IRMMA framework – guidance on use of Gavi support to reach zero-dose children and missed communities

Use these guidelines to understand how Gavi funding should be used to supplement other domestic and
donor funding to strengthen immunisation systems to sustainably reach zero dose children and missed
communities in Gavi implementing countries.

The shared goal for the Immunisation Agenda 2030 and Gavi 5.0 is to reach every child with every vaccine.
A major impact goal of the Immunisation Agenda 2030 is to reduce the number of zero dose children globally
by 50% by 2030 and provide vaccines.

These guidelines describe the use of the IRMMA framework (Identify – Reach – Monitor – Measure – Advocate) to develop sustainable and country-tailored interventions for Gavi support. A Zero-Dose Analysis Card is available to provide guidance on key analyses, resources, and proposed interventions to help countries design programmes to sustainably reach every child with a full course of vaccines.