CONSEQUENTIAL GEOGRAPHY PROJECT
Closing immunization gaps by strengthening surveillance and reaching every child.
The Consequential Geography (CG) Project is a targeted public health intervention designed to reduce the number of zero-dose children, strengthen routine immunization systems, and improve disease surveillance in high-risk and underserved communities across Zamfara and Katsina States.
Implemented in collaboration with national and state primary healthcare agencies, the project focuses on identifying geographic and programmatic gaps that limit immunization coverage and deploying tailored strategies to reach children in hard-to-reach and previously unreached settlements.
By combining data-driven planning, community engagement, and health workforce capacity strengthening, the CG Project supports Nigeria’s efforts to improve equitable access to life-saving vaccines.
Measurable Progress in CG Project.
Zero-dose children vaccinated in Zamfara State
under-two children vaccinated with appropriate RI antigens in Katsina State
27% reduction in zero-dose burden across 9 CG LGAs in Zamfar
Data quality score improved from 50% to 72%
13,477 children sustained across three routine immunization contact points
What the Project Is Delivering
The project supports improved uptake of routine immunization services through intensified outreach activities in hard-to-reach and never-reached settlements. Surveillance systems are strengthened to improve detection and reporting of vaccine-preventable diseases, while continuous capacity development enhances the skills of health workers and supervisors.
Community engagement remains central to implementation, promoting increased awareness of vaccination as a preventive health strategy and strengthening trust between communities and the primary healthcare system.
Impact Narrative
The Consequential Geography Project has strengthened state-level recognition of zero-dose reduction efforts and improved community understanding of vaccine-preventable diseases. Through targeted community engagement strategies, reporting of suspected vaccine-preventable diseases has improved, supporting earlier response and better disease monitoring.
The project continues to demonstrate how data-driven geographic targeting can accelerate equitable immunization coverage in high-risk settings.
