In 2021, Nepal’s Department of Health Services, with the support of WHO/IPD, UNICEF and other partners carried out the 2021 Effective Vaccine Management Assessment (EVMA) for Nepal by assessing 50 sites using the EVMA 2.0 tool. The results of this assessment of the Central Vaccine Store, all 7 provincial vaccine stores and the samples of 21 lowest level of distribution stores (district vaccine stores) and 21 service delivery sites (health facilities) are presented in the heat map below.