Evaluation of Immunization Programming at the System Level 2018-2023

Highlights

In September 2023, UNICEF Europe and Central Asia Regional Office launched an evaluation of immunization programming in the region at the systems level. The decision to undertake this evaluation recognized the critical importance and central role of immunization for the attainment of Sustainable Development Goal 3 “to ensure healthy lives and promote well-being at all ages.”

The regional evaluation includes a set of five country evaluations of UNICEF immunization programming: Bosnia and Herzegovina, Kyrgyzstan, Kosovo, the Republic of Moldova and Tajikistan.

This report presents the results of the evaluation conducted in Kyrgyzstan. The purpose of the evaluation is to provide an independent, rigorous assessment of UNICEF results to date in contributing to the national immunization system in Kyrgyzstan in its efforts to maximize immunization coverage. There are four specific evaluation objectives:
• to assess the impact of immunization programming, looking at both supply and demand, and understand what worked and what did not in improving immunization coverage;
• to determine the effectiveness, impact, coherence, relevance and efficiency of immunization programming with a system lens;
• to assess the contribution of UNICEF’s work to national and sub-national progress (outcome and impact) in immunization coverage, especially for hard-to-reach individuals/communities; and
• to draw lessons and provide recommendations to further support national governments in their efforts to strengthen immunization programming within the health care system.