of vaccines to children and adults in the civilian population; recommendations include age for vaccine administration, number of doses and dosing interval, and precautions and contraindications. The ACIP is the only entity in the federal government that makes such recommendations.

The structure, role, and procedures of the U.S. Advisory Committee on Immunization Practices (ACIP)  Original Research Article
Pages A68-A75
Jean Clare Smith
ScienceDirect – Vaccine, Volume 28, Supplement 1, Pages A1-A110 (19 April 2010)


The SIVAC Initiative (Supporting National Independent Immunization and Vaccine Advisory Committees) assists in the establishment or strengthening of functional, sustainable National Immunization Technical Advisory Groups (NITAGs) in GAVI-eligible and middle-income countries. The aim is to enhance the use of of evidence-based decision making in the development of immunization programs and policies. SIVAC provides support in the form of technical assistance, training, tools development, and information sharing.


The Supporting Independent Immunization and Vaccine Advisory Committees (SIVAC) Initiative: A country-driven, multi-partner program to support evidence-based decision making  Original Research Article  Pages A26-A30
Kamel Senouci, Julia Blau, Batmunkh Nyambat, Papa Coumba Faye, Lara Gautier, Alfred Da Silva, Michael O. Favorov, John D. Clemens, Philippe Stoeckel, Brad D. Gessner

ScienceDirect – Vaccine, Volume 28, Supplement 1, Pages A1-A110 (19 April 2010)


Enhancing national capacity to make informed policy decisions on the introduction of new vaccines

New life-saving vaccines being introduced, such as Pneumococcal, Rotavirus, Human Papillomavirus (HPV), and Influenza, have significantly higher prices than previous vaccines. As health sector budgets grow slowly, resources have to be allocated more prudently and consider competing options.

Consequently, making evidence-based vaccine introduction decisions now requires competencies beyond those traditionally found in many National Immunization Programs. Decision makers now increasingly require economic analysis to support decision-making for new vaccines, in addition to epidemiologic, logistical, and financial data.

The ProVac Initiative, launched in September 2006, provides technical cooperation to decision makers and strengthens national capacity to make evidence-based, informed decisions in the context of the introduction of new vaccines.

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