The Zero-Dose Learning Hub (ZDLH) established by Gavi, the Vaccine Alliance (Gavi), is focused on the outcome of timely, increased, and sustainable use of evidence to improve global, regional, and country immunization programs and policies in alignment with the Gavi 5.0 Strategy and Identify, Reach, Monitor, Measure, and Advocate (IRMMA) Framework. The Learning Hubs in Bangladesh, Mali, Nigeria, and Uganda are actively engaging with stakeholders, refining their learning agendas, assessing data systems, and designing and documenting implementation research (IR) studies. This semiannual update for the Gavi Board and other stakeholders highlights the ZDLH consortium’s efforts to leverage evidence for a deeper understanding of the factors that affect the implementation and performance of strategies to identify and reach ZD and under-immunized (UI) children and missed communities. It synthesizes findings, challenges, and recommendations across the IRMMA framework emerging from the Learning Hubs. Below are brief highlights of key lessons and recommendations. See the country reports for a detailed summary of each country’s priorities, activities, progress, and learnings to date.
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