UNAS Programs

Uganda’s NITAG (UNITAG)

UNITAG Background

The Advisory Committee on Vaccines and Immunization (ACVI) was constituted in June 2012 mainly to advise and guide the Uganda Ministry of Health (MoH) in particular and the country at large on the effective use of vaccines to control vaccine-preventable diseases; the introduction of new and underused vaccines into the national health system; how to strengthen Uganda’s health system to better deliver life-saving vaccines; and on issues connected to immunization practice. Activities for the first six months are funded by the African Science Academy Development Initiative (ASADI) of the US National Academies. The ACVI has produced two publications: Policy Advisory in Uganda. Establishing the Advisory Committee on Vaccines and Immunisation  (2012) which gave general information about the committee and a 2013 Policy Brief: Improving Vaccine and Immunisation Coverage in Uganda.

In 2013, the Ministry of Health, through the Permanent Secretary, requested the Strengthening Independent Vaccine Advisory Committees (SIVAC) Initiative for support to strengthen the ACVI and explore the possibility of it functioning as Uganda’s NITAG. SIVAC conducted an assessment of the ACVI which included consultation with the MoH and some Immunization partners in February 2014. SIVAC recommended that the ACVI was well placed to function as Uganda’s NITAG and recommended that a formal process be put in place to activate it. This culminated in the Ministerial Statement Establishing the UNITAG in 2014. UNITAG members serve on four year terms renewable once.

NITAGs provide recommendations on all issues related to immunization and vaccines including:
  • Immunization policies and strategies within and outside of the Expanded Program for Immunization
  • Introduction of new vaccines and immunization technologies
  • Vaccine quality and safety
  • Vaccine schedules
  • Procurement and financing of immunization programs
  • Research priorities and strategies
  • New and emerging vaccine-preventable diseases and response to public health needs
  • Recommendations are forwarded to high-level ministry of health officials for their consideration and prioritization.
By supporting national authorities to make immunization and vaccine decisions based on evidence, NITAGs empower the government. They support countries to take ownership of their immunization programs. In particular, they serve to:
  • Offer independent unbiased advice based on science
  • Promote the adoption of policies based on national priorities and which effectively take into account the local specificities (epidemiology, logistics capacity, etc.)
  • Help resist pressure from interest groups
  • Reinforce the credibility of proposed national vaccine and immunization policies
  • Enhance the ability to secure government or donor funding
  • Encourage a more comprehensive approach that:
  • Considers the health of vulnerable populations
  • Integrates various, pre-existing vaccine-specific task forces

A NITAG is unique/different from other EPI committees because:

Unlike the Technical Working groups, which consist of members with similar specialties, a NITAG is multidisciplinary and looks at the holistic picture. It is also chaired by an expert independent of the Immunization program and is able to offer independent bias free advice.
A NITAG is also different from the Inter-Agency Coordinating Committee (ICC) in that the main purpose of the ICC is to coordinate and support funding, planning, implementation, and advocacy – which are operational roles in nature, while the NITAG has a purely technical advisory role for the development of vaccine recommendations and does not serve as an implementing, coordinating or regulatory body.

NITAG Membership

A NITAG is composed of independent scientists who represent their fields of specialization on the committee and are the voting members of the committee. The NITAG also has members representing the National Immunisation Program and the Ministry of Health, called ex- Officios and members representing technical partners, civil society and Non-Government Organisations, and their role is to provide contextual information. They are non-voting.

2023-2026 Membership of UNITAG

Prof. Harriet Mayanja Kizza

FUNAS, MBCHB, MSC, M.MED, FRCP, LLD (HC)

Prof. Wilberforce Kabweru Musoga

MEDICINE AND SURGERY

Mulago National Referral Hospital

Prof. Erisa Mwaka

HEALTH ETHICS AND BIO-ETHICS

College of Health Sciences, Makerere University

Ms. Diana Kizza

HEALTH ECONOMICS
Senior Programme Manager for the Sustainable Health Financing Programme at the Clinton Health Access Initiative

Dr. Simon Kasasa

MATHEMATICAL MODELING
Lecturer, Dept of Health Policy, Planning and Management, Makerere University School of Public Health

Prof. John Francis Mugisha

HEALTH POLICY/ PUBLIC HEALTH
Health Systems Consultant and Vice Chancellor, Cavendish University Uganda

Prof. David Meya

MEDICINE, PUBLIC HEALTH & EPIDEMIOLOGY

Head of Dept of Pediatrics Makerere University College of Health Sciences, Kampala. 

