A global initiative to improve immunization systems and save lives
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Erbil, Iraq, 2018

Effective Vaccine Management

Effective Vaccine Management (EVM) is a global initiative to increase immunization coverage through the continuous improvement of vaccine supply chains, ensuring potent, life-saving vaccines are available to vaccinate populations through the life course when and where they’re needed.

Saving millions of lives each year

Vaccines save millions of lives each year by protecting vulnerable populations against serious and preventable diseases. Each successful vaccination requires a strong immunization supply chain to ensure that the right vaccine is administered at the right time, place and cost. You too can be part of this change.
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Strengthening the immunization supply chain

EVM is a tool and process that assesses each component of the immunization supply chain, such as vaccine arrival, storage or management, looking for strengths and weaknesses. This allows countries to develop plans and allocate resources to implement improvements where they are needed most.

EVM brings together immunization professionals with
a common goal of increasing immunization coverage by

Illustration of a syringe Building in-country iSC management capacity
Illustration of a thermometer Supporting implementation of iSC best practices
Illustration of a price tag Attracting
funding for iSC fundamentals

EVM offers tools, resources and guidance to equip countries to assess facilities, analyse data and monitor improvements to the supply chain.

An ongoing cycle of improvement

The EVM process is a journey of continuous improvement, from assessment to analysis to interventions and back again, ensuring supply chains are responsive and resilient as conditions change. There are four steps to the EVM Continuous Improvement Plan (cIP) approach: assess, plan, implement and monitor. These repeat in a cycle of continuous learning and innovation.

CIP Guidance

As the iSC evolves,
so does EVM

Over the years, as the technology, systems and demands behind supply chains have changed, EVM has adapted its approach and tools to ensure that assessments can be comprehensive, representative and equitable.
EVM1, 2009
Launched as a questionnaire that has been used to assess and improve supply chains in more than 80 countries.
EVM2, 2019
Builds on the original assessment tool with expanded capabilities and resources. Improvements provide vital information at a subnational as well as national level, enabling countries to assess, analyze and innovate with greater agility and precision.

Efficient assessment delivery

Country programmes can now independently leverage the potential of EVM by rapidly creating and delivering assessments to meet their needs.

Greater clarity on every aspect of the immunization supply chain performance.

In addition to assessing facility operations (E1-9 in EVM1), EVM also assesses facility management and national programme management, and performance can now be interpreted in terms of the Availability, Quality and Efficiency (AQE) of the supply chain.

Ease of use.

It makes data-collection easier and quicker, and ensures that the data collected is complete and error-free.

Alignment with improvement planning activities.

Results analysis and reporting are provided in sophisticated online dashboards that allow for comprehensive interrogation of iSC performance in real-time.

Country ownership.

Insights from EVM are no longer restricted to a national EVM assessment. Assessments can be customized to meet a country’s specific needs, and can be targeted in different ways:
  • Range - National or Subnational: determines whether to include locations from the entire country or only specific administrative units (AUs) in the random site selection.
  • Type - Random or Targeted: determines whether to use random site selection or else pick individual locations.
  • Sample - Single or Multiple: Determines whether to make a single random site selection for the entire country or make individual ones for each AU.
  • Scope - All or Partial: determines whether to assess all EVM requirements or only a subset.

Find out how to get involved

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