Designing and Evaluating Zero-Dose Programs with Theory-Based Approaches: A Toolkit

This new ZDLH toolkit offers practical guidance for designing, monitoring, and evaluating immunization programs focused on reaching zero-dose and under-immunized children. This tool helps government stakeholders, donors, and implementers to build measurement plans grounded in theories of change to explain how and why their programs work and to drive continuous adaptation and learning.

Featured Resources

Published in by AFENET, Kano State PHCDA, JSI, LSTM, Gates Foundation, Gavi, AHBN, NPHCDA
To better understand low immunization uptake, a pilot study tested a Decentralized Immunization Monitoring (DIM) approach in Kumbotso, Kano State, Nigeria.
Published in by JSI
The Operational Guidance: Estimating the Costs of Interventions to Reach Zero-Dose Children is a practical toolkit that equips researchers and monitoring, evaluation, and learning staff with clear methods for costing interventions targeting zero-dose and under-immunized children in low-

Learn more about the IRMMA Framework and how you can apply it in your work

The Country Learning Hubs implement activities to respond to learning priorities aligned with the IRMMA framework by providing tailored and collaborative capacity strengthening, and systematic and robust monitoring and learning for IRMMA-aligned interventions. Learn how the IRMMA framework can help countries reach zero-dose children and missed communities.

Graphic showing the IRMMA Framework

Connect with others working to reach zero-dose children through the Zero-Dose Community of Practice