IMMUNIZATION, GENDER AND EQUITY
A learning and solutions tool to identify and address gender and equity issues in the access, uptake and delivery of immunization by clients and providers.
IMMUNIZATION,
GENDER AND EQUITY
Gender and equity issues influence the uptake and delivery of immunization at each of the six steps along the Journey to Health and Immunization – from knowledge, awareness and belief to experience of care and after service. Each step is labeled in the figure below.
The Journey to Health and Immunization
Step 1 – Knowledge, awareness & belief
Gender/equity issues influencing knowledge and beliefs
Step 2 – Intent
Gender norms/equity dimensions impacting uptake and delivery
Step 3 – Preparation, cost & effort
Gender/equity-related costs and benefits of service access/provision
Step 4 – Point of service
Gender/equity considerations in health service delivery
Step 5 – Experience of care
Gender dynamics/equity issues in client-provider interactions
Step 6 – After service
Gender/equity dimensions in follow-up care and services
Learn about
barriers & solutions
Learn about gender barriers at each step along the Journey to Health and Immunization. Review checklists of key actions, complete self-assessment quizzes and create a personalized action plan.
Find a solution
Review strategies implemented in Gavi-eligible countries to improve immunization equity. Search by Step along the Journey, health system factor or action, keyword or country.
Share a
solution
We are looking for more solutions – please submit a request to have a strategy you have supported added to this website.
Latest Resources
PDF
Impact of Conditional Cash Transfers on Routine Childhood Immunizations
New Incentives – All Babies Are Equal Initiative (NI-ABAE) uses conditional cash transfers (CCTs) to increase vaccination rates in North West Nigeria.
DownloadPDF
Why Gender Matters: Immunization 2030
A supplement to the IA2030 providing why, what and how of gender equality in achieving the goals of the immunization agenda
DownloadArticle
The influence of gender on immunisation: using an ecological framework to examine intersecting inequities and pathways to change
Highlight the connection between gender inequities and immunisation using the social ecological model to identify the interplay between individual, household, community and system factors.
WebsitePDF
Immunization and Gender
A practical guide to integrate a gender lens into immunization programmes
DownloadPDF
Polio Global Eradication Initiative: Gender Technical Brief
Gendered determinants of polio vaccination uptake and delivery in 16 countries including indicators for monitoring progress
Download
Latest Solutions
Country – Malawi
Take stock of post-care successes and failures
Health workers may need additional skills and motivation to provide quality care
Remote supportive supervision of Expanded Programme on Immunization (EPI) services through Whatsapp during the COVID-19 pandemic (Multi-stakeholder Dialogue Report (MSD) 2020)
Country – Nigeria
Strengthening accountability, trust, and communication for mobilisation
Lack of accountability, trust and communication
Community engagement strategy includes annual non-monetary rewards systems for religious and traditional leaders as recognition for good performance (JA 2019)
Country – Kenya
Adjusting service delivery approach, engaging community to ensure acceptability
Poor client satisfaction will reduce utilisation and continuation of services, lack of community engagement
Community Strategy, community dialogue meetings and use of community volunteers for house mapping, defaulter tracing and social mobilisation (JA 2017 & 2018) Community Health Volunteer (CHV) engagement and capacity building have improved immunization services through community mobilization and have been able to trace defaulters and bring back to care more than 1000 children who missed immunization (JA 2019)
Country – Nigeria
Performance rewards
Lack of community engagement
Community engagement strategy includes annual non-monetary rewards systems for religious and traditional leaders as recognition for good performance (JA 2019)
