Current status, challenges and prospects of hierarchical management of vaccination units.

Key Points

• Hierarchical management improves organization within vaccination units, enhancing efficiency and service delivery.
• The absence of established guidelines hinders proper implementation, complicating the standardization process in vaccination management.
• This systematic review evaluates current practices and proposes a framework for implementing hierarchical management in vaccination units.
• Clarifying the role of hierarchical management could promote better vaccination strategies, supporting public health objectives.