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Building immunization decision-making capacity within the World Health Organization European Region

Institution:	1. World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark;2. USA Centers for Disease Control and Prevention, 1600 Clifton Rd, MS H24-2, Atlanta, GA 30329, USA;3. World Health Organization Headquarters, Avenue Appia 20, 1211 Geneva, Switzerland;1. Genomic Research Laboratory, Division of Infectious Diseases, University Hospitals and University of Geneva, Geneva, Switzerland;2. Swiss National Reference Center for Meningococci (www.meningo.ch), Bacteriology Laboratory, Geneva University Hospitals, Geneva, Switzerland;3. Invasive Bacterial Infection and National Reference Centre for Meningococci, Institut Pasteur, Paris, France;1. Trudeau Institute, Inc., Saranac Lake, NY, USA;2. Infectious Disease Research Institute, Seattle, WA, USA;3. University of Connecticut School of Medicine, Department of Immunology and Center on Aging, Farmington, CT, USA;1. Department of Family Medicine, University of Pittsburgh, Pittsburgh, PA, USA;2. Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA;3. Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA;4. National Center Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA;1. Department of Pediatrics, Houston, TX, United States;2. Department of Molecular Virology and Microbiology, Houston, TX, United States;3. Department of Medicine, Baylor College of Medicine, Houston, TX, United States;4. Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States;5. Department of Obstetrics & Gynecology, Duke University, Durham, NC, United States;6. Vanderbilt Vaccine Research Program, Department of Pediatrics, Vanderbilt University, Nashville, TN, United States;7. Saint Louis University School of Medicine, St. Louis, MO, United States;8. The EMMES Company, LLC, Rockville, MD, United States;1. Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, PA, United States;2. Department of Biomedical and Health Informatics, Children’s Hospital of Philadelphia, Philadelphia, PA, United States;3. Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;4. Primary Care Research, American Academy of Pediatrics, Itasca, IL, United States;5. Pediatric Research in Office Settings, American Academy of Pediatrics, Itasca, IL, United States;6. Department of Pediatrics, Children’s Mercy Hospital, Kansas City, MO, United States;7. Department of Pediatrics, University of Rochester, Rochester, NY, United States;8. Department of Pediatrics, University of California Los Angeles Mattel Children’s Hospital, Los Angeles, CA, United States;1. Centre for Health Research and Development, Society for Applied Studies, New Delhi, India;2. PATH, India;3. District Health Office, Ministry of Health, Kangra, Himachal Pradesh, India;4. KEM Hospital Research Centre, Pune, Maharashtra, India;5. State Family Welfare Bureau, Public Health Services, Government of Maharashtra, Maharashtra, India;6. Christian Medical College, Vellore, Tamil Nadu, India;7. Department of Pediatrics, Institute of Child Health, Chennai, India;8. Department of Community Medicine, Santhiram Medical College and General Hospital, Andhra Pradesh, Hyderabad, India;9. Indian Institute of Technology, New Delhi, India;10. Viral Gastroenteritis Branch, Centers for Disease Control and Prevention, Atlanta, USA;11. Public Health England, London, United Kingdom;12. All India Institute of Medical Sciences, New Delhi, India

Abstract:	A National Immunization Technical Advisory Group (NITAG) is a multi-disciplinary body of national experts that provides evidence-based recommendations to policy-makers, assisting them in making sound immunization policy and programme decisions. The World Health Organization (WHO) Regional Office for Europe is working to strengthen the capacity of newly-established NITAGs and has targeted efforts on low- and middle-income countries. The Regional Office, in collaboration with WHO Headquarters and USA Centers for Disease Control and Prevention (CDC), developed a new training strategy and held training workshops to improve NITAGs’ functioning and ability to make evidence-based recommendations. Feedback from countries that participated in trainings indicated that the updated training materials and interactive approach with follow-up technical support enabled them to align their NITAG charters and processes with WHO recommendations. To ensure continued progress, global and regional partners such as WHO and CDC should continue providing technical support to recently established NITAGs.

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