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    Introduction of new vaccines for immunization in pregnancy – Programmatic, regulatory, safety and ethical considerations

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    Author
    Kochhar, Sonali
    Edwards, Kathryn M.
    Ortiz, Justin R.
    Date
    2019-05-31
    Journal
    Vaccine
    Publisher
    Elsevier Ltd.
    Type
    Article
    
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    See at
    https://www.doi.org/10.1016/j.vaccine.2019.04.075
    Abstract
    Immunizing pregnant women is a promising strategy to reduce infectious disease-related morbidity and mortality in pregnant women and their infants. Important pre-requisites for the successful introduction of new vaccines for immunization in pregnancy include political commitment and adequate financial resources: trained, committed and sufficient numbers of healthcare workers to deliver the vaccines; close integration of immunization programs with antenatal care and Maternal and Child Health services; adequate access to antenatal care by pregnant women in the country (especially in low and middle-income countries (LMIC)); and a high proportion of births occurring in health facilities (to ensure maternal and neonatal follow-up can be done). The framework needed to advance a vaccine program from product licensure to successful country-level implementation includes establishing and organizing evidence for anticipated vaccine program impact, developing supportive policies, and translating policies into local action. International and national coordination efforts, proactive planning from conception to implementation of the programs (including country-level policy making, planning, and implementation, regulatory guidance, pharmacovigilance)and country-specific and cultural factors must be taken into account during the vaccines introduction. © 2019 The Authors
    Keyword
    Antenatal care
    Country-level policy making
    Global policies
    Health policies
    Healthcare providers
    Immunisation
    Introduction
    Maternal Immunization
    Pharmacovigilance
    Pregnancy
    Program
    Regulatory
    Safety
    Vaccination coverage
    Vaccine hesitancy
    Vaccines
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    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85065089129&origin=inward; http://hdl.handle.net/10713/10071
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.vaccine.2019.04.075
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    UMB Open Access Articles 2019

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