After having successfully recovered from a decline in immunization coverage earlier this decade, the Zambian government’s immunization expenditures have declined in recent years. Meanwhile, household spending on immunization raises questions about why families are purchasing a service that should be free of cost. To better understand and address these trends, Zambia would benefit from conducting regular expenditure tracking exercises, with input from the immunization program team.

The Immunization Resource Tracking Project is supported through a grant from the Bill and Melinda Gates Foundation.