Target 3.b: Support research and development of vaccines and medicines, and provide access to affordable essential medicines and vaccines. Its indicator 3.b.1 measures the share of the population covered by all vaccines in the national programme.
The Problem Rwanda's 1994 genocide destroyed much of its health system, and its mountainous, mostly rural geography makes delivery hard.
The Move They Made Rwanda built its immunisation programme on community health workers, increased to four per village from 2015, two-thirds of them women. It delivered vaccines by motorcycle where roads were poor, used mobile phones to collect data, used public radio to spread health messages, and offered vaccines to non-citizens as well as citizens.
The Proof In 2015, national childhood immunisation coverage was 98%. Differences by wealth, sex and place of residence were small. The 2014 to 2015 national survey found DTP3 coverage of 95.7% in the poorest households and 98.9% in the richest, against a national target of less than 5 points between them.
Your Move A national average can hide whole villages. When you fix your proof point, measure the gap as well as the total.
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