Case study

Collaborating with Women’s Groups: A Promising Approach to Identify and Reach Zero-Dose Children in Urban Mali

Despite rural areas in Mali having a higher rate of zero-dose (ZD) children than urban areas, the total number of ZD children is highest in urban areas, including Sikasso, Mali's third-most populous region. This has led Mali to adopt innovative pro-equity strategies, such as utilizing women's groups to address gender-related barriers and identify and reach ZD children. This case study examines how Mali worked to identify and reach ZD children in urban areas, particularly Sikasso, by employing women's groups as a pro-equity intervention. Community-based strategies, such as leveraging women's groups, could help address challenges to vaccination in urban Mali, such as motivating health workers and caregivers to vaccinate children, ensuring the sustainability of campaign-style activities, and responding to outbreaks of vaccine-preventable diseases like measles.

Publication year

2023

Type

Case study

Categories

  • Global initiatives

Countries

  • Mali

Organisations

  • Gavi, the Vaccine Alliance

Tags

  • EQUIP
  • Equity
  • Gender
  • Zero-dose

WHO Regions

  • African Region

IRMMA

TitleAuthorYearTypeLanguage
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Operational Guidance: Estimating the Costs of Interventions to Reach Zero-Dose ChildrenJSI Research & Training Institute, Gavi, the Vaccine Alliance2025GuidanceEnglish
Reaching for Universal Immunization Coverage: Results and Program Recommendations from Combined Immunization Coverage and Serology Surveys in Three Woredas (districts) of Ethiopia in 2013 and 2016JSI Research & Training Institute, Universal Immunization through Improving Family Health Services (UI-FHS), Ethiopian public health institute, Center for Vaccine Development (CVD)2019Case studyEnglish
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Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update—Mali (October 2025)Gavi, the Vaccine Alliance, JSI Research & Training Institute, Zero-Dose Learning Hub, The Geneva Learning Foundation, IIHMR, Delhi2025ReportEnglish
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Immunization Coverage Surveys and Linked Biomarker Serosurveys in Three Regions in EthiopiaMark A Travassos, Myron M Levine, Robert Steinglass, Marcela F. Pasetti, Samba O Sow, Jaya Goswami, Inna Ruslanova, Yukun Wu, William C. Blackwelder, Mardi Reymann, Jenny Sequeira, Lisa Oot, Tassew Kassa, Seydou S Diarra, Nigisti Mulholland, James D Campbell, Zenaw Adam, Berhane Beyene, Amha Kebede2016Journal articleEnglish
Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update—Nigeria (October 2025)Gavi, the Vaccine Alliance, JSI Research & Training Institute, Zero-Dose Learning Hub, The Geneva Learning Foundation, IIHMR, Delhi2025ReportEnglish
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Primary Health Care Unit Reaching Every District (RED) GuidelinesJSI Research & Training Institute, PATH, Clinton Health Access Initiative (CHAI), World Health Organization (WHO), Ethiopia Ministry of Health2021ToolEnglish
Implementing Quality Improvement Strategies: A Quick Reference Guide for Woreda & Health Facility LevelsJSI, Universal Immunization through Improving Family Health Services (UI-FHS)2020ToolEnglish
Bangladesh Zero-Dose LandscapeJSI, The Geneva Learning Foundation, IIHMR, Delhi, Gavi, the Vaccine Alliance, Zero-Dose Learning Hub2023RepositoryEnglish
Electronic Immunization Information Systems: A Case Report of Lessons Learned from Implementation in PakistanSullivan E, Masood Tariq, Javeed Wajiha, Katharine Bagshaw, Steve Ollis, Presha Regmi, Gardezi SMA2020Journal articleEnglish
Sustaining Immunization Gains for All Communities: Lessons from Implementation of the RED-QI ApproachJSI, Universal Immunization through Improving Family Health Services (UI-FHS)2020Case studyEnglish
Key Strategies for Bridging the Equity Gap for Immunization in Ethiopia: Use of Quality Improvement Approaches to Strengthen Immunization Service Delivery and Reach the Hardest-to-Reach PopulationsJSI, Universal Immunization through Improving Family Health Services (UI-FHS)2021Case studyEnglish
Linking Health Facilities and Communities Improves Routine ImmunizationJSI2018ReportEnglish
Rethinking the Routine_ Modernizing Outreach Services to Immunize Zero-Dose ChildrenJSI Research & Training Institute2022ToolEnglish
Updating and Monitoring Your Immunization Microplan: Guidelines to Support Woreda Health Offices and Their Health Facilities to Routinely Update and Monitor Their MicroplansUniversal Immunization through Improving Family Health Services (UI-FHS)2020ToolEnglish
Use a Fishbone Diagram to Find Root Causes and Effective SolutionsUniversal Immunization through Improving Family Health Services (UI-FHS), JSI2018ToolEnglish
RESOURCE CATALOGUE SERVICE QUALITY AND EXPERIENCE LITERATURE AND TOOLSGavi, the Vaccine Alliance2023ToolEnglish
Pro-Equity Evidence MapGavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi, fhi3602023RepositoryEnglish
