Immunisation
Vaccines alone don’t save lives – it takes a daily miracle of human collaboration. When delivery falters, vaccines spoil in broken refrigerators, health workers fail to reach children, and preventable diseases claim lives.
Vaccines alone don’t save lives – it takes a daily miracle of human collaboration. When delivery falters, vaccines spoil in broken refrigerators, health workers fail to reach children, and preventable diseases claim lives.
Governments use SystemSolving to support massive coverage gains, driving equitable, life-saving protection directly into the most underserved communities.
In Pakistan, between 2013 and 2026, the government raised national full immunisation coverage from 54% to 81%, with gains seen in Sindh (29% to 75%), KP (53% to 72%), and Balochistan (16% to 57%), while Punjab rose from 66% and stabilised at 90%.
Public health authorities launched and scaled the Mashako Plan, embedding operational improvements that navigated a post-Covid dip to return to growth.
Governments use SystemSolving to support massive coverage gains, driving equitable, life-saving protection directly into the most underserved communities.
In Pakistan, between 2013 and 2026, the government raised national full immunisation coverage from 54% to 81%, with gains seen in Sindh (29% to 75%), KP (53% to 72%), and Balochistan (16% to 57%), while Punjab rose from 66% and stabilised at 90%.
Public health authorities launched and scaled the Mashako Plan, embedding operational improvements that navigated a post-Covid dip to return to growth.
We help governments to protect children with life-saving routine vaccinations. By enabling leaders to act fast on last-mile realities, we help ensure supply chains are optimised, facilities are functional, and vaccinators are supported at the last mile. This approach has supported lasting coverage gains – including raising national full immunisation in Pakistan from 54% to 81% between 2013 and 2026.
We help protect adolescent girls – including those out of school – by combining data-driven planning with targeted community engagement. In Nigeria, better visibility and women-led mobilisation helped vaccinate 7 million girls – achieving 74% national target coverage. In Ethiopia, data-driven microplanning helped local health teams expand coverage to out-of-school girls by 40% across pilot zones.
We build real-time performance tracking tools and rapid feedback loops that allow public health teams to catch delivery gaps instantly and curb transmission. This approach powered a 96% surge in measles vaccinations across Pakistan, protected 16.3 million children in seven DRC provinces with 97% target coverage, and slashed dropout rates by 42% in Ethiopia.
September 30, 2026
3 min read
Delivering vaccines in Nigeria’s Zamfara State means racing against both time and terrain. When seasonal rains turn dirt roads into rivers, or securit…
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August 19, 2026
3 min read
Understanding why routine vaccination stalled in northern Nigeria requires a look at what happens on the back roads of Sokoto. Failure is rarely a cas…
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March 10, 2026
3 min read
In July 2025, a senior public health leader in Kano, Nigeria, sat before a screen flashing red. The data revealed an uncomfortable truth: two urban ar…
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February 23, 2026
3 min read
In a remote village in the DRC, I recently slept in a health centre 200 km from any urban hub. My goal was to see what was really happening on the gro…
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February 3, 2026
4 min read
Children and adolescents living with HIV in Nigeria face a six- to eight-fold higher risk of developing cervical cancer. Protecting them against HPV –…
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August 28, 2025
2 min read
It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…
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August 20, 2025
3 min read
Last month in Zamfara, Nigeria, a vaccinator prepared to visit a remote village, where most children had never received a single vaccine. Local contac…
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July 18, 2025
3 min read
In March 2020, the world locked down overnight. No pilots. No randomised controlled trials. Just bold action in the face of uncertainty. Because the s…
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July 10, 2025
3 min read
In March 2024, Ethiopia launched its first single-dose HPV vaccine campaign. This was a huge first step for preventing cervical cancer in the country.…
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June 26, 2025
4 min read
In 2022, Dr. Azra Pechuho, Minister of Health in Sindh, Pakistan, reviewed data suggesting maternal health facilities across the province were functio…
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June 6, 2025
4 min read
Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…
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April 29, 2025
2 min read
Low immunisation coverage in low- and middle-income countries is often the result of limited outreach vaccination capabilities. Often needed for the m…
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April 24, 2025
2 min read
As we mark World Immunization Week 2025, this year’s banner, Immunization for All is Humanly Possible, isn’t just a rallying cry. It’s a global commit…
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April 7, 2025
3 min read
On World Health Day 2025, the theme is healthy beginnings, hopeful futures. In light of increasing development sector spending cuts, Susan Mackay – He…
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February 28, 2025
3 min read
Vaccination coverage is growing in low- and middle-income countries, yet some communities are being missed entirely. Many communities across low- and…
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February 27, 2025
3 min read
Gathering data on low immunisation communities is an important first step to increasing vaccination coverage for citizens. Once immunisation coverage…
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July 29, 2024
3 min read
Measles vaccines are estimated to have averted around 57 million deaths globally between 2000 and 2022. However, there is still work to be done, with…
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July 11, 2024
2 min read
Even where the demand for HPV vaccines is high, opportunities are being missed to vaccinate girls. But there are ways to ensure girls receive the vacc…
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July 10, 2024
2 min read
Only one in eight girls globally are vaccinated against HPV. There are various ways to raise the demand. A single vaccination can protect girls a…
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June 21, 2024
2 min read
Some health workers understandably worry about technology further overburdening them. But if interventions are designed correctly, more overburdening…
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June 17, 2024
2 min read
The vast majority of frontline staff work exceptionally hard. But governments require evidence of performance to address concerns. Accountability is i…
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March 9, 2023
3 min read
The province of Sindh in Pakistan ran one of the largest Measles-Rubella (MR) vaccination campaigns, reaching around 20 million children in two weeks.…
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December 2, 2022
3 min read
Hesitancy around vaccination is a growing challenge across the world. Our most recent data from Africa shows 72% of individuals expressing hesitation…
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August 4, 2022
2 min read
Immunisation coverage in Balochistan stands at 38%, the lowest in Pakistan. The province faces unique challenges in increasing routine immunisation; i…
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May 10, 2022
3 min read
Mozambique’s strong performance is gaining recognition regionally and internationally, despite initial constraints of vaccine supply, in-country deliv…
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April 5, 2022
2 min read
We summarise four challenges below and mention some of the best practices that can help partners and implementers overcome them. Reliance on self-repo…
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August 31, 2021
3 min read
Each year, around 10 million children receive no vaccinations at all. More than fifty percent of these zero-dose children live in urban slums, remote…
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August 10, 2021
2 min read
A few weeks ago, Taimur Khan Jhagra, Health Minister and Finance Minister in Khyber Pakhtunkhwa, Pakistan, used his Twitter account to highlight gende…
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May 12, 2021
3 min read
It can be challenging to provide consistent health services in urban slums, which often contain populations with some of the lowest levels of access t…
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May 11, 2021
3 min read
The rollout of the Covid vaccine is unlike any other. For most public officials involved, it will be the most complex challenge they will ever face in…
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May 10, 2021
3 min read
To help reduce the rate of under-immunised children in Mozambique, the government launched new digital supervision tools to help manage service delive…
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April 6, 2021
3 min read
In 2017, surveys showed that only one in three children were fully immunised in the Democratic Republic of the Congo (DRC), while one in five did not…
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February 23, 2021
3 min read
One of the first steps in redesigning a vaccine distribution system is to understand the existing bottlenecks, flaws and inefficiencies that prevent i…
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November 19, 2019
2 min read
Leaders of health and education systems often rely on datasets that are inaccurate or incomplete. Advanced analytics can help understand and improve d…
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