Effective Vaccine Management (EVM) is a national EPI planning process endorsed and supported by WHO and UNICEF to assess and prioritize improvements in the immunization supply chain. EVM is embedded within the immunization supply chain (iSC) continuous improvement planning process. EVM was launched in 2009. Drawing on lessons learnt conducting EVM assessments in more than 80 countries, and by leveraging developments in mobile and cloud-based computing, EVM2, released in 2019, builds upon the original EVM assessment tool to provide countries with a broader, more powerful, more agile and more sustainable solution for improving ISC systems. The EVM2 website is available here: https://extranet.who.int/evm2/web
This page provides a list of EVM resources for:
- Assessors to download, install and use the EVM app to assess health facilities and access useful supply chain tools included in the app
- Managers to set up their EVM projects to create and deliver EVM assessments
- Decision-makers to develop a continuous improvement plan (cIP)
- Trainers to deliver customisable EVM training to assessors and managers
In addition, the following useful EVM resources are presented:
- Published EVM Reports and cIPs
- Journal articles on EVM
- Strengthening immunization supply chains with the EVM assessment tool (TechNet Webinar Series)
- Other relevant resources
Resources for assessors
The following resources provide EVM assessors with guidance on how to use the EVM app to conduct health facility assessments.
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| EVM Assessor Quick Start Guide (v1.01) | World Health Organization (WHO), UNICEF | 2021 | User guide | English, French, Russian |
| EVM Assessor Guide (v1.01) | UNICEF, World Health Organization (WHO) | 2021 | User guide | English, French, Russian |
| EVM Assessor - Introduction | UNICEF, World Health Organization (WHO) | 2020 | Presentation | English |
| EVM Assessor - Field Guide | UNICEF, World Health Organization (WHO) | 2020 | Presentation | English |
The following video provides prospective EVM assessors with a short overview of the EVM tool and the data-collection process.
Arabic | English | French | Russian | Spanish
Resources for managers
The following resources provide national, subnational, and independent EVM managers with guidance on how to use set up, create and deliver EVM assessments.
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| EVM Manager Quick Start Guide (v1.01) | UNICEF, World Health Organization (WHO) | 2021 | User guide | English, French, Russian |
| EVM Manager Guide (v1.01) | UNICEF, World Health Organization (WHO) | 2021 | User guide | English, French, Russian |
| The EVM site selection process and The EVM Site Selection Tool User Guide | UNICEF, World Health Organization (WHO) | 2014 | Guidance | English |
| The EVM2 Process | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM assessment scores – global governance framework | Dan Brigden | 2026 | Guidance | English |
Resources for improvement planning
The following resources provide national decision-makers with guidance on how to develop a continuous immunization supply chain (iSC) improvement plan. It also provides guidance on how to develop country-specific standard operating procedures (SOPs).
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| How to develop a Continuous Improvement Plan (cIP) - Supplement 5: A framework for national health policies, strategies and plans | World Health Organization (WHO), UNICEF | 2010 | Report | English |
| WHO-UNICEF guidelines for developing a comprehensive multi-year plan (cMYP) | UNICEF, World Health Organization (WHO) | 2013 | Guidance | English, Russian, French |
| How to develop a Continuous Improvement Plan (cIP) - Supplement 3: cIP Agenda Repository | UNICEF, World Health Organization (WHO) | 2018 | Guidance | English |
| How to develop a Continuous Improvement Plan (cIP) - Supplement 6: Root Cause analysis | UNICEF, World Health Organization (WHO) | 2018 | Guidance | English |
| How to develop a Continuous Improvement Plan (cIP) - Supplement 4: Collaborative Workshop Techniques | UNICEF, World Health Organization (WHO) | 2018 | Guidance | English |
| Guidance on Dashboards for Immunization Supply Chains | UNICEF, World Health Organization (WHO), Gavi, the Vaccine Alliance, Gates Foundation | 2015 | Guidance | English |
| cIP Development Tool Guide (v0.03) | UNICEF, World Health Organization (WHO) | 2022 | User guide | English |
| EVM: Making a Difference | UNICEF, World Health Organization (WHO) | 2021 | Case study | English |
| The Impact of cIP: Catalyzing EVM and Leveraging Broader Health Systems | UNICEF, World Health Organization (WHO) | 2021 | Case study | English |
| How to Develop a Continuous Improvement Plan (cIP) | UNICEF, World Health Organization (WHO) | 2018 | Guidance | Arabic, English, French |
| Achieving immunization targets with the comprehensive effective vaccine management (EVM) framework | UNICEF, World Health Organization (WHO) | 2016 | Guidance | English, French |
| How to develop a Continuous Improvement Plan (cIP) - Supplement 2: Situation analysis | UNICEF, World Health Organization (WHO) | 2018 | Guidance | English |
| EVM Model SOP manual | World Health Organization (WHO) | 2013 | Guidance | English, French |
| EVM Model SOPs | World Health Organization (WHO) | 2011 | Guidance | English, French |
Resources for trainers
The following resources provide EVM trainers with a set of training resources, organised into separate modules, that can be customised according to context and used to train EVM assessors and managers.
