Building sustainable, forward-looking immunization programs: lessons from Rwanda

“Rwanda’s immunization system demonstrates the importance of integrating vaccination into broader healthcare systems and embracing innovative technologies...”

In recent years, immunization efforts in Rwanda have shifted from a primarily reactive approach to a proactive one, driven by the integration of vaccination into broader healthcare systems, an open-door policy to innovative technologies, last-mile delivery initiatives, and strong political support. The country is moving away from vertical, isolated programs toward horizontal, integrated interventions to strengthen immunization services. Having worked in public health for the past decade and in my current role as Program Manager for Immunization at Clinton Health Access Initiative Rwanda, I have been fortunate to observe this evolution—not only in Rwanda, but across the region. In this article I will highlight some of the key factors that I believe contribute to successful vaccine delivery, including the critical last mile.

On August 5, 2025, Charlotte Barker, Editor, Vaccine Insights, spoke to Hyacinthe Mushumbamwiza, Senior Program Manager, Clinton Health Access Initiative about Rwanda’s evolving immunization strategies. This article has been written based on that interview.

Please enter your email to access content Read now