Pro-equity immunization and health systems strengthening strategies in select Gavi-supported countries

Achieving universal immunization coverage and reaching every child with life-saving vaccines will require the implementation of pro-equity strategies, especially in poorer countries. Gavi-supported countries continue to implement report strategies that aim address challenges improve equity. This paper summarizes first mapping these from country reports. Thirteen were purposively selected emphasis on Gavi’s priority Following a scoping different documents submitted Gavi by countries, 47 Joint Appraisals (JAs) for period 2016–2019 13 included mapping. We used consolidated framework synthesized 16 equity health systems frameworks, which incorporated UNICEF’s assessment approach – an adaptation Tanahashi model. Using search terms, was conducted using combination manual MAXQDA qualitative analysis tool. Pro-equity meeting inclusion criteria identified compiled Excel database, then populated tableau visualization dashboard. In total, 258 implemented sampled between 2016 2019. The determinants social norms, utilization, management coordination accounted more than three-quarters all median number reported per 17. Afghanistan, Nigeria, Uganda highest we considered as pro-equity. Findings this can be useful addressing gaps, partially immunized, ‘zero-dose’ vaccinated children, valuable resource planning stakeholders reimagine delivery light COVID-19, finalizes its fifth organizational strategy. Future efforts should seek identify being across additional assess extent have improved