Monitoring Behavioural and Social Drivers of Vaccination in DHIS2

We are pleased to announce the release of the DHIS2 Immunisation Demand Module, developed in collaboration with UNICEF to support countries in routinely monitoring behavioural, social, and practical determinants of vaccination uptake within national HMIS platforms.

The module operationalizes the WHO Behavioural and Social Drivers of Vaccination (BeSD) framework by consolidating country-validated demand indicators into a harmonized DHIS2 configuration. By integrating demand-side monitoring alongside immunisation coverage and service-delivery data, the module helps programmes strengthen triangulation, reduce reliance on parallel tools, and improve evidence-informed decision-making.

The DHIS2 Immunisation Demand Module provides a reference configuration including aggregate datasets, indicators, and dashboards designed to support routine monitoring of key demand domains such as intention, confidence, social influence, access and practical barriers, service experience, and equity and agency. Standard dashboards support both national programme oversight and subnational operational analysis, enabling identification of demand-related barriers contributing to under-vaccination and zero-dose populations.

By enabling systematic monitoring of demand-side determinants within existing DHIS2 HMIS implementations, the module supports immunisation programmes in strengthening data use for planning, targeting interventions, and continuous programme improvement.

:page_facing_up: System Design Guide and Installation guide: Available here

:bar_chart: Demo: Explore this new toolkit directly within the DHIS2 demo environment to understand its functionalities and adaptability

:open_file_folder: Metadata packages are also available for download and customization for your country or organization via the DHIS2 metadata download section

8 Likes

Great

Hello Stefano, thanks.
New literature shows consistently that strategic communication, policy integration, capacity-building, and co-creation with country stakeholders are key strategies for increasing awareness and fostering collaboration around immunization data innovations, particularly monitoring of behavioral and social drivers (BeSD).
Evidence from implementation science and digital health adoption studies suggests that tools on national HMIS platforms (e.g., DHIS2) are more universally adopted when concerns of visibility, training ecosystems, and cross-sector partnerships are deliberately designed alongside the technology from inception. Demonstrating real-world impact through pilot country use cases significantly accelerates global adoption and peer learning, studies also underscore.
The DHIS2 Immunization Demand Module should thus be placed not just as a technical addition but rather as a strategic device to implement behavioral science in national immunization systems. Hence, for broader participation.