Module A: Validate

Welcome to Module A!

Purpose

This module helps you review existing data from Initial Insights, and confirm the immunization programme objective and priority focus areas for the Immunization Demand Strategy.

What You’ll Achieve

By the end of this module, you will:

1. Review immunization data and identify gaps.
2. Confirm your strategy’s immunization objectives(s).
3. Decide the priority area(s) for your strategy.

What You Need

• Data Presentation
• Data Worksheet
• Strategy Summary Poster 1
• Workshop 1 Header Posters

Room Set-up

Activity #1: Validate existing data and confirm your immunization objective

📝 In this activity, you’ll share the existing immunization data you collected in Phase 2: Initial Insights with participants.

How to Prepare

1. If you haven’t already, put up the Header Poster for Module B: Who and Strategy Summary Poster 1 on the main wall.
2. Be ready to present the summarised data and prioritisation from Initial Insights, Module B. You will need to share the priority communities, locations, and immunization objective, so that participants can discuss and adjust to suit the needs of the context.
   1. If you are using the Data Presentation to share the information, set up a projector or print the slides.
   2. If you prefer, you can use the Initial Insights Data Worksheet instead of the presentation. Ensure you fill it in in advance with the information from Initial Insights Module B. Print a copy for each of the participants.
   3. It is critical that participants are able to see a summary of existing data, and discuss the priority communities and locations.
3. If helpful, hand out one copy of the Prompt Cards: Who to each table, so that they can think more about who a typical priority community may be.
4. Distribute markers, pens, and post-it notes to each table.

⚠️ IMPORTANT: Ensure you have filled in your Data Presentation or Data Worksheet before the workshop, so that you are showing participants the work your team did in Initial Insights Module B, rather than starting again!

Facilitation Steps

1. Present existing data gathered during Initial Insights: present the Data Presentation and/or share the Data Worksheets with participants. Explain: “It’s important that the strategy is based on the real reasons why people don’t vaccinate. We don’t want to guess the reasons; instead, it’s important that we build the strategy using existing data and information about the zero-dose communities and the reasons preventing vaccination. We’ve collected and summarised key data about the reasons for low immunization rates.”
   1. Go around and prompt participants to discuss at their tables: Was there anything surprising in the data?
2. Define the priority locations and communities:
   1. Explain that the strategy needs to focus on the highest risk zero-dose or underimmunized communities, so that the solutions are focused. It’s critical to determine as a group the priority locations and areas for the strategy to focus on. As a group review and discuss the priority locations and communities that the strategy will focus on. Ask participants time to think about these questions:
      1. Priority Locations: “Review the priority locations/areas. Are these the areas with the lowest immunization rates? Have we missed any priority areas? We need to select between one to three priority locations or areas for the strategy to focus on, so that the strategy targets the highest risk locations. Think about the areas with the highest risk of low immunization or drop-out within the province/region.”
      2. Priority Communities or Groups: “Review the priority communities or groups. Are these the groups who are at highest risk of not immunizing either zero-dose or highly underimmunized? Are these the groups with the highest drop-out rates? Are these communities or groups found in the priority locations? We need to select between three to five priority communities or groups that the strategy will focus on. Think about specific populations e.g. a marginalised or minority group in the area, or a migrant or mobile population. Remember, these are the people who need your strategy the most—so while it might be difficult, focusing on a maximum of five communities now ensures they’re at the centre of your efforts.”
   2. Facilitate a larger group discussion where all participants can vote on the top one to three priority locations, and top three to five priority communities or groups. Encourage participants to reflect on where and who the strategy should focus on.
      1. If helpful, hand out the Prompt Cards: Who to participants for some inspiration around who the priority groups may be.
3. Define the immunization objective: share the draft “immunization programme objective” for the strategy, developed in Initial Insights. Ask participants: “Is this the right focus for our strategy? Does it need any changes based on today’s discussion?
   1. Try walking around to each table and prompt these questions to each group directly.
4. Finalise the focus areas of the strategy
   1. Gather participants around the Strategy Summary Poster 1 on the wall. Write the validated immunization objective, priority locations, and priority communities on the poster.
   2. Confirm everyone agrees these are the focus areas for the strategy.

Facilitation Tips

• Limit the strategy to a maximum of three to five priority community groups—any more will prevent the strategy solutions being focused.
• If participants struggle to decide, run a voting exercise to decide on the priority locations and communities:
  • Write each community/group on flip chart paper.
  • Give participants dot stickers to vote for the groups they think should be prioritised.
  • Select the groups with the most votes.

Congratulations on completing Module A! You’ve finalised the immunization objective, priority locations, and priority communities for your Demand Strategy Template.

Now, it’s time to move on to Module B: Who.