Globally, vaccination is one of the most effective public health interventions for reducing preventable child mortality and morbidity. Despite the progress made, millions of children remain unvaccinated or under-vaccinated due to persistent geographic, social, and economic disparities. Equity is therefore a central focus of the Immunization Agenda 2030 (IA2030), with particular attention given to “zero-dose” children and underserved populations.
In Côte d’Ivoire, a 2019 study on vaccination equity among children aged 0 to 11 months and pregnant women revealed disparities. An action plan was subsequently developed and implemented to improve geographic accessibility, strengthen human resources, increase the use of immunization services, and reinforce the cold chain and logistical capabilities.
Despite these efforts, an analysis of vaccination data from 2019–2024 shows that territorial and socioeconomic disparities persist, justifying the continuation of targeted interventions to benefit the most vulnerable populations.