Table 3.

Key considerations before introducing a new maternal vaccine [112, 113].

Issue	Key considerations
Disease	• Public health and political priorities. • Alignment with global and regional recommendations. • Disease burden. • Status of other disease prevention and control measures.
Vaccine	• Performance and characteristics of available vaccines. • Economic and financial issues. • Availability of vaccine supply.
Strength of health system	• Capability and capacity of immunization and maternal health programs, including infrastructure. • Collaboration between immunization and maternal health programs. • Continuous implementation of lessons learned.
Optimal timing	• Plans for introducing other new vaccines or maternal health services. • Opportunities for integration with current disease prevention or health initiatives.