30/09/2025
What can Bangladesh and Nigeria teach us about reaching zero-dose children? 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 JSI-led Zero-Dose Learning Hub, funded by Gavi, the Vaccine Alliance, 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
Dive deeper into the key takeaways and read the full PEA: http://bit.ly/4grZ2IU
How do political governance and power dynamics affect the number of children going without vaccines? A new project by the Zero-Dose Learning Hub has some suggestions.