The purpose of this landscape is to provide the Gavi CLH and stakeholders in Mali with a comprehensive overview of the immunization landscape within the country, with a special focus on ZD and under-immunized children. Operationally, Gavi defines a ZD child as one who has not received a single dose of a diphtheria, tetanus, and pertussis-containing vaccine. Given the highly variable and contextual nature of the drivers, barriers, and programmatic approaches to reach ZD and under-immunized children, it is important to understand the unique context, policies, and economics of the country. This will not only help guide approaches, but also to better understand and interpret why changes in IRMMA may or may not occur. This landscape also aims to inform research and programming efforts in Mali by identifying important knowledge gaps related to the identification, reach, monitoring, measurement, and advocacy for ZD and under-immunized children.
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