Evaluation Report of the Big Catch-Up (BCU) Strategy in Mozambique: Experiences, Results, and Recommendations

The Big Catch-Up (BCU) initiative in Mozambique aimed to address immunisation gaps resulting from recent shocks, with a focus on reaching zero-dose and under-immunised children and strengthening routine immunisation systems. The case study documents the implementation of BCU strategies across seven provinces, examining the role of district coordination, microplanning, community mobilisation, outreach, and monitoring in reaching missed children. It identifies key operational challenges, good practices, and lessons learned to inform the sustainable integration of catch-up activities into routine immunisation services and support equitable improvements in immunisation coverage.

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