Gavi 6.0 Immunisation Supply Chain Strategy

Janamarie Perroud

Gavi 6.0 Immunisation Supply Chain Strategy (2026–2030) marks a pivotal evolution in how the Alliance supports countries to deliver life-saving vaccines equitably, efficiently, and sustainably. Building on the foundations of Gavi 5.0, this new strategy responds to persistent challenges and emerging priorities with a bold, integrated vision.

This page provides a list of resources on the Strategy and is organised into the following sections:

About the Strategy

Five key strategic shifts define the new approach:

  • Tailored interventions that meet countries where they are in their supply chain journey
  • Innovation integration across investment priorities
  • Holistic programming model aligned with broader health systems
  • Stronger partnerships for harmonised action and joint investment
  • Enhanced monitoring and learning through platforms like Thrive360

At its core, iCS Strategy 6.0 aims to establish strong and resilient health supply chains that guarantee the timely availability of potent vaccines to every individual, regardless of location. This vision is underpinned by a comprehensive Theory of Change, which outlines the logical sequence of actions and enabling conditions required to overcome systemic barriers and achieve long-term impact goals.

EN Gavi 6.0 iSC Strategy ToC

For supply chain professionals, this strategy offers a robust framework for collaboration, innovation, and impact. It invites stakeholders to co-create solutions, leverage data for strategic decisions, and build resilient systems that serve communities across the life course.

Gavi’s Strategy 6.0 is not just a roadmap - It’s a call to action. Whether you're working in digital health, logistics, policy, or frontline delivery, your expertise is vital in shaping the future of immunisation supply chains.

Core strategy resources

TitleAuthorYearTypeLanguage
Gavi 6.0 immunization Supply Chain (iSC) strategy Theory of ChangeGavi, the Vaccine Alliance2026Poster/infographicEnglish, French
Gavi 6.0 immunization Supply Chain (iSC) strategy slidesGavi, the Vaccine Alliance2026PresentationEnglish
Gavi 6.0 immunization Supply Chain (iSC) strategy paperGavi, the Vaccine Alliance2026GuidanceEnglish
Unpacking the Gavi 6.0 Immunisation Supply Chain Strategy and How to Apply It - Presentation slidesIan MacTavish, Johnnie Amenyah, Jalia Nanfuka, Janamarie Perroud, Michelle Seidel, Olamide Folorunso, Laila Akhlaghi, Anahitta Shirzad2026PresentationEnglish

Resources for Strategic planning, governance, and financing

Empower countries to lead and finance integrated supply chain strategies within PHC, aligned with the Lusaka Agenda and national health plans.

TitleAuthorYearTypeLanguage
Strengthening National Logistics Working Group: Guidance document for strengthening immunization supply chain governance and leadershipUNICEF2025GuidanceEnglish, Arabic, French, Russian, Spanish
Generic TORs & Templates- Immunization Programme's National Logistics Working Groups (NLWGs)UNICEF2025GuidanceEnglish, French, Russian, Spanish
Diagnosing supply chain maturity: Supply chain compass tool helps three countriesJSI2015ReportEnglish
How to Develop a Continuous Improvement Plan (cIP)UNICEF, World Health Organization (WHO)2018GuidanceArabic, English, French
Vaccine wastage in Ghana, Mozambique, and Pakistan: An assessment of wastage rates for four vaccines and the context, causes, drivers, and knowledge, attitudes and practices for vaccine wastageMercy Mvundura, Junice Ng, Katie Reynolds, Yee Theng Ng, John Bawa, Miguel Bambo, George Bonsu, Jenny Payne, Jonathan Chua, Julia Guerette, Kwadwo Odei Antwi-Agyei, Sousa Ribe, Delma Chinavane, Kingsley Arhin-Wiredu, Akram Shah, Jesuina Sitoe, Soofia Yunus, Jocelyn Powelson, Kwame Amponsa-Achiano, Kelobo Eshioramhe Kojak, Joanie Robertson2023Case studyEnglish
Useful resources on EVMWorld Health Organization (WHO)2025GuidanceEnglish
Managing change: Integrating vaccine and medicine supply chainsVillageReach2020Case studyEnglish
Total Cost of Ownership Tool for Cold Chain EquipmentPATH2016ToolEnglish

Resources for Data visibility and use

Deploy interoperable digital systems for real-time visibility, analytics, and evidence-based decision-making across all supply chain levels.