Primary Health Care Unit Health Post Level Guidelines to Implement the Reaching Every District (RED) StrategyJSI Research & Training Institute, Clinton Health Access Initiative (CHAI), PATH, World Health Organization (WHO), Ethiopia Ministry of Health2021ToolEnglish
Crossing Lanes: Forecasting for Zero DoseJSI Research & Training Institute2022Case studyEnglish
Immunization Data Triangulation Tool (IDTT)JSI2020ToolEnglish
Improve Data Quality to Make the Most of Important ResourcesUniversal Immunization through Improving Family Health Services (UI-FHS), JSI2018ToolEnglish
Key Strategies for Bridging the Equity Gap for Immunization in Ethiopia: Improving Data Use to Achieve More Equitable Service DeliveryJSI, Universal Immunization through Improving Family Health Services (UI-FHS)2021Case studyEnglish
Zero-Dose Learning Platforms - Platform Manager and User Surveys ReportGavi, the Vaccine Alliance, JSI, IIHMR, Delhi, The Geneva Learning Foundation2023RepositoryEnglish
Microplanning: A Promising Approach to Identify and Reach Zero-Dose Children in Democratic Republic of Congo (DRC)Gavi, the Vaccine Alliance, fhi3602023Case studyEnglish
Collaborating with Women’s Groups: A Promising Approach to Identify and Reach Zero-Dose Children in Urban MaliGavi, the Vaccine Alliance, fhi3602023Case studyEnglish, French
Zeroing in on Zero-Dose: Challenges and Opportunities for Improving Equity and Coverage among Zero-Dose and Under-Immunized Children in Four CountriesGavi, the Vaccine Alliance, JSI, IIHMR, Delhi, The Geneva Learning Foundation2023PresentationEnglish
Uganda Zero-Dose LandscapeGavi, the Vaccine Alliance, IIHMR, Delhi, JSI, The Geneva Learning Foundation2023RepositoryEnglish
Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update (October 2023)Gavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi, Zero-Dose Learning Hub2023RepositoryEnglish
Health Systems Strengthening to Reach Zero-Dose Children in ChadGavi, the Vaccine Alliance2023Case studyEnglish
Early Learning from Zero-Dose Practitioners in Nigeria and Uganda: Gavi ZDLH Inter-Country Peer Exchange (ZDLH-X2)The Geneva Learning Foundation, JSI, Gavi, the Vaccine Alliance, IIHMR, Delhi, Zero-Dose Learning Hub2023RepositoryEnglish
Early Learning from Zero-Dose Practitioners in Bangladesh and Mali: Gavi ZDLH Inter-Country Peer Exchange (ZDLH-X1)Gavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi, Zero-Dose Learning Hub2023RepositoryEnglish
Country Learning Hub for Immunization Equity in Bangladesh: Findings from Rapid AssessmentGavi, the Vaccine Alliance, icddr,b, redorange communications, Jhpiego2023RepositoryEnglish
Mali Zero-Dose LandscapeGavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi2023RepositoryEnglish
Cameroon Increases Reach to Zero-Dose Children through Microplanning and CommunicationGavi, the Vaccine Alliance, fhi3602023Case studyEnglish
GIS Mapping: A Promising Approach to Identifying and Reaching Zero-Dose Children in ZambiaGavi, the Vaccine Alliance, fhi3602023Case studyEnglish
Introduction of Typhoid Conjugate Vaccine (TCV) in Nepal: Role of the Vaccination Campaign in Identifying and Reaching Zero-Dose ChildrenGavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi2023Case studyEnglish
Report on a Rapid Assessment of the Zero-Dose Situation in UgandaInfectious Diseases Research Collaboration (IDRC), Makerere University School of Public Health (MakSPH), PATH2024RepositoryEnglish
Knowledge Translation for Zero-Dose Immunization ResearchZero-Dose Learning Hub2024ToolEnglish, French
Prevalence of and Factors Associated with Zero-dose and Under-immunized Children in Selected Areas of Bangladesh: Findings from Lot Quality Assurance Sampling SurveyHemel Das, Zerin Jannat, Kaniz Fatema, Jannat-E-Tajreen Momo, Md. Wazed Ali, Nurul Alam, Mahbub E. Elahi Khan Chowdhury, Christopher J. Morgan, Elizabeth Oliveras, Gustavo Caetano Correa, Heidi W. Reynolds, Md. Jasim Uddin, Tasnuva Wahed2024Journal articleEnglish
Sub-National Budget Analysis Focusing on Immunization Under the Nigeria Zero-Dose Learning Hub Consortium in NigeriaGavi, the Vaccine Alliance, Africa Health Budget Network (AHBN), AFENET2024RepositoryEnglish
Closing The Immunization Gap: Enhancing Routine Immunization in Nigeria by Reaching Zero-Dose and Under-Immunized Children in Marginalized Communities: Report of a Rapid AssessmentGavi, the Vaccine Alliance, Africa Health Budget Network (AHBN), African Field Epidemiology Network (AFENET), Zero-Dose Learning Hub2024RepositoryEnglish
Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update—Mali (May 2024)Gavi, the Vaccine Alliance, JSI, IIHMR, Delhi, The Geneva Learning Foundation, Zero-Dose Learning Hub2024RepositoryEnglish
Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update—Nigeria (May 2024)Gavi, the Vaccine Alliance, JSI, The Geneva Learning Foundation, IIHMR, Delhi, Zero-Dose Learning Hub2024RepositoryEnglish
Gavi’s Zero-Dose Learning Hub IRMMA Aligned Interventions: Semiannual Update—Uganda (May 2024)Gavi, the Vaccine Alliance, JSI, IIHMR, Delhi, The Geneva Learning Foundation2024RepositoryEnglish