The MOMENTUM Routine Immunization Transformation and Equity project has released a brief on the key entrenched obstacles to reaching zero-dose children and missed communities with routine immunization services and strategies to reach specific hard-to-reach and vulnerable populations.
The root cause analysis recognized that a critical barrier to the effective and efficient spending of funds during implementation is the failure of sub-national budgets to adequately account for the higher cost of reaching each additional zerodose or under-immunized child, also known as the marginal cost. The brief focused on two key questions to overcome this challenge:
What evidence is available on the marginal costs of reaching zero-dose and under-immunized children?
What are best practices or opportunities in planning and budgeting for immunization activities that help ensure that the operational costs for reaching zero-dose and underimmunized children are adequately incorporated into budgets at sub-national levels?
Any organization or individual working in the field of immunization economics can submit findings, opportunities, calls to action, or other relevant work below to be shared with our community.