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What influences government adoption of vaccines in developing countries? A policy process analysis

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  • Munira, Syarifah Liza
  • Fritzen, Scott A.

Abstract

This paper proposes a framework for examining the process by which government consideration and adoption of new vaccines takes place, with specific reference to developing country settings. The cases of early Hepatitis B vaccine adoption in Taiwan and Thailand are used to explore the relevance of explanatory factors identified in the literature as well as the need to go beyond a variable-centric focus by highlighting the role of policy context and process in determining the pace and extent of adoption. The cases suggest the feasibility and importance of modeling 'causal diversity'--the complex set of necessary and sufficient conditions leading to particular decisional outcomes--in a broad range of country contexts. A better understanding of the lenses through which government decision-makers filter information, and of the arenas in which critical decisions are shaped and taken, may assist both analysts (in predicting institutionalization of new vaccines) and advocates (in crafting targeted strategies to accelerate their diffusion).

Suggested Citation

  • Munira, Syarifah Liza & Fritzen, Scott A., 2007. "What influences government adoption of vaccines in developing countries? A policy process analysis," Social Science & Medicine, Elsevier, vol. 65(8), pages 1751-1764, October.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:8:p:1751-1764
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    References listed on IDEAS

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    1. Sandberg, Kristin Ingstad & Andresen, Steinar & Bjune, Gunnar, 2010. "A new approach to global health institutions? A case study of new vaccine introduction and the formation of the GAVI Alliance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1349-1356, October.
    2. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    3. Blume, Stuart & Tump, Janneke, 2010. "Evidence and policymaking: The introduction of MMR vaccine in the Netherlands," Social Science & Medicine, Elsevier, vol. 71(6), pages 1049-1055, September.
    4. Bryson, Maggie & Duclos, Philippe & Jolly, Ann, 2010. "Global immunization policy making processes," Health Policy, Elsevier, vol. 96(2), pages 154-159, July.
    5. Mai, Nhat Chi, 2017. "Influences on the policy process in local government in Vietnam: The case of low-income housing policy in Da Nang City from 2005-2013," OSF Preprints zvbmc, Center for Open Science.
    6. Gwen Arnold & Meghan Klasic & Changtong Wu & Madeline Schomburg & Abigail York, 2023. "Finding, distinguishing, and understanding overlooked policy entrepreneurs," Policy Sciences, Springer;Society of Policy Sciences, vol. 56(4), pages 657-687, December.

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