Participatory decision-making through the Advisory Committee on Communicable Diseases: The Sri Lankan experience |
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Authors: | Pushpa Ranjan Wijesinghe Paba Palihawadana Thelge Sudath Rohana Peiris |
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Institution: | Epidemiology Unit, 231, De Saram Place, Colombo 10, Sri Lanka;Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, PR China;Agence de Médecine Préventive, Paris, France;Independent Consultant;Department of Immunization, Vaccines and Biologicals World Health Organization, Geneva, Switzerland |
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Abstract: | The paper describes how the Advisory Committee on Communicable Diseases (ACCD) in Sri Lanka addresses new challenges by ensuring participatory, collective and transparent decision-making through a broad representation of stakeholders. The Committee, which is more than 40 years old, differs from many other national immunization advisory committees, since it has a broad mandate to deal with all communicable diseases, including those for which there are no vaccines, and addresses such areas as disease surveillance and health system improvements, in addition to vaccination-related issues. The Committee has 38 members. Unlike in some countries, ACCD recommendations are legally binding for all public sector health providers. The paper provides several examples of recent recommendations and factors that influenced the Committee's decision-making, and concludes with ways the Committee can be improved. |
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