The potential health impact of improving immunization outcomes in Middle Income Countries (MICs) is substantial. At present, MICs account for 69% of zero-dose children1 and 67% of vaccine-preventable deaths. If the global IA2030 targets are to be reached, MICs must not be left behind and forgotten.

This document provides a strategic framework identifying the areas where additional action has the greatest potential to significantly improve access to vaccines over the next decade in MICs.