Country ownership as a guiding principle for IA2030: A case study of the measles and rubella elimination programs in Nepal and Nigeria.

Country-owned, as opposed to donor-driven, is a principle within the development sector that recognizes the centrality of countries' leadership, systems, and resources in executing programs and achieving sustainable development. In alignment with this notion, the Immunization Agenda 2030 was developed with country ownership as one of four core principles of the ambitious ten-year plan. This means that the success of immunization programs, including those with eradication and elimination goals such as polio, measles, and rubella, and those with broader equity goals to "leave no one behind" on immunization, would be largely driven by country systems. In this paper we deconstruct country ownership into five operational principles: commitment, coordination, capacity, community participation, and accountability. Through this lens, we illustrate how two countries, Nepal and Nigeria, have exemplified country ownership in their measles and rubella elimination programs and we infer the ways in which country ownership drives system performance and sustains program efforts. Copyright © 2024 World Health Organization. Published by Elsevier Ltd.. All rights reserved.

Citation

Chizoba Wonodi, Natasha Crowcroft, Anindya Sekhar Bose, Joseph Oteri, Jenny Momoh, Genevieve Hughes, Anita Shet, Rahul Pradhan, Jhalak Sharma Gautam, Anne Eudes Jean Baptiste, Sudhir Khanal, Balcha Masresha, Ann Linstrand. Country ownership as a guiding principle for IA2030: A case study of the measles and rubella elimination programs in Nepal and Nigeria. Vaccine. 2024 Apr 08;42 Suppl 1:S107-S117

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PMID: 37838480

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