Here, Rahama, 30, plays with her 9-month-old daughter, Maradiatu, inside their home.
Photo: Kate Holt/MCSP

The Challenge

Campaigns can be both routinely planned[1] and pre-emptive (e.g. Supplementary Immunization Activities) or responsive to an outbreak or other health emergency. While it is important that all countries maintain the capacity to execute campaigns of high quality, it is also essential that countries reduce their reliance on campaigns as a primary means of delivering health services.

The Opportunity

Given the limited ability of programs to make substantial improvements in routine coverage within reasonably short periods of time, campaigns are a life-saving necessity that will need to continue in parallel to the development of routine immunization programs. Global actors have a responsibility to support countries in developing and strengthening high-performing health systems that are capable of maintaining the capacity to implement high-quality, well-planned, and resourced campaigns as a tool to improve coverage of health services in at-risk communities or fragile settings, and/or achieving eradication and elimination goals, and investing in long-term efforts to deliver health services through routine facility-based or outreach approaches.

Our Work

To advance global policy dialogue on this issue and inform approaches to improve campaign effectiveness at the country level, the Accelerator will conduct analysis to understand how to structure public health service delivery to reach unvaccinated populations. Such an analysis will include political economy considerations required for implementing proposed solutions and/or as a basis for determining the most feasible solutions. Other considerations will also include: incentive structures/financial implications; data use and exchange; and country capacity.


[1] Campaigns are not the same as outreach or periodic intensification of routine immunization (PIRI).