TitleAuthorYearTypeLanguage
Vaccine Forecast Documentation Template JSI2024ToolEnglish
Anyland Country Supply OutlookJSI Research & Training Institute, Inc, PATH, inSupply Health, Clinton Health Access Initiative (CHAI), Guidehouse, VillageReach, JSH2022ToolEnglish
Mozambique Case Study: Maturing the Annual Forecasting ProcessJSI2024Case studyEnglish
Guidance for Supply Status Review MeetingsJSI Research & Training Institute, Inc, VillageReach, Clinton Health Access Initiative (CHAI), inSupply Health2025GuidanceEnglish, French, Portuguese
Guidance for documenting supply status review results for actionJSI Research & Training Institute, Inc2025GuidanceEnglish, French, Portuguese
Cold Chain Temperature Data Job AidJSI, PATH, VillageReach, New Horizons2025GuidanceEnglish

Resources for Fundamental infrastructure use and management

Maintain efficient, quality storage, transport, and vaccine disposal. Expand HFSE to reach zero-dose populations, strengthen warehousing and maintenance, and use data to monitor performance and guide action.

TitleAuthorYearTypeLanguage
Decommissioning and safe disposal of cold chain equipmentUNICEF, World Health Organization (WHO)2018GuidanceEnglish
Cold chain equipment and dry store temperature mapping toolWorld Health Organization (WHO)2021ToolEnglish
How to temperature map cold chain equipment and storage areas, 2nd edWorld Health Organization (WHO)2022ToolEnglish
Temperature monitoring study: a fully documented process to detect weaknesses in the supply chainWorld Health Organization (WHO), UNICEF2018GuidanceEnglish
Cold Chain Temperature Data Job AidJSI, PATH, VillageReach, New Horizons2025GuidanceEnglish
Guidance on sustainable health-care waste management Michelle Seidel, Ranjit Dhiman, Terry Hart2023GuidanceEnglish
Guidance on the selection of green and safe healthcare waste treatment technologyRidwan Gustiana, Isabelle Cantin, Ranjit Dhiman, Sophie De Fries, Martin Bjerregaard, Lindsay Marie Denny2025GuidanceEnglish
NATIONAL HEALTH CARE WASTE MANAGEMENT STRATEGYRanjit Dhiman, Ute Pieper, Michelle Seidel2025GuidanceEnglish
Health-Care facility Solar Electrification for Climate-Resilient and Environmentally Sustainable Health-Care FacilitiesTerry Hart, Ranjit Dhiman, Michelle Seidel2023GuidanceEnglish

Resources for Supply chain optimisation

Redesign supply chains for efficiency and equity through smart integration, last-mile innovations, and private sector partnerships.

TitleAuthorYearTypeLanguage
Last Mile Distribution: CHAI’s Experience and Learnings (2019-2022)Clinton Health Access Initiative (CHAI)2024ReportEnglish
Route Optimization Tool (RoOT) for distribution of vaccines and health productsVillageReach, Zelda B. Zabinsky, Mariam Zameer, Larissa P. G. Petroianu, Mamiza M. Muteia, Aida L. Coelho2021ToolEnglish
Optimized supply chain model reduces health system costs in DRC.VillageReach2021Case studyEnglish
Health Product Integration: A Critical Enabler for Outsourcing TransportVillageReach2021Case studyEnglish
Increasing Local Private Sector Engagement in LMIC Public Health SystemsVillageReach2024GuidanceEnglish

Resources for Workforce development

Build a skilled, accountable supply chain workforce through national HR strategies, digital training, and structured supervision and mentoring.