Dr. Deogratious Munube

PEDIATRICS
Senior Lecturer, of Paediatirics, Makerere University College of Health Sciences, Kampala. Fellow of UNAS

Dr. Sam Ononge

OBSTETRICS AND GYNECOLOGY

Lecturer of MUK

Dr. Bruce Kirenga

VACCINOLOGY AND CLINICAL TRIALS

MLI

Dr. Margaret Saimo Kahwa

VACCINES / VACCINOLOGY / VACCINE DEVELOPMENT
Lecturer, Department of Biomolecular Resources and Biolab Sciences, College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere

Dr. Patrice Mawa

VACCINES / VACCINOLOGY / VACCINE DEVELOPMENT
Senior Research Officer, Uganda Virus Research Institute, Entebbe, Uganda

Dr. Richard Mugahi

REPRODUCTIVE AND INFANT HEALTH

Reproductive and Infant Health, Ministry of Health

Dr. Barbara Abindabyamu

EPIDEMIOLOGY

Reproductive and Infant Health, Ministry of Health

Dr. Noah Kiwanuka

STATISTICS AND DEMOGRAPHICS

Reproductive and Infant Health, Ministry of Health

Dr. Michael Baganizi

MOH / UNEPI
Program Manager, EPI. Ministry of Health

Dr. Juliet Kiguli

SOCIAL SCIENCES
Program Manager, EPI. Ministry of Health

Dr. Rita Atugonza

UNEPI
Program Manager, EPI. Ministry of Health

Dr. Henry Saul Kyobe

SCIENTIFIC ADVISORY COMMITTEE (MoH)

Health and Director,

Dr. Emmanuel Mugisha

PATH
Country Manager, PATH Uganda

Dr Eva Kabwongera

UNICEF
EPI Health Specialist UNICEF

Dr. Annet Kisakye

WHO
National Advisor, Polio Eradication Initiative/ EPI Team Leader World Health Organisation

UNITAG Outputs

Since its inception, UNITAG has advised the Ministry of Health on various issues including:

  1. Introduction of Rotavirus vaccine into the routine schedule,
  2. The campaign introduction of Men A vaccine in targeted districts in Uganda,
  3. Drafting of the Immunisation Bill, now Immunisation Act 2017.
  4. Prioritization for the introduction of five new vaccines (Meningitis vaccine, Hepatitis B birth dose, 2nd dose of measles-containing vaccine, Yellow fever vaccine, and switch from Tetanus Toxoid vaccine to Tetanus-Diphtheria vaccine) into the routine program for the period 2016-2020. A copy of this report can be found here

In 2020, UNITAG was tasked by MoH to address three issues:

  1. How to improve immunization service delivery at the sub-national level
  2. Review recommendation on the introduction of Hepatitis B birth dose into Uganda’s routine immunization schedule
  3. Review the Immunisation Financial Sustainability Plan for effective implementation

Funding

For the first two years, UNITAG received funding from the Strengthening Independent Vaccine Advisory Committees (SIVAC) Initiative and World Health Organisation. Currently, UNITAG receives funding from WHO and Ministry of Health via the Health System Strengthening program financed by Gavi the Vaccine Alliance.

Support to UNITAG goes towards supporting the committee meetings, including stakeholder engagements, the search for evidence processes and capacity building activities including: training of members in Evidence Informed Decision Making, networking and sharing experiences with other NITAGs and vaccinology training courses.

Flat A4, Lincoln House, Makerere University P. O BOX 23911, Kampala Uganda,

© Uganda National Academy of Sciences. All rights reserved.

© Uganda National Academy of Sciences. All rights reserved.
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