When it comes to reaching zero-dose children, even well-designed programs can fall short. A political economy analysis (PEA) can offer program implementers a fresh lens to understand how governance, power dynamics, and institutional behavior influence efforts to reach missed communities.
The Gavi-funded Zero-Dose Learning Hub (ZDLH) conducted PEAs of Bangladesh and Nigeria, two countries with complex immunization landscapes. Across both countries, commonalities emerged:
- Data alone is not enough: Its use depends on clear accountability, institutional alignment, and political commitment
- Frontline and sub-national stakeholders are pivotal, and often lack the authority or support to act on evidence
- Fragmentation across systems, stakeholders, and mandates undermines coordination and continuity
- Technical solutions must be politically smart to be effective
Learn more about the PEA findings by visiting VaccinesWork http://bit.ly/4grZ2IU.
Read the full reports by visiting ZDLH.Gavi.Org.
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