In partnership with GAVI, the Vaccine Alliance, and the MoHs in Uganda and Kenya, Living Goods has spent the past 3 years supporting CHWs to close the childhood immunization gap and increase demand, especially in hard-to-reach communities. The urgency of this work has only risen with the onset of COVID, as prior pandemics and epidemics have had a detrimental impact on immunization uptake and given the promise of using the learnings for the COVID and malaria vaccines.

Since we launched the experiment in 2018, Living Goods has trained and digitally empowered more than 6,500 CHWs to educate families about childhood vaccines, use their digital tools to track under-immunized children, and make referrals and follow-up visits to ensure all inoculations happen on-schedule. Consequently, there was a shift in health seeking behavior and increased access to vaccines. This resulted in a significant increase in coverage in the areas where we work, with full immunization coverage improving between baseline and endline evaluations by 36% in Uganda (from 50% to 68%) and 69% in Kenya (from 44% to 74%). Zero dose children aged 6 weeks to 59 months who had never received any vaccines—dropped 56% in Uganda and 70% in Kenya, meaning that vaccinations have served as an entry point into the health system for children who were previously left out.

The endline survey also reinforced the impactful role CHWs play in sharing information in their communities. In both countries, more than 80% of caregivers reported receiving information on immunization; CHWs were their primary information source, respectively accounting for 56.3% of touchpoints in Kenya and 41.2% in Uganda. The survey also found that CHWs prioritized immunization follow-up and education in their household visits, which increased equity of immunization coverage, bolstered CHW knowledge and skills, and influenced the practices and attitudes of CHWs and caregivers. Key reasons for defaulting included fears of side effects, time constraints for caregivers, other family problems, distance, and transport to health facilities.

Initially, many CHWs did not assess children for immunization during the iCCM sick child assessments. A key lesson learned was that CHWs benefited from trainings that integrated immunization and child illnesses from the outset and ensuring that all the relevant workflows were in place on our Smart Health App and spoke to one another. This integration has enabled strong performance in Kenya, where more than 90% of all children under age 2 (U2) have a known immunization status, compared to 65% in Q1 2020. In Uganda, integration of training and app workflows started in Q1 2021, when only 31% of children U2 had a known immunization status. This rose to 74% by September.

While the endline survey shows that community-based immunization promotion contributed to boosting uptake in the areas where we work, other health system challenges remain, including frequent facility-level stockouts and failure to offer immunization services as routinely planned.


Watch our Smart Health App at work with our Immunization Workflow video.

The Latest


Living Goods’ 2023 Year-End Report

February 19, 2024

In 2023, we entered the second year of our 5-year strategic plan. Our plan centers on supporting governments in strengthening their community health systems by digitizing, skilling, supplying, supervising, and paying CHWs—to scale community health more sustainably. Read to learn more about our work.


Compassionate and Caring: CHW Joyce is a Reliable Shoulder to Lean on

October 26, 2023

In community health worker (CHW) Joyce’s experience, women in her community face several challenges as they try to juggle careers, managing their households, childcare, and motherhood.


CHWs’ Role in Improving Immunization Coverage in Communities

October 26, 2023

Community Health Workers (CHWs) supported by Living Goods are trained and equipped to support families to demystify myths, address misinformation and educate them about the importance of immunization.

Driving Vaccine Uptake in Kisumu

June 5, 2023

Childhood immunizations are one of the most successful high-impact and cost-effective public health interventions, yet globally immunization coverage has stalled as a result of the…

Back to Top

We use cookies to improve user experience and analyze website traffic. By using our site, you agree to our use of cookies. You can change your cookie settings at any time through your Interent browser. Please read our Privacy Policy for full details.