Priority-setting for early access to COVID-19 vaccines in Islamic Republic of Iran.

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Eastern Mediterranean Health Journal Pub Date : 2023-07-31 DOI:10.26719/emhj.23.040

Fatemeh Bahmani, Alireza Parsapour, Nasrin Abbasi, Seyyed Zahraei, Nader Tavakoli, Ehsan Shamsi-Gooshki

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引用次数: 0

Abstract

Background: Priority-setting for early access to vaccines during a pandemic optimizes the impact of vaccine rollout, however, low- and middle-income countries (LMICs) have little experience in policymaking on this. In the Islamic Republic of Iran, the national clinical ethics committee developed a policy for early access to COVID-19 vaccines with support from the national committee on COVID-19 vaccine.

Aims: This paper reports the process and results of a national COVID-19 vaccine priority-setting in the Islamic Republic of Iran and discusses its ethical and cultural aspects.

Methods: A multidisciplinary team of experts planned and developed a national guideline following an extensive literature review and face-to-face consultations.

Results: We present the list of priority groups and subgroups, tiered through a 4-phase process, as well as the ethical values and sociocultural issues underpinning COVID-19 vaccine prioritization in the Islamic Republic of Iran.

Conclusions: Our experience shows that a transparent and well-reasoned policymaking process can inform fair prioritysetting for pandemic vaccines, especially in LMICs.

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确定伊朗伊斯兰共和国尽早获得COVID-19疫苗的重点。

背景:在大流行期间为早期获得疫苗确定优先事项可优化疫苗推广的影响，然而，低收入和中等收入国家在这方面的政策制定经验很少。在伊朗伊斯兰共和国，在COVID-19疫苗国家委员会的支持下，国家临床伦理委员会制定了尽早获得COVID-19疫苗的政策。目的:本文报告了伊朗伊斯兰共和国国家COVID-19疫苗重点确定的过程和结果，并讨论了其伦理和文化方面的问题。方法:一个多学科专家小组在广泛的文献回顾和面对面协商后，计划并制定了国家指南。结果:我们提出了优先群体和亚群体清单，通过四个阶段的过程分层，以及伊朗伊斯兰共和国支持COVID-19疫苗优先事项的道德价值观和社会文化问题。结论:我们的经验表明，透明和合理的决策过程可以为大流行性流感疫苗的公平优先设置提供信息，特别是在中低收入国家。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.30

自引率

4.80%

发文量

112

期刊介绍： The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.