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traditional vaccines that existed at the time, lacks the capacity to deal with the much larger number of vaccines that exist today. In environments with few resources, protecting every child with lifesaving vaccines will not be possible without thoughtful improvement in at least two areas: (i) strengthening national immunization systems and providing support to health workers tasked with delivering vaccines, and (ii) improving vaccine design and presentation. Although efforts to strengthen country systems are well documented, 16,17 little has been published on efforts to influence vaccine design and presentation. This paper describes a novel approach to collaboration between the private and the public sectors, with a focus on ensuring that new vaccines are designed with attention to the needs and problems of national immunization programmes in low- and middleincome countries.

Vaccine Presentation and Packaging Advisory Group: a forum for reaching consensus on vaccine product attributes