National Immunization Technical Advisory Group
advisory committees on vaccination policy
National Immunization Technical Advisory Group (NITAG) is an advisory committee composed of multidisciplinary experts responsible for providing information to national governments. This information is used to make evidence-based decisions regarding vaccines and immunization policies. The majority of industrialized countries, as well as some developing countries, have formally established advisory committees to guide their immunization policies, while other countries are working towards establishing such committees.
Purpose
The primary purpose of a NITAG is to provide technical expertise by offering guidance and recommendations to national policymakers and program managers, enabling them to make evidence-based decisions regarding immunization policies and programs. This may also include recommendations on vaccination schedules, such as the appropriate timing, dosage, and contraindications of vaccines. To ensure that the government gives proper attention to NITAG recommendations, the committee typically reports to high-level officials within the Ministry of Health.
In immunization related policy, Strategic Advisory Group of Experts on Immunization (SAGE) have established mechanisms to synthesize evidence and provide global recommendations. These recommendations are further interpreted at the country level by NITAGs, as they must consider factors such as local disease epidemiology, the acceptability of vaccination strategies to local populations, equity within the population, and programmatic and financial constraints.
In 2011, the World Health Organization (WHO) recommended that each member country establish a NITAG. The Global Vaccine Action Plan (GVAP) called for all 194 member countries to establish, or have access to, a NITAG by 2020.
NITAG are considered to be functional when they meet six defined process indicators agreed upon by the WHO, which are:
having a legislative or administrative basis,
having formal terms of reference,
having at least five areas of expertise represented among its membership,
having at least one meeting per year,
distribution of the agenda and background documents at least one week prior to meetings, and
having mandatory disclosure of conflict of interests.
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