Immunization service experience is critical to ensuring full vaccination coverage and to improve programme resilience and achieve equitable uptake.

The Service Experience (SE) Workstream was created as part of the Demand Hub through a multi-agency consultative process. Initial work in 2019-2020 focused on defining and describing key components of a people-centered immunization service experience to align strategies and inform new efforts to improve the service experience. The SE Workstream objectives are grounded in and aim to provide guidance for operationalizing global immunization strategies such as the Immunization Agenda 2030 and Gavi 5.0. Various SE Workstream members are building off this work and advancing SE-related initiatives and research.

What is the immunization service experience?

Definition: Inclusive of factors within and beyond the interaction between health worker and client which affect the delivery and experience of the immunization service.

Immunization service experience considers various components at the individual, community, facility and system levels (which affect either client or health worker) and contributes to whether or not a client has a positive, people-centered, high-quality immunization service experience.

The Service Experience workstream aims to inform a new direction in people-centered quality immunization service delivery by tailoring immunization services and incorporating human-centered design principles to better respond to the needs and perspectives of caregivers, clients, and health workers.
This includes:

  • A common and detailed understanding of people-centered service experience for immunization by all actors and partners.
  • Unified vision of guidance and technical support needs that align with the role and capacity of the Service Experience workstream.
  • Roadmap for technical support and guidance to be provided by partners of the Service Experience workstream for the coming two years (and longer-term considerations).

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The Toolkit

The Service Experience Toolkit provides an easy-to-follow introduction to the concept of service experience at country-level. 

The SE toolkit complements other key tools, such as the Quality Immunization Services Planning guide that outlines the different components of quality and highlights key actions at all levels of the health system to monitor, strengthen and maintain the quality of immunization services, with broader benefit to primary care.

The Service Experience toolkit is designed to offer easy orientation on service experience and spark discussion around how EPIs may address and improve the delivery and experience of immunization.

This toolkit has been designed for use by:

  • Country-level: Expanded Programme on Immunization (EPI) managers and staff at national and regional/provincial level) and implementing partners (e.g. NGOs, CSOs, WHO, UNICEF)
  • Global/regional level: Gavi, Core and Expanded Gavi Partners, Vaccination Demand Hub partners, and other funders and implementing partners

All products have been designed to be used together or individually, depending on the needs of your country or audience. Learn more about each individual product below, or download the complete toolkit.

Getting Started Guide


A short reference guide that provides information on all products within the toolkit for users who may be leading discussions or activities.

SE Orientation Presentation

A modifiable PowerPoint presentation to fit your country’s needs. It is designed as a 1-hour session.

Explainer Video

A 2-minute video that explains the basics of SE. This can be shown during orientation sessions.

Discussion Questions

Designed to engage country-level participants in thoughtful discussions around introducing or strengthening immunization SE.

Fact Sheet

This 2-page document can be printed and shared as a useful quick summary on immunization SE.

Related knowledge resources


TitreAuteurAnnéeTypeLangue
Application of Human Centered Design and Behavioral and Social Drivers of Vaccination in EthiopiaVaccination Demand Hub2023Case studyAnglais
Synthesis of Immunization Service Experience Interventions and Monitoring and Measurement Approaches for Zero-dose and Under-immunized ChildrenJSI, Task Force Global Health2022ReportAnglais
Communicating on COVID-19 vaccines in a Changing EnvironmentVaccination Demand Hub2023GuidanceAnglais
Human-centred design for tailoring immunization programmesWorld Health Organization (WHO)2022GuidanceAnglais, Français, Portuguais, Espagnol
Strengthening Immunization Service Experience. Global, Regional and Country Insight GatheringJSI Research & Training Institute, Inc2020GuidanceAnglais
RESOURCE CATALOGUE SERVICE QUALITY AND EXPERIENCE LITERATURE AND TOOLSGavi, the Vaccine Alliance2023ToolAnglais
Quality immunization services: a planning guideWorld Health Organization (WHO)2022GuidanceArabe, Anglais, Russe, Français, Portuguais, Espagnol
Strengthening Immunization Service Experience: NepalJSI Research & Training Institute, Inc2022ReportAnglais
Strengthening Immunization Service Experience: MozambiqueJSI Research & Training Institute, Inc2022ReportAnglais, Portuguais
Fortalecimento da experiência do serviço de imunização: MozambiqueJSI Research & Training Institute, Inc2022ReportPortuguais, Anglais
Strengthening Immunization Service Experience: KenyaJSI2022ReportAnglais
Health worker communication for COVID-19 vaccination - Flow diagram for communicating during COVID-19 vaccination sessionsWorld Health Organization (WHO)2021Poster/infographicAnglais
Strengthening Immunization Service Experience: GhanaJSI Research & Training Institute, Inc2022ReportAnglais
Service Experience In Action - 1Vaccination Demand Hub2025PresentationAnglais
Service Experience in Action -2Vaccination Demand Hub2025PresentationAnglais
User testing of an immunization service experience how to guide in TanzaniaVaccination Demand Hub, Tanzania Ministry of Health, JSI, UNICEF, American Academy of Pediatrics (AAP)2026Case studyAnglais
Enhancing Service Experience: A Practical Guide for Immunization ManagersUNICEF, Vaccination Demand Hub, American Academy of Pediatrics (AAP), JSI2026GuidanceAnglais

TitreAuteurAnnéeTypeLangue
Service Experience Discussion QuestionsJSI Research & Training Institute, Inc, Gavi, the Vaccine Alliance, Vaccination Demand Hub2023ToolAnglais
Service Experience Explainer VideoJSI Research & Training Institute, Inc2022ToolAnglais, Français, Portuguais
Service Experience Fact SheetJSI Research & Training Institute, Inc, Gavi, the Vaccine Alliance, Vaccination Demand Hub2022ToolAnglais, Français
Service Experience Orientation PresentationJSI Research & Training Institute, Inc, Gavi, the Vaccine Alliance, Vaccination Demand Hub2022ToolAnglais
Service Experience Getting Started GuideJSI Research & Training Institute, Inc, Vaccination Demand Hub, Gavi, the Vaccine Alliance2022ToolAnglais, Français