TABLE 3. Framework for Assessing the Health Systems Impact of New Vaccine Introduction.

Health System Building Block	Examples of Vaccination-Specific Elements
Service delivery	Demand and acceptance Access and utilization Quality of care Delivery modalities
Health workforce	Availability and distribution of staff Training and capacity of staff Remuneration and satisfaction Performance and supervision
Health information system	Routine data collection and reporting Disease surveillance
Medical products, vaccines, and technologies	Forecasting of vaccines and injection supplies Procurement and stock management Cold chain management and waste disposal
Financing and sustainability	Affordability Domestic financing External financing
Leadership/governance	Regulatory policy Political commitment Organization, structure, reform, negotiation, stewardship

Source: WHO Ad-hoc Working Group on Impact of New Vaccines on Health Systems²⁵