Sub-national and district-level immunisation programme managers have the local knowledge and understanding to improve immunisation coverage, identify missed settlements, target areas for action and optimise immunisation planning and service delivery to reach all children within their catchment area. Digital and electronic systems create opportunities to share and analyse relevant data to facilitate rapid decisionmaking and action. Gavi, the Vaccine Alliance, has identified district-level data for immunisation decision making as one of six priority areas for digital health information investment that will contribute to the successful achievement of Gavi’s 5.0 strategic goals. This document examines the evidence, experiences and applications of digital tools to support sub-national decision-making including planning, data collection, processing, analysis, sharing and feedback. Drawing from literature, evidence, key informant interviews and Gavi’s DHI prioritisation exercise, the following actions are recommended both for Gavi and the broader data ecosystem.

This Technical Brief provides a review of the state of evidence and experiences with sub-national data use for decision-making, identifies gaps and makes recommendations to inform the development of Gavi’s Digital Health Information Strategy.