Key audience

• Immunisation programme
  managers
• Ministry of Health Planning teams
• Gavi Secretariat country teams
• Alliance partners, including civil society organisations (CSOs) and other stakeholders responsible for and supporting the delivery of immunisation in Gavi implementing countries.

Use these guidelines to understand how Gavi funding should be used to supplement other domestic and donor funding to strengthen immunisation systems to sustainably reach zero-dose children and missed
communities in Gavi implementing countries.
These guidelines describe the use of the IRMMA framework (Identify – Reach – Monitor – Measure – Advocate) to develop sustainable and country-tailored interventions for Gavi support. A Zero-Dose Analysis Card is available to provide guidance on key analyses, resources, and proposed interventions to help countries design programmes to reach every child with a full course of vaccines sustainably.