Evaluating National Immunization Activities in Lebanon
APIS Health Consulting Group
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3 min

Evaluating National Immunization Activities in Lebanon


In 2017, the Ministry of Public Health (MoPH) started the Accelerated Immunization Activities (AIA) in collaboration with United Nations International Children's Emergency Fund (UNICEF) partners and United Nations (UN) agencies to strengthen the Expanded Program on Immunization (EPI). APIS conducted the evaluation of the AIA activities.


United Nations International Children's Emergency Fund (UNICEF)


In Lebanon, high national immunization coverage has been reported but the EPI cluster survey identified low immunization cadasters, and a high risk of contamination due to Polio emerging from Syria in 2017.

The AIA started in November 2017 to strengthen the existing Expanded Program of Immunization (EPI) of the Ministry of Public Health (MoPH)and to prevent the transmission of Polio from Syria and of other vaccines preventable outbreaks in Lebanon such as measles.

APIS partnered with the Saint Joseph University of Beirut to evaluate the AIA based on the OECD/DAC Criteria using a convergent mix method research design.

Our Approach

Collect | The team collected and analyzed data to guide the evaluation. More than 200 AIA documents were reviewed and secondary quantitative data was analyzed. APIS also conducted 23 semi-structured Key Informant Interviews. Data collection was triangulated through multiple sources to ensure reliability and validity of the information for an in-depth understanding of the project

Evaluate | The experts used the OECD DAC Criteria evaluation matrix and indicators to assess to what extent the project achieved its objectives in addition to the relevance, coherence, effectiveness, impact, efficiency and sustainability of the different components of the project.

Advise | Based on the evaluation findings, APIS elaborated a set of recommendations within the OECD DAC criteria framework on how to move forward with Lebanon’s immunizations activities.


APIS wrote an evaluation report with a complete assessment of the AIA and a set of recommendation to guide future immunization activities via a more relevant, efficient, cost-effective and sustainable approach, taking in to consideration the COVID-19 epidemic and the national economic crisis.