JSI

"Every caregiver deserves accurate information so they can make informed decisions for their children. Many vaccine refusals are rooted in fear, misinformation, or past experiences. Listening is often the first step toward building trust." – Esogenwune Nwabueze, JSI Bayelsa ACSM officer

For nearly two decades, a mother of five in Nigeria's Bayelsa State refused vaccines due to a past negative experience. During a community outreach session, JSI health officers had an empathetic, face-to-face conversation with her, addressed her concerns, and helped her make an informed decision to vaccinate her youngest child.

Read how respectful dialogue and local follow-up systems are helping reach zero-dose children: https://www.jsi.org/insights/zero-dose-immunization-bayelsa-state/

A Conversation Broke Nearly Two Decades of Vaccine Hesitancy in Bayelsa State In Nigeria, 19 years of family vaccine refusal came to an end when JSI connected with the family in an empathetic way.

Reaching zero-dose and under-immunized children requires practical evidence, local adaptation, and technical support that responds to country realities.

As the global learning partner for the Gavi, the Vaccine Alliance-funded Zero-Dose Learning Hub ( ) from 2022 to 2026, we worked alongside partners in Bangladesh, Mali, Nigeria, and Uganda to support local evidence generation. By listening to country teams and addressing recurring implementation gaps, JSI created practical toolkits for evaluation, costing, decentralized monitoring, and knowledge translation that can be used across global health programs.

Learn more about the legacy of the Zero-Dose Learning Hub: https://www.jsi.org/insights/zero-dose-learning-hub-global-learning-partner-legacy/

From Country Learning to Global Tools: JSI’s Legacy as the Zero-Dose Learning Hub Global Learning Partner JSI helped turn country-level learning into practical global tools for immunization programs and broader global health practice