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Table 3 Immunization programming from key informants, organized by country and level of implementation

From: Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research

Level of implementation

Policy or intervention

Nepal

Senegal

Zambia

National-level programming and policies

Includes partners and national government

Introduction of new vaccines

X

X

X

Strategic reallocation of targeted funds

X

 

X

Health post expansion

X

X

X

Codifying health as a human right

X

X

 

Forums for decision-making (e.g., ICC)

X

X

X

Media engagement

X

X

X

Sub-national programming

Regional and district level

RED/REC implementation

X

X

X

Training CHWs and volunteers

X

X

X

Meetings for evidence-based decisions

X

X

X

Data software, health posts

 

X

 

Data software, district-level

X

X

X

Cold chain expansion

X

X

X

Community programming

Health post and village/community level

Community health worker program

X

X

X

Community-level health committees

X

X

X

Outreach services

X

X

X

Micro-planning in health facilitiesa

X

X

X

Defaulter tracingb

X

X

X

Engagement of community leaders

X

X

X

Support groups for caregivers

X

X

X

School outreach

X

X

X

Promotion through media (e.g., radio)

X

X

X

  1. aMicro-planning—integrated set of components prepared to support the health system
  2. bDefaulter tracing—visiting, calling, and messaging mothers to remind them about vaccinating their children