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Stories
Case studies from countries who have applied human-centred design


Making preventative services a normal community practice
In Ethiopia, reaching zero dose and underimmunized families across vast geographies, languages and cultures requires tailored diagnoses and adapted interventions.



Empowering provinces to resolve local challenges
Indonesia’s decentralized system of government puts the responsibility of delivering immunization services in 300 local languages over a vast geography with provincial governments.

Tackling paradoxical coverage rates in urban slums
In Antananarivo slums, vaccination coverage rates are extremely low even though services are more accessible and available than anywhere else in Madagascar.



Sharing the burden of remembering and prioritizing
In Mali, caregiver illiteracy is common and gender roles and norms are strong. Women have many people to care for in the home and this makes it difficult for them to understand health education materials stay up to date with upcoming appointments.

Tailoring local action plans to reduce inequities
Failure to vaccinate in Mozambique is due to ‘occasional and incidental reasons’ that cannot be captured easily through quantitative data or addressed through national-level solutions.



Improving the safety of female community health volunteers
In Nepal, female community health volunteers whose job is to remind families to attend vaccination appointments felt unsafe traveling alone from house-to-house. Hard-to-reach ethnic minorities such as the Chepang communities did not get access to basic health services.

Bringing health education closer to home
In Nigeria's nomadic communities, there are difficulties related to how — and where — health care and education is delivered. Families, and more specifically fathers, who live far from health facilities, do not get access to the necessary materials and information related to health and immunization.



Engaging the community to help caregivers overcome gender barriers
In Somalia, men play an influential role in decision-making. While Somali women have a strong role in raising children, managing the household, and earning income the male head of the household has decisional powers over use of time and resources to visit health clinics.

Creating a welcoming clinic environment
In the densely populated areas of South Sudan, communities experience many challenges in terms of access to and quality of care: families tend to have negative experiences at health facilities — how they feel and how they are treated. And that is every bit as important in their care-seeking behavior.



Establishing vaccines as a new cultural norm
Given the influential role that gender plays in cultural norms in Sudan, this case study focuses on how one community’s engagement with fathers led them to a creative opportunity to create a new tradition.

Increasing uptake of primary health services in Zimbabwe's hard-to-reach communities
In Zimbabwe, while routine immunization rates are high across the country, the Apostolic community in Manicaland has been hesitant to seek immunization services due to a multitude of reasons.
