Health workers are essential to the success of immunisation programs. They vaccinate, generate demand, manage cases, engage with communities, and educate the general population. They also generate data that is essential for immunisation planning, service delivery, and monitoring. Many health systems struggle with issues such as inadequate training for health workers, limited supportive supervision, limited communication, incomplete data reporting and ineffective mechanisms for tracking unvaccinated or under-immunised children.
Digital technology presents a transformative opportunity to support the efforts of health workers in delivering immunisation services. Digital health interventions, such as mobile health (mHealth) applications, electronic immunisation registries (EIRs), geo-locationenabled case management tools, clinical decision support tools, and checklists, provide innovative solutions by streamlining data capture, improving communication and quality of health service delivery, and enabling triangulation with disease occurrence data to support real-time decision-making. These tools help health workers enhance the accuracy and efficiency of immunisation services and contribute to better health outcomes, such as timely completion of immunisation schedules and reduced loss to follow-up
This Technical Brief, developed as part of the effort by Gavi, the Vaccine Alliance to expand beyond Digital health Information to Digital Health, documents the opportunities that digital health interventions provide to health workers to address critical challenges in immunisation delivery and enhance overall health system performance. The brief reviews existing literature and draws on insights from key stakeholders to provide a comprehensive overview of digital health interventions for health workers and their impact on immunisation services. It outlines strategic recommendations for integrating these technologies into immunisation programs to maximise their benefits, emphasising the need for robust digital infrastructure, training, and stakeholder engagement.
Health Information Systems & Data Use
The resource is included in the following table:
| Title | Author | Year | Type | Language |
| COVID-19 innovations and digital applications for routine immunisation | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Report | English |
| Digital health for real-time monitoring of a national immunisation campaign in Indonesia: a large-scale effectiveness evaluation | Hafizah Jusril, Rita Damayanti, Iwan Ariawan | 2020 | Report | English |
| Digital Health Information Interventions for Immunisation Demand Generation: A guide for selecting appropriate tools and technologies | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Guidance | English |
| Digital Health Interventions to Support Health Workers Providing Immunisation Services | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Guidance | English |
| Digital Transformation of Immunization: National Digital Health Information Costed Country Roadmap Toolkit | HealthEnabled, Gavi, the Vaccine Alliance, UNICEF | 2022 | Tool | English |
| Effective Design, Implementation, Integration, and Evaluation of Digital Health Systems to Enhance the Strategic Use of Data for Immunisation Programming. District Health Information Software 2 (DHIS2) & Immunisation Country Case Study: Ghana | HealthEnabled | 2024 | Case study | English |
| Enhancing Immunisation Programme Planning, Service Delivery, and Monitoring through the Effective use of Sub-national Data and DHI interventions | HealthEnabled, Gavi, the Vaccine Alliance | 2022 | Guidance | English |
| Ethiopia’s electronic community health information system: a tool to achieve universal health coverage | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Case study | English |
| Evaluating the effectiveness of Zindagi Mehfooz Electronic Immunization Registry: A suite of digital health interventions, to improve the coverage, timeliness, and completeness of immunization services in Pakistan | HealthEnabled, Gavi, the Vaccine Alliance, GALLUP PAKISTAN, Interactive Research & Development (IRD) | 2023 | Case study | English |
| Finding the Signal through the Noise: A landscape review and framework to enhance the effective use of digital social listening for immunisation demand generation | Gavi, the Vaccine Alliance, HealthEnabled, UNICEF, Vaccination Demand Hub, World Health Organization (WHO) | 2021 | Report | English |
| Geospatial Microplanning Toolkit (GMT): Identifying and reaching zero-dose and under-immunised children in Nigeria | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Tool | English |
| Ghana Integrated Logistics Management System: Improving supply chains to bring health for all | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Tool | English |
| Leveraging Digital Health Information for Vaccination Programs in the Democratic Republic of Congo: A Case Study | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Case study | English |
| PROMPTS: AI-Enabled Messaging to Improve Delivery and Uptake of Immunisation Services in Kenya | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Case study | English |
| Real-Time Monitoring for Vaccination Campaigns in Malawi | Gavi, the Vaccine Alliance, HealthEnabled | 2023 | Guidance | English |
| Rwanda’s Experience Scaling Real-time Monitoring Approaches Using Digital Solutions to Support COVID-19 Surveillance, COVID-19 Vaccination and Case Management | World Health Organization (WHO), UNICEF, Gavi, the Vaccine Alliance | 2022 | Case study | English, French |
| Sub-national multi-source data for immunisation programme decision-making | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Report | English |
| Technical Brief: Digital Health Interventions for Supportive Supervision of Health Workers Providing Immunisation Services | Gavi, the Vaccine Alliance, HealthEnabled | 2024 | Guidance | English |
| The Use of Digital Technologies and Approaches for Real-Time Monitoring of Supplementary Immunization Activities Good practices and lessons learned | UNICEF, Gavi, the Vaccine Alliance | 2021 | Report | English |
| Timely detection of vaccine-preventable diseases for targeted vaccination and outbreak response | Gavi, the Vaccine Alliance, HealthEnabled | 2022 | Report | English |