With support from the ELMA Vaccines and Immunisation Foundation, UNICEF has been working to strengthen Uganda’s Expanded Program on Immunisation to better identify and reach zero-dose (ZD) and under-immunized (UI) children. In 2023, interventions were prioritized in the districts of Wakiso, Kamuli, Kampala, and Mukono.

This report, developed by the Uganda Learning Hub, evaluates progress toward UNICEF’s objective to strengthen microplanning as a follow-up system for identifying and immunizing ZD and UI children in urban and high-density areas. Specifically, it assesses UNICEF’s support for Village Health Teams to register children, track their immunization status, and conduct defaulter tracing in Kamuli and Wakiso districts.

The findings are intended to inform the scale-up of ZD interventions to additional districts, guide implementation under the Equity Accelerator Fund, and support the development of Uganda’s national ZD guidelines.