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Bridging the Immunisation Gap: The Demand Side Incentive (DSI) Project

29th March, 2025

Bridging the Immunisation Gap: The Demand Side Incentive (DSI) Project

Immunisation is one of the most effective ways to protect children and strengthen communities. Yet across Africa, many families still face barriers—distance, cost, and limited access to health services that prevent children from receiving life-saving vaccines.

At Corona Management Systems (CMS), we believe that no child should be left behind because of where they live or the challenges their caregivers face. That's why we're implementing the Demand Side Incentive (DSI) Project—a people-centered, community-driven model that is transforming how families access immunisation services in Nigeria, DRC, Lesotho, and Cameroon.

In February 2025, the Corona Management Systems (CMS) Bayelsa Cluster played a pivotal role in supporting the second round of the BCU campaign. In close collaboration with local health authorities, CMS provided strategic planning, technical support, and field coordination, ensuring that vaccines reached children in four key Local Government Areas (LGAs)—Southern Ijaw, Yenagoa, Sagbama, and Ogbia.

How the DSI Model Works

The DSI project improves access to immunisation by;

  • Vaccinating children (0–23 months) and girls (9–14 years)
  • Offering transport incentives to caregivers after vaccination
  • Providing monthly funds to health facilities for service delivery and outreach in remote areas
  • Using digital tools to track registration, vaccinations, and disbursements in real-time

This integrated approach removes key barriers—especially cost and distance while building trust in the health system and encouraging timely, complete immunisation.

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Progress Across Countries

During the vaccination exercise, CMS provided on-the-ground support, ensuring teams worked efficiently and followed best practices.

The CMS team played a critical role in:

  • Nigeria: In Kwara and Oyo, over 42,000 children have been registered, and 20,000+ caregivers have received incentives. CMS is working toward a target of 150,000 children.
  • DRC: In Tshuapa and Sankuru, CMS has reached 1,500+ children, disbursing incentives to 938 caregivers, with plans to scale toward 60,000 children, despite logistical challenges.
  • Lesotho: Across Berea, Maseru, and Quthing, CMS has registered 3,773 children, disbursing incentives to 3,169 caregivers—on the way to reaching 50,000 children.
  • Cameroon: In the Far North and East, 5,527 children have been registered, and 4,195 caregivers supported. Our digital tool ensures efficiency and transparency as the program progresses toward 60,000 children.
  • Supporting real-time data collection, allowing for accurate reporting and rapid response to any gaps in coverage.

"Our role was not just to assist in vaccine delivery; it was about making sure everything worked smoothly—from planning to execution and follow-up," explains CMS BCU Field Coordinator, Ifeoma Dialla.

By identifying and solving challenges in real time, CMS ensured that the campaign was not just effective but also sustainable.

More Than Vaccines: A Holistic Approach

The DSI Project is not just about increasing vaccine coverage—it's about creating equitable, sustainable access. By combining community engagement, digital innovation, and health system support, CMS is:

  • Reducing zero-dose rates
  • Improving immunisation timeliness
  • Empowering caregivers with knowledge
  • Strengthening data-driven decision-making

"Our role was not just to assist in vaccine delivery; it was about making sure everything worked smoothly—from planning to execution and follow-up," explains CMS BCU Field Coordinator, Ifeoma Dialla.

By identifying and solving challenges in real time, CMS ensured that the campaign was not just effective but also sustainable.

Looking Ahead

The mission is clear: no child should miss out on protection because of where they live or what they earn. With continued collaboration and community leadership, the DSI Project is bringing us closer to a future where immunisation is a right—not a privilege.

✔ DSI: Driving equity, one vaccine at a time.

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