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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.
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.
Latest Resources
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Immunization Agenda 2030. A global strategy to leave no one behind
Thid document provides the vision, goals, strategic priorities and operationalization of the global Immunization Agenda 2030
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Equity Reference Group for Immunization (ERG) website
This is the website of the Equity Reference Group for Immunization which was convened in 2017 by UNICEF and the Bill & Melinda Gates Foundation to generate innovative ideas to accelerate progress on equity in immunisation. Operating as an action-oriented think tank, the group is reviewing evidence across health programmes and other sectors and recommending innovative ways to achieve greater equity in immunisation though policies and programming. This website includes information on the members and related products which reflect the priorities of the group around zero-dose communities, data and information, and gender-related barriers to immunization.
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Gavi, The Vaccine Alliance website
This website describes Gavi’s work to vaccinate the world’s children against deadly and debilitating infectious diseases
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Gavi’s Zero-Dose Child webpage
This webpage provides an overview of the approach Gavi is taking to reach the world’s most disadvantaged children (so called “zero-dose” children) who have not received even a single dose of diphtheria, tetanus and pertussis-containing (DTP) vaccine.
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UNICEF’s Immunization webpage
This webpage describes UNICEF’s work to engage communities, procure and distribute vaccines, keep supplies safe and effective, and help ensure affordable access for even the hardest-to-reach families across the globe
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Latest Solutions
Country – Senegal
Adjust hours/timing of immunization services
Time and opportunity barriers may inhibit utilization
Multiple methods to improve accessibility such as fixed, mobile and night-time immunisation in certain districts in Dakar, in addition to weekend immunization, as part of the Reaching Every Community (REC) strategy (JA 2019) Vaccination service delivery hours were adjusted to improve service delivery. Services offered in afternoons, Saturdays, and evenings. The altered hours were adopted by 4 of 7 districts in Dakar (center, north, west, and Keur Massar) (Vincent T, Dubourg JC, Correia G, Biey J, Flamigni G. Joint Gavi Alliance Mission Report: Capitalizing on Best practices. Senegal Expanded Programme of Immunization. 16-20 April 2018. Dakar, Senegal: World Health Organisation, Senegal Programme Elargi de Vaccination, UNICEF, Gavi.)
Country – Somalia
Adjust hours/timing of immunization services
Time and opportunity barriers may inhibit utilization
Adjusting immunization services to 6 days per week to acccomodate population needs (e.g. women who are involved in trading activities to support their families) (JA 2018)
Country – Mali
Adjust hours/timing of immunization services
Time and opportunity barriers may inhibit utilization
Weekend immunization activities occur regularly in the ASACOYIR health area (Commune 6) (JA 2019) Immunization services made available every working day in commune 7 of the District of Bamako (JA 2019)
Country – Pakistan
Adjust hours/timing of immunization services
Time and opportunity barriers may inhibit utilization
Business-hour vaccination sessions introduced in Pakistan’s urban centres (JA 2019)
Country – Uganda
Adjust hours/timing of immunization services
Time and opportunity barriers may inhibit utilization
Reaching Every Community (REC)-Quality Improvement (QI) approach engaging non-health stakeholders to be served by a routine immunisation service point, and the most convenient location, days and times for outreach and services (JA 2017) Timing for outreach in urban areas changed to weekends especially on Sundays to facilitate better access and coverage for immunization services (JA 2018)
