Commitment & Demand


Immunization is valued and actively sought by all people, and health authorities commit to ensuring that immunization is available as a key contributor to enjoyment of the highest attainable standard of health as a fundamental right.


Build and sustain strong political and financial commitment for immunization at all levels.

Ensure that all people and communities value, actively support and seek out immunization services.

Key areas of focus:

Commitment: Ensure that key groups, champions and stakeholders advocate for greater commitment to and ownership of immunization programmes and for sustained national and subnational financing. Encourage leaders to prioritize immunization in strategic and operational planning and in policy, fiscal and legislative instruments. Strengthen evidence-based decision-making, with technical input from bodies such as a national immunization technical advisory groups (NITAGs).

Subnational support: Build support for immunization and capacity for national and subnational leadership, management and coordination, especially in large countries and in those with decentralized health systems. Establish mechanisms for stakeholder coordination and participation in planning, implementation and monitoring.

Accountability: Establish accountability frameworks for all stakeholders, with platforms for engagement and dialogue. Ensure that communities and civil society organizations are equipped to hold national and subnational authorities accountable for equitable delivery and for the quality of immunization services. Ensure access to data and information, and develop frameworks for joint monitoring.

Public trust and confidence: Establish an ongoing understanding of all the behavioural and social drivers to vaccination (including social processes, gender-related barriers, practical factors and social

Application of the core principles:

People-centred. Community engagement will be at the heart of building people’s trust and of their acceptance and use of vaccines. The emphasis is on dialogue, service quality, effective and respectful provider communication in primary care and accountability.

Country-owned. Political leaders, civil society and immunization champions will ensure that countries are committed to ensure the enjoyment of the highest attainable standard of health and to protection of communities against vaccine preventable diseases.

Partnership-based. New partnerships across multiple actors will be formed to build knowledge and raise awareness of the value of immunization, and to overcome equity and gender barriers in order to build relationships and trust with communities.

Data-Guided. Behavioural and social research, data, and evidence will be collected locally and nationally to help develop and evaluate appropriate interventions. Communication technologies will be deployed to increase commitment to, and demand for, immunization.