Watch the first Gavi Zero-Dose Learning Hub (ZDLH) inter-country peer learning exchange, known as “ZDLH-X”. This event is one step in an ongoing peer learning initiative to mobilize the power of peer, networked learning: - Connect zero-dose practitioners to learn from each other - Invite global, regional, and country partners to listen, learn, and countribite Zero-dose practitioners from two countries, Bangladesh and Mali, are featured in this inaugural session recorded on 31 May 2023. 1,964 immunization staff registered from 84 countries to share experience of zero-dose. 89% of them work directly on zero-dose. 61% are sub-national staff. Case studies discussed include: 1. Case Study: Md Sorwer Alam (Male, District level, Bangladesh). Finding zero-dose and missed communities in Chattogram City Corporation 2. Case Study: Dr Fantamady Camara (Male, Region, UNICEF Mali). Finding zero-dose and missed communities. Community engagement in urban areas. 3. Case Study: Fousseyni Dembele (Male, Health facility, Mali). Finding zero-dose and missed communities in areas of insecurity. Community engagement in rural remote areas. What do we mean by “zero-dose”? Zero-dose, un-vaccinated/un-immunized, left-outs - General definition: communities, clusters, populations, or children who are persistently missed by immunization services - Gavi definition: children who don’t receive a single dose of diphtheria, tetanus and pertussis-containing vaccine But…problems related to zero-dose are connected to problems of the under-vaccinated/under-immunized, the drop-outs, and the partially vaccinated…and the communities where they live. - In some places, there are more under-immunized than zero-dose children. - So, for today’s discussion, we are talking about ALL OF THE ABOVE. How to share your zero-dose experience? 1. What is the zero-dose situation where you work? How do you know? 2. What are you doing about it, why, and how? 3. How is it different from what you did before? 4. How has it turned out so far? 5. How do you know what you are doing is successful? Zero-dose practitioners reflected on two cross-cutting challenges. Challenge 1 What: Estimating the number of ZD and finding clusters of ZD and communities missed by immunization services Why: Understanding where and who are the persistently missed and under-immunized children/pregnant women & underserved communities, to adjust strategies to reach them. How: Tell us about your experiences with how you find and follow-up on ZD/missed communities, as well as why you know your approach is working; please be specific and provide step-by-step details without acronyms Challenge 2 What: Consistently engaging with communities Why: Understanding difficulties in reaching and fully vaccinating all children in urban poor as well as rural remote areas because of health services that are reaching people are not meeting people’s needs, migration/movement of people, mistrust, beliefs, and more. How: Tell us about your experiences with how you have engaged with communities and what has been the result in both urban and rural contexts; please be as specific as possible and provide step-by-step details without acronyms. Acknowledgements Bangladesh - Dr. S M Abdullah Al Murad, Program Manager-EPI and Member Secretary - Dr. Monjurul Islam Fuad, Deputy Program Manager, Field Service Mali - Dr Kalifa Keita, Directeur Général Adjoint de la Santé - Dr Fanta NIARE, Directeur du Centre d’apprentissage pour l’équité vaccinale (CAPEV) du Mali - Dr Ibrahima Diarra, Directeur du Centre national d’Immunisation (CNI) du Mali Gavi Country Learning Hub partners - Bangladesh: RedOrange, ICDDR,b, JHPIEGO - Mali: GaneshAID, CAPEV - Nigeria: AFENET - Uganda: IDRC, PATH, Makerere University School of Public Health The Geneva Learning Foundation (TGLF) wishes to thank Gavi and JSI for their leadership of the Gavi Zero Dose Learning Hub (ZDLH).
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