Table 2

Thematic framework for the implementation of vaccines

1.Planning and coordinationMacro/microplanning; funding; vaccination campaign management; decision-making; coordination and communication mechanisms; stakeholder engagement; stakeholder roles; policy and regulatory framework.
2.Target groups and delivery strategiesTarget group inclusion and exclusion criteria; prioritisation of groups; communication of target groups; delivery strategies for vaccination (eg, house-to-house, fixed post, mobile fixed post); tailoring of delivery strategies to reach subgroups.
3.Logistics and supplySupply chain; infrastructure; vaccine storage; cold chain (and ultra-cold chain) management; transportation; equipment (including personal protective equipment); waste disposal.
4.Vaccination teamsTeam composition and roles; recruitment; training techniques and processes; team coordination and communication.
5.Vaccination monitoring and safety surveillanceIdentifying cases of disease and differentiating between similar pathogens; recording, reporting and monitoring vaccination coverage; identification, reporting and management of adverse events following immunisation; use of technology.
6.Community engagement and social mobilisation*Developing relationships with communities and working together to conduct vaccination activities; strategies to increase vaccine demand and uptake, including communication strategies.
7.Vaccine confidence†Perceptions and attitudes toward the vaccine; factors contributing to confidence or resistance; types of rumours and misinformation; strategies to address rumours and misinformation.
  • *The WHO definitions of community engagement and social mobilisation were used in this research, however it was noted that these terms were often used interchangeably by key informants.78 79

  • †Vaccine confidence was not identified in articles retrieved in the literature review but was discussed in the key informant interviews.