Despite rural areas in Mali having a higher rate of zero-dose (ZD) children than urban areas, the total number of ZD children is highest in urban areas, including Sikasso, Mali's third-most populous region. This has led Mali to adopt innovative pro-equity strategies, such as utilizing women's groups to address gender-related barriers and identify and reach ZD children. This case study examines how Mali worked to identify and reach ZD children in urban areas, particularly Sikasso, by employing women's groups as a pro-equity intervention. Community-based strategies, such as leveraging women's groups, could help address challenges to vaccination in urban Mali, such as motivating health workers and caregivers to vaccinate children, ensuring the sustainability of campaign-style activities, and responding to outbreaks of vaccine-preventable diseases like measles.