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Beyond constructs and principles: addressing gender-related barriers to high, equitable immunization coverage.

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Addressing gender barriers in vaccination is crucial for global health equity. The MOMENTUM project integrated gender considerations into immunization programs to reach underserved children and improve vaccine uptake.

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Area of Science:

  • Global Health
  • Public Health
  • Gender Studies

Background:

  • Gender-related barriers significantly hinder equitable vaccine access and uptake.
  • Routine immunization programs require a gender-transformative approach to overcome persistent obstacles.
  • USAID's MOMENTUM project addresses gender as a cross-cutting issue in immunization.

Purpose of the Study:

  • To mainstream gender considerations into routine immunization programs.
  • To identify and address gender-specific barriers affecting vaccination coverage.
  • To build capacity for gender-responsive immunization strategies.

Main Methods:

  • Integrating gender analysis throughout the program cycle: assessment, design, implementation, M&E.
  • Focusing on five key areas: service access, quality, demand generation, caregiver autonomy, and health worker conditions.
  • Developing and implementing staff capacity-building initiatives on gender in immunization.

Main Results:

  • Successfully incorporated gender mainstreaming across global and country-level activities.
  • Identified practical strategies to address gender barriers in immunization access and demand.
  • Gained experience in moving from gender theory to actionable interventions.

Conclusions:

  • Mainstreaming gender is essential for improving immunization equity and coverage.
  • Practical approaches and capacity building are key to overcoming gender-related obstacles.
  • Lessons learned offer valuable insights for similar time-limited global health projects.