Innovations in Increasing Immunisation Evidence Programme

A major challenge in the fight against vaccine-preventable deaths and diseases is the limited evidence available on innovative and successful community-based approaches for expanding immunisation coverage in countries with low or stagnating vaccination rates. To help fill this evidence gap, 3ie is supporting six formative evaluations and seven impact evaluations.

Innovations in Increasing Immunisation Evidence Programme

Breaking through stagnation: tackling barriers to immunisation coverage
Through our Innovations in Increasing Immunisation Evidence Programme, 3ie is supporting evaluations of innovative technology and approaches to tackle multiple barriers to increasing vaccination in low- and middle-income countries.
Watch our new video to learn more about these studies in Ethiopia, India, Kenya, Nigeria, Pakistan and Uganda

Evidence from this programme will identify what works to engage communities in increasing immunisation, and test the feasibility and effectiveness of innovative and new interventions. 3ie has awarded two types of grants:

  • Formative evaluations of pilot programmes that use previously untried or untested approaches in engaging communities in Pakistan, Myanmar and two grants each in Ethiopia, Nigeria; and
  • One impact evaluation grant each in Ethiopia, Nigeria and Uganda, and four grants in India.

This programme is supported by the Bill & Melinda Gates Foundation.

Sharing learning on evaluations of innovations in increasing immunisation
3ie, with support from the Bill & Melinda Gates Foundation, hosted a midterm learning and synthesis workshop on 11-12 July 2017 in New Delhi, India. Participants discussed the challenges associated with implementing technology-enabled interventions in real-world contexts; training front-line health workers with high workloads but limited literacy, skills and exposure to innovations; and experiences with integrating interventions into existing healthcare systems at the institutional and financial levels. To read the workshop report, click here.

Related content

Impacts of IRC’s Fifth Child community engagement strategy to increase immunisation in northern Uganda

Impact evaluation 3ie 2019

Publication type: 3ie final grantee report
Author: Jayne Webster, Justine Landegger, Jane Bruce, Dickson Malunda, Tracey Chantler, Edward Kumakech, Laura Schmucker, Lilian Kiapi, Naoko Kozuki, Comfort Olorunsaiye, Erin Byrne
Sector: Health Nutrition and Population, Health Services

Increasing immunisation in Karachi, Pakistan:

Increasing immunisation in Karachi, Pakistan: a feasibility and acceptability study of the vaccine indicator and reminder band community intervention

Other evaluation 2019
This study explores the feasibility and acceptability of using anklets worn by children as a visual reminder for caregivers to encourage timely initiation and completion of routine immunisation in Pakistain

Increasing immunisation in Ogun State, Nigeria: a formative evaluation of a participatory action research intervention

Increasing immunisation in Ogun State, Nigeria: a formative evaluation of a participatory action research intervention

Other evaluation 3ie 2019
In 2005, Nigeria adopted the Reach Every Ward strategy to improve vaccination coverage for children 0-23 months old. By 2015, Ogun State in the southwestern region had achieved full immunisation coverage in 12 out of 20 of its local government areas (LGAs).

Improving immunisation coverage in Ethiopia

Improving immunisation coverage in Ethiopia: a formative evaluation in pastoral communities

Other evaluation 2019
In Ethiopia, approximately 15 million people practice pastoralism. Although there have been significant improvements in the health sector over the last decade, the government’s Health Extension Program static health posts are still unable to address the needs of the pastoral communities adequately.

Closing the immunisation gap in Ethiopia

Closing the immunisation gap in Ethiopia: a formative evaluation of ‘The Fifth Child Project’

Other evaluation 2019
This is an evaluation of the International Rescue Committee's Fifth Child Project in Ethiopia, where community-based health workers are collaborating with community leaders to register, counsel and track all pregnant women and infants in order to increase immunisation uptake.


Collaborative community checklists for immunisation: a feasibility and acceptability study in rural Myanmar

Other evaluation 3ie 2019
This formative evaluation tests a new approach, collaborative checklists, to educate and involve communities in the provision of immunisation services in Myanmar

There are no impact evaluations
There are no systematic reviews
There are no evidence gap maps
There are no replication studies