Behavioral and Social Drivers of Vaccination (BeSD) – The Vaccination Demand Hub

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For countries to achieve the full benefit of vaccination, reaching and maintaining high coverage is vital. Addressing under-vaccination requires an adequate understanding of the determinants of the problem, tailored evidence-based strategies to improve uptake, and monitoring and evaluation to determine the impact and sustainability of the interventions.

The BeSD workstream aims to support programmes and partners to boost the availability, quality, and use of data to assess and address reasons for under-vaccination. This can be achieved with the use of evidence-informed and globally standardized tools, adapted locally. Data will inform the design and implementation of targeted interventions and global tracking of comparable trends.

Our Workstream Objectives

  • Provide a set of adaptable tools and guidance for programmes and partners to boost the availability, quality and use of local and global data on behavioral and social drivers
  • Support assessments of under-vaccination to inform policymaking and planning
  • Inform the design and evaluation of targeted interventions
  • Track comparable trends over time at a sub-national, national and global level
  • Contribute to regional and global reporting processes

There is a need for evidence-informed and globally standardized tools to support programmes and partners to assess and address reasons for under-vaccination

Our Current Initiatives

• BeSD Childhood Immunization Survey (CIS), for parents and caregivers of children under 5 years of age

• BeSD Childhood Immunization In-Depth Interview guides (CIDI), for parents and caregivers, health workers, community stakeholders, and authorities across the health and immunization system

• User guidance, to support the local testing and application of the tools for data gathering, analysis and use, including frameworks to guide programme planning

• Draft indicators aligned with the BeSD tools to contribute to the Immunization Agenda 2030 and Gavi 5.0 strategy, and updated WHO/UNICEF Joint Reporting Form questions

• Contributions to establishing a global BeSD repository for data, case studies and insights, together with technical assistance and capacity building

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