In 2016, a Dose Per Container Partnership (DPCP) study team visited Benin, Côte d’Ivoire, and DRCongo to examine the selection process for vaccine presentation and countries’ role in choosing the vaccine presentations. The study team reviewed policy and planning documents, records, and monitoring and evaluation reports; and interviewed 33 people involved in vaccine management or vaccine regulation/procurement—government officials, the Expanded Program on Immunization (EPI) team, National Immunization Technical Advisory Groups (NITAG) members, the United Nations Children’s Fund (UNICEF), the World Health Organization (WHO), and a health care worker (HCW) from each country.
Decision-making on vaccine policy and presentation in three Francophone African countries is characterized by a lack of clarity in the roles of decision-makers and an incomplete view of the system-wide impacts of choices about and changes in doses per container (DPC). Countries and donors should clarify their respective roles in decision-making on vaccine presentation, develop a more inclusive process for making decisions on DPC, and facilitate the flow of information about vaccine presentation options. JSI, 2017.
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