Research

Research

Immunisation

Immunisation

Equity

Equity

Zero-Dose & Missed Communities Research

Understanding why children are missed, and how to reach them.

Research

Immunisation

Equity

man in white dress shirt wearing black framed eyeglasses
Project Overview

This project studies the factors that contribute to zero-dose children and missed communities, especially in underserved urban and rural settings. It explores social, gender, economic, geographic, and service delivery barriers that affect access to immunisation.


CMS HARD Foundation combines quantitative and qualitative research with design thinking to generate practical solutions that respond to real community needs.

Key Objectives:

  • Understand barriers to immunisation access

  • Study gender and social factors affecting caregivers

  • Identify missed communities and underserved groups

  • Co-create practical solutions with health workers and communities

How we make change
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Household research

We collect data from caregivers and households to understand lived experiences and access challenges.

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Qualitative inquiry

We use interviews, focus groups, ethnography, and community conversations to understand why barriers exist.

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Gender-sensitive analysis

We examine how gender roles, decision-making power, and access disparities affect vaccination.

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Co-created solutions

We work with health workers and communities to design practical responses that improve service delivery.

How we make change

Our Impact

Our Impact

Mixed-method

Research approach

Urban slums

Underserved communities studied

Design thinking

Applied to improve microplanning

Foster Classrooms
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Helping health workers reach children who are often missed.

CMS HARD FOUNDATION

No child should be invisible to the health system

Zero-dose children are often missed because systems, services, and communities are not fully connected. Through this work, CMS HARD Foundation helps partners understand the root causes and design more inclusive immunisation strategies.

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