


See photo credits below.
The Zero-dose Immunisation Programme (ZIP) was Gavi’s first designated multi-country funding for humanitarian partners to immunise children in missed communities impacted by conflict and crisis. Contributing to Gavi’s 2021–2025 strategy (Gavi 5.0/5.1)’s vision of “Leaving no one behind with immunisation,” ZIP grantees deliver all scheduled vaccine doses to children from birth to age five in communities where conflict impedes government health services. ZIP learning informs the fragile & humanitarian approach of the Gavi 6.0 strategy.
ZIP, Gavi’s Humanitarian Partnerships Programme
In some parts of the world, vaccinating a child isn’t routine; it’s a race against time, distance, and instability.
Gavi’s ZIP humanitarian partners go the extra mile to reach communities affected by conflict, crisis, and displacement, communities where children have never been vaccinated.
“Don’t ask for anything else. Just ask for safe passage”: negotiating access for vaccines amid conflict
August 18, 2026
Routine vaccination services had been unavailable to children born during the long-running conflict between the Tigray and Amhara regions of Ethiopia. In 2022, REACH was able to start negotiations with a wide range of officials in the area to gain the access they needed.
When health services come together, people show up
May 27, 2026
ZIP is designed to make sure that children living in crisis-hit areas get access to routine and catch-up vaccination, focusing on areas that are especially challenging for national immunisation programmes to access.
IRC, through Gavi’s ZIP programme, Surpass 30 Million Vaccine Doses
April 23, 2026
Marking World Immunization Week 2026, IRC announced that, together with partners in the Gavi-funded REACH consortium, it has delivered more than 30 million life-saving vaccine doses in some of the world’s most fragile and conflict-affected settings.
ZIP Report
Gavi’s Humanitarian Partnerships: achievements and learning, 2022–2024
In partnership with the International Rescue Committee (IRC) and others, the Gavi-funded Humanitarian Partnerships (ZIP) is breaking new ground in how immunisation services reach communities affected by insecurity, conflict or crisis.
The programme, which was launched in 2022, spans across 11 African countries in the Sahel and Horn of Africa. This report showcases the achievements and learning from the first two ZIP awards Raise 4 Sahel and REACH.
From December 2022 through June 2024, ZIP, Gavi’s Humanitarian Partnerships, provided 845,000 first doses and 479,000 last doses of vaccines to infants and children in communities where national immunisation programmes (NIPs) face barriers associated with insecurity, conflict or crisis across 11 African countries.
Gavi, the Vaccine Alliance, recognises the leadership of NIPs as primary recipients of Alliance support. Gavi also recognises that external shocks can create exceptional and often time-bound barriers that restrict NIP access to communities. When these cannot be overcome with Gavi cash grants to governments, gaps in vaccine programming leave communities vulnerable. Gavi upholds an equity imperative to ensure no child is left behind with immunisation, including children in communities beyond the reach of government health services due to insecurity, conflict or crisis.
Hero Image Credits
An outreach team in Somalia during a vaccination session | Credit: IRC/REACH, 2025
Health workers unload vaccination supplies from helicopter in Burkina Faso | Credit: World Vision/Raise 4 Sahel, 2025
Adults and children gathered for a vaccination session in Cameroon | Credit: CBCHS/VERHUS, 2025
