Immunization intervention led by root cause analysis

Assessment underscores context specific approaches to improve vaccine uptake


Immunization is a critical public health intervention that protects individuals and communities from vaccine-preventable diseases. In Moldova, achieving high immunization coverage is considered a nationwide priority to ensure the health and well-being of its population. However, in recent years the country’s Balti District has fallen behind in achieving optimal immunization coverage. Poor vaccine uptake in the district was further compounded by disruption to vaccine coverage caused by the COVID-19 pandemic.

To identify barriers to vaccination and develop a tailored approach to vaccination delivery, UNICEF and the Ministry of Health, in collaboration with WHO, Primary Health Care (PHC) providers and local authorities undertook a Root Cause Analysis (RCA) in Balti.

This case study examines the efforts to improve immunization coverage in Balti, the role of PHC, and support provided by UNICEF and WHO to mitigate the impact of the pandemic on immunization programmes.

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