Client(s): Gavi, the Vaccine Alliance
Service: Technical Assistance
Technical Expertise: Immunization
As of 2017, 59 percent of Haiti’s population lived in urban areas, and 70.1 percent of those urban populations lived in slums. As Haitians continue to migrate from rural areas to densely populated urban areas there is a higher potential for transmission of vaccine-preventable diseases, particularly among crowded slums.
Within this context, to meet the coverage and equity targets of the Global Vaccine Action Plan (GVAP), Sustainable Development Goals (SDG), and Universal Health Coverage (UHC), the needs of the urban poor must be better understood and addressed. Furthermore, outdated vaccination delivery approaches, designed 40 years ago based on rural models, must be adapted to respond to these shifting demographics.
JSI’s efforts to strengthen urban immunization programs in Haiti focused on the Cité Soleil—a very poor urban commune located within the Port au Prince metropolitan area with a history of violence. From January-September 2017, JSI Research & Training Institute, Inc. collaborated closely with the Directorate of the Expanded Program on Immunization (DEPI), key stakeholders, and Gavi, the Vaccine Alliance, to investigate reasons for low immunization coverage in Cité Soleil and to develop practical, low-cost strategies to strengthen immunization services and improve coverage in urban areas.