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| EVM training modules (zipped source files) | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 10: Planning for an EVM assessment | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 07: Analysing results in the app | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 06: Conducting a facility assessment | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 05: Collecting data with the EVM app | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 04: Getting started with the app | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 03: The EVM Framework | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 02: History of EVM | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 01: Introduction to EVM | UNICEF, World Health Organization (WHO) | 2020 | Training | English |
| EVM training module 11: Building and implementing a cIP roadmap | UNICEF, World Health Organization (WHO) | 2021 | Training | English |
| EVM Assessor Training - simulation of facility to be assessed (personal adaptation) | Paul Colrain | 2024 | Training | English |
Published EVM Reports and cIPs
The following table provides a list of EVM Reports and Continuous Improvement Plans (cIPs) that have been approved for publication by countries.
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| Lao 2023 EVM Assessment Report and cIP | Lao PDR Ministry of health, UNICEF | 2023 | Report | English |
| Nepal 2021 EVM Assessment Report | Government of Nepal | 2021 | Report | English |
| Bangladesh 2021 EVM Assessment Report | Government of Bangladesh | 2021 | Report | English |
| India 2018 EVM Assessment Report | NCCVMRC-NIHFW, UNICEF | 2018 | Report | English |
Journal articles
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| Assessment of vaccine management performance in health facilities of Mwanza Region, Tanzania: a cross-sectional study | Green Sadru, Makhado Mulatedzi, Omary Swalehe, Stany Binzimana, Domina Asingizwe, Shital Mahindra Maru | 2023 | Journal article | English |
| Key lessons learned from the immunization supply chain of Malawi, an African country using EVM2.0 | Ghanshyam Sethy, Mike Nenani Chisema, Lokesh Sharma, Olamide Folorunso, Dereje Haile, Zeinab Reda Berri, Krupal Joshi, Mphatso Ntenje, Collins Mitambo, Beverly Laher, Sanjay Singhal, Samuel Chirwa, Tedla Damte, Flint Zulu, Antoinette Eleonore Ba, Michelle Seidel, John Phuka | 2022 | Journal article | English |
| Effective Vaccine Management: The Case of a Rural District in Ghana | Eric Osei, Mohammed Ibrahim, Gregory Kofi Amenuvegbe | 2019 | Journal article | English |
| Strengthening the immunization supply chain through EVM assessment: Comparing India’s two successive national assessments | Lokesh Sharma, Ginisha Gupta, Bhrigu Kapuria, Snehil Kumar Singh, Sanjay Gupta, Mahesh Kumar Agarwal, Harshad Thakur | 2022 | Journal article | English |
| Evaluation of Application of Effective Vaccine Management in Wassit Governorate, Iraq | Jalal A. R. Zayer, Ishraq A. Chiad | 2020 | Journal article | English |
| Increasing the Coverage and Quality of Immunization Programs by Implementing Effective Vaccine Management (EVM) in Central Java | Novia Handayani, Ayun Sriatmi, Martini Martini, Aditya Kusumawati, Erlin Friska | 2024 | Journal article | English |
Strengthening immunization supply chains with the EVM assessment tool (TechNet Webinar Series)
The following resources correspond to the recordings and presentations of a four-part webinar series on the WHO-UNICEF Effective Vaccine Management (EVM) assessment tool and how it can support the successful implementation of a national immunization continuous improvement plan (cIP).
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| EVM webinar series - Session 4: What does EVM tell us about the evolution of immunization supply chains from 2010 to 2022? | Paul Colrain | 2022 | Webinar | English, French |
| EVM webinar series - Session 3: Developing and implementing a continuous improvement plan (cIP) | Yoms Ishaku, Olamide Folorunso, John Dadzie | 2022 | Webinar | English, French |
| EVM webinar series - Session 2: Planning and delivering an EVM assessment - who, when and how? | Dan Brigden | 2022 | Webinar | English, French |
| EVM webinar series - Session 1: What is Effective Vaccine Management (EVM) and why is it so important? | Souleymane Kone, Michelle Seidel, Olamide Folorunso, Dan Brigden | 2022 | Webinar | English, French |
Other resources
For tools and guidance on EVM1, released in 2009, please refer to the WHO EVM website: