Landscape Analysis of Routine Immunization in Nigeria

Solina Health conducted a study of the vaccine landscape in the country to identify constraints to Routine Immunization (RI).


Nigerian Government and partners has implemented major improvements in Vaccine distribution system which has resulted in somewhat improved RI coverage rates. However, Nigeria still fall short of its national coverage targets and global bench marks for immunization;

The Nigerian vaccine coverage rate is among the lowest in the world. There are frequent “stock out” of vaccines.
The increasing national DPT3 rates were still plagued by significant heterogeneity among states.
Death of children under 5 in Nigeria remained among the highest in the world.
Determining and clearly defining the key strengths, opportunities, weaknesses, and threats facing the system will be a driving factor in making major strides in improving RI coverage rates


Solina Health in conjunction with NPHCDA carried out a study of the vaccine landscape in the country to:

Clearly define constraints and determinants of the vaccine distribution system
Propose potential effective solutions to the impending problems
We performed a thorough analysis of the Nigerian routine immunization landscape through:

Analysis of national immunization data
Interviews with local and experts
Focus groups with key stakeholders in the immunization system


Following the analysis of the study conducted, we discovered short and medium term strategies which will significantly improve the system and increase the uptake of routine immunization

We itemized “Six Interventions Packages” targeted towards high priority barriers to a good vaccine distribution system with feasible interventions.

We also determined the ease of implementation of these strategies and weighed them against the potential impacts they would have