Seeking Synchrony for Immunization, Family Planning and Growth Monitoring

We propose to work with immunologists and vaccinologists to model the potential outcomes of "synchronized scheduling" to immunization coverage and protection, FP uptake, and growth monitoring success. We will also conduct research with immunization stakeholders in Africa to assess the acceptability of such a change. If both modeling and research are positive, we will hold a technical meeting to reach consensus on whether and how to move forward with a trial to formally assess the feasibility, acceptability and effectiveness of adjusted immunization schedules. If found to be feasible, acceptable and effective, this transformational new service delivery approach could be scalable at low cost. It is, however, a bold departure from current practice, and will be controversial within an immunization community concerned about stigma and reluctant to tamper with current schedules.