Towards a new policy analytical methodology in the study of vaccination governance: from values to valuations

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Bibliographic Details
Title: Towards a new policy analytical methodology in the study of vaccination governance: from values to valuations
Authors: Paul, Katharina Theresa
Source: Policy & Politics. :1-21
Publisher Information: Bristol University Press, 2025.
Publication Year: 2025
Subject Terms: 506017 Wissenschafts- und Technologiepolitik, 506017 Science and technology policy, value, SDG 3 - Good Health and Well-being, SDG 3 – Gesundheit und Wohlergehen, public health, wicked problem, health, vaccines, valuation, policy
Description: In the face of declining vaccine uptake, public health advocates and decision makers have emphasised the value of vaccination, expressing it in medical and technical terms and metrics, such as in the number of lives saved. This narrow and monolithic understanding of value conceals how different actors value and assess the importance of vaccination – for example, its scientific, economic, ethical, social or personal value. To capture the scientific and political deadlock we observe in vaccination governance, we understand insufficient vaccine uptake as a paradigmatic example of a ‘wicked problem’ – socially complex and resistant to solutions due to differing stakeholder perspectives on what the problem is. We propose a new methodology for the study of wicked problems, labelled policy valuography, and illustrate its novelty by discussing three vignettes from our ongoing research on vaccination against human papillomavirus (HPV), COVID-19 and mpox. Such a methodology entails studying valuation practices to understand how different actors assign value to vaccination, particularly in moments of problematisation. From our perspective, value is not given, nor can it be reduced to quantifiable terms. Instead, value is the result of coordination between different actors and their respective valuations when, over time and in interaction with one another, they become aligned to a considerable extent. This new methodology will be relevant for the study of other wicked problems, too, including those associated with the global climate crisis. In addition, it can contribute to politically sustainable immunisation strategies both for existing and emerging vaccines.
Document Type: Article
ISSN: 1470-8442
0305-5736
DOI: 10.1332/03055736y2025d000000069
Access URL: https://ucrisportal.univie.ac.at/de/publications/3dfa4834-d980-47c8-92da-855bfbcbbea1
Rights: CC BY NC
Accession Number: edsair.doi.dedup.....2d0f41252cee5b0364f4d8c330344e9b
Database: OpenAIRE
Description
Abstract:In the face of declining vaccine uptake, public health advocates and decision makers have emphasised the value of vaccination, expressing it in medical and technical terms and metrics, such as in the number of lives saved. This narrow and monolithic understanding of value conceals how different actors value and assess the importance of vaccination – for example, its scientific, economic, ethical, social or personal value. To capture the scientific and political deadlock we observe in vaccination governance, we understand insufficient vaccine uptake as a paradigmatic example of a ‘wicked problem’ – socially complex and resistant to solutions due to differing stakeholder perspectives on what the problem is. We propose a new methodology for the study of wicked problems, labelled policy valuography, and illustrate its novelty by discussing three vignettes from our ongoing research on vaccination against human papillomavirus (HPV), COVID-19 and mpox. Such a methodology entails studying valuation practices to understand how different actors assign value to vaccination, particularly in moments of problematisation. From our perspective, value is not given, nor can it be reduced to quantifiable terms. Instead, value is the result of coordination between different actors and their respective valuations when, over time and in interaction with one another, they become aligned to a considerable extent. This new methodology will be relevant for the study of other wicked problems, too, including those associated with the global climate crisis. In addition, it can contribute to politically sustainable immunisation strategies both for existing and emerging vaccines.
ISSN:14708442
03055736
DOI:10.1332/03055736y2025d000000069