Adoption of BOT Model to Introduce Vaccines: Tablet Approach

Abstract

Objective: The introduction of the rotavirus vaccine (RVV) in India is one of the major achievements of the immunization program of India. Faced with various challenges, including different product specifications and competing for other program priorities, the introduction of the rotavirus vaccine in the universal immunization program was a monumental task. Considering the successful introduction of RVV, there is a need for a knowledge transfer tool that can enable policymakers and other countries to adopt it to formulate informed strategies and introduce new vaccines. Methods: The review was conducted in two phases. In the first stage, a literature review was conducted to identify and analyze all the published literature on Build-Operate-Transfer (BOT) model and RVV introduction in India. In the second phase, an analysis of the shortlisted literature was conducted utilizing the framework method. Results: Following the analysis, several similarities were observed between the approach to rotavirus vaccine introduction, and BOT model. Hence, based on the above analogy new public health project implementation framework, TaBLET (Technical Advice, Build capacity, Leverage partnerships, Engineer innovations, Transfer assets) approach, was proposed. Conclusion: This article has proposed a new TaBLET approach adapted from the BOT model. The RVV introduction has shown that a project implementation framework like TaBLET can be successfully employed for efficiently utilizing existing resources, increased outreach with existing human resources, and complete transfer of tangible and intangible assets, which can be imbibed in the existing health system. This article highlights the genesis and the multifactorial benefits of the TaBLET approach in introducing new vaccines as well as in other allied health care programs.