From December 2018 to March 2019, JSI collaborated with the Government of Sindh’s Expanded Program on Immunization (EPI) to conduct a situational analysis of routine immunization in Karachi, Pakistan. Through the analysis, JSI identified gaps in knowledge and resources, barriers and shortcomings in governance, demand generation, and service delivery. This brief provides an overview of the findings from the analysis as well as recommendations to overcome challenges related to governance, human resources, service delivery, logistics and supply chain, demand generation, and service monitoring and data management.
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