Thematic framework for the implementation of vaccines
| Domain | Description | |
| 1. | Planning and coordination | Macro/microplanning; funding; vaccination campaign management; decision-making; coordination and communication mechanisms; stakeholder engagement; stakeholder roles; policy and regulatory framework. |
| 2. | Target groups and delivery strategies | Target 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 supply | Supply chain; infrastructure; vaccine storage; cold chain (and ultra-cold chain) management; transportation; equipment (including personal protective equipment); waste disposal. |
| 4. | Vaccination teams | Team composition and roles; recruitment; training techniques and processes; team coordination and communication. |
| 5. | Vaccination monitoring and safety surveillance | Identifying 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.