Globally, progress towards high, equitable vaccination coverage has been uneven. The COVID-19 pandemic has caused a decline in childhood vaccination and exacerbated existing inequity. In Nepal, coverage did not improve between the 2011 and 2016 Demographic and Health Surveys. In fact, coverage declined from 87 percent in 2011 to 78 percent in 2016. To reverse this trend and reach the 22 percent of children who are under-immunized or have not received any vaccinations, it is critical to improve the understanding of and address factors associated with low vaccine acceptance and uptake.
JSI conducted a scoping exercise in Nepal to understand the existing capacity of practitioners to apply behavioral science to immunization programming and challenges to the use of behavioral science. The scoping exercise consisted of a desk review, key informant interviews (KIIs), a social mapping exercise, and a global virtual capacity assessment.
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