Advancing Immunization Coverage and Equity: A Structured Synthesis of Pro-Equity Strategies in 61 Gavi-Supported Countries
UNICEF has published a new analysis on advancing immunization coverage and equity in 61 Gavi-supported countries. This findings have been synthesized into a solutions library on Immunization, Gender, and Equity. The purpose of this analysis was to identify country approaches to reach underimmunized and zero-dose children through a structured synthesis of pro-equity strategies across 61 countries receiving programmatic support from Gavi, the Vaccine Alliance.
The researchers extracted data from 174 Country Joint Appraisals and Multi-Stakeholder Dialogue reports. Then, they identified strategies through a targeted keyword search, informed by a determinants of immunization coverage framework. These strategies were synthesized into themes consolidated from UNICEF's Journey to Health and Immunization (JTHI) and the Global Routine Immunization Strategies and Practices (GRISP) frameworks. 607 unique strategies were found across 61 countries and 24 themes. Strategies to improve care at the point of service (44%); to improve knowledge, awareness and beliefs (25%); and to address preparation, cost and effort barriers (13%) were common. Fewer strategies targeted experience of care (8%), intent (7%), and after-service (3%). Strategies addressing gender-related barriers to immunization and targeting specific types of communities were also found.
The researchers summarized the range of pro-equity immunization strategies employed in Gavi-supported countries and interpreted them thematically. Findings are incorporated into a searchable database which can be used to inform equity-driven immunization programs, policies and decision-making which target underimmunized and zero-dose communities.
Have you used any of these equity strategies in your immunization work? Which strategies have been most successful? How might this solutions library be useful in your work?
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