Gender Equality: A Proven Accelerator of Polio Eradication

Country
Global

2025 Progress and Best Practices by GPEI Gender Mainstreaming Group · 2025

Why gender matters for polio eradication

Gender equality is a strategic enabler of polio eradication. Gender norms shape access to services, caregiver decision-making, workforce composition and community trust — making gender a decisive factor in reaching every child and sustaining eradication gains. The Global Polio Eradication Initiative (GPEI) recognises gender equality as a core objective of its Eradication Strategy (2022–2029), and the Gender Mainstreaming Group (GMG), co-chaired by WHO and UNICEF, supports its implementation across the partnership.

Progress in 2025

Over the year, gender-responsive programming contributed to measurable gains — higher community acceptance, improved campaign quality and accountability, and reductions in missed and zero-dose children. The GMG channelled targeted funding to gender-specific interventions across multiple settings and one regional office, focusing on community engagement and social-norm change, gender training for health workers, women's leadership and workforce participation, male engagement in caregiving and immunisation decisions, and stronger use of sex-disaggregated data.

Leadership structures increasingly enabled this work: structural reforms strengthened the safety and retention of women frontline workers; women's capacities were reinforced as Gender Champions and focal points within national immunisation (EPI) systems; and high-level advocacy elevated gender equality on the eradication agenda. Women's meaningful participation continued to grow across decision-making forums and emergency surge deployments, and gender-responsive supervision models strengthened accountability, reach and coverage. At the global level, outbreak-response standard operating procedures were updated to integrate gender equality and the prevention of sexual exploitation, abuse and harassment (PSEAH).

Best practices

Across diverse settings, a set of gender-responsive approaches proved effective and transferable:

  • Cascaded gender training for frontline workers, paired with community mobilisation through trusted channels such as radio and theatre, to challenge harmful norms and build demand.
  • Peer-based engagement by trained male and female community influencers to build trust and improve follow-through between campaign rounds.
  • Youth engagement training young volunteers — with strong participation of young women — as community mobilisers and advocates for vaccination.
  • Institutionalised training embedding gender competencies into national EPI training systems through train-the-trainer models and networks of Gender Champions.
  • Trusted female volunteers deployed to identify zero-dose and hard-to-reach children, complemented by participatory approaches such as mobile cinema and community dialogue.
  • Comprehensive reforms combining media campaigns, model-couple and fathers'-engagement approaches, and more flexible service delivery to reduce waiting times and avoid turning families away.
  • Co-creation workshops that build national and sub-national capacity and produce practical roadmaps for gender-responsive microplanning.
  • Faith engagement working with women religious leaders and faith actors as trusted advocates to expand acceptance and demand.
  • Workforce reforms anti-harassment policies and gender-responsive leadership measures that improve the retention and performance of female frontline workers.

Success factors

  • Strong institutional and leadership support.
  • Targeted funding paired with technical guidance.
  • Collaboration across partners and teams.
  • Capacity-building and shared learning through the GMG platform, which members consistently valued as a space for peer learning, practical guidance and motivation.
     

Lessons learned

  • Context matters: interventions are most effective when locally driven and grounded in gender analysis co-designed with authorities, frontline workers and communities.
  • Participation must be sustained: women's involvement improves access and trust, but depends on safe working conditions, supportive supervision, fair compensation and retention.
  • Men and community leaders are essential: engaging fathers, religious leaders and influential figures shifts norms; gender-transformative social and behaviour change outperforms information alone.
  • Leadership and accountability drive progress: advances are strongest where leaders actively champion gender equality and review gender indicators.
  • Flexible, targeted funding catalyses action when paired with technical guidance and leadership support.
  • Data are decisive: systematic use of sex- and age-disaggregated data helps identify inequities and adjust microplans.
     

Looking ahead

The 2026 work plan prioritises endemic and outbreak settings while sustaining support to priority contexts, focusing on operationalising gender tools, strengthening leadership systems, accelerating women's meaningful participation, and improving the availability and use of sex- and age-disaggregated data.

The 2025 experience reaffirms that gender-responsive programming is not optional — it is a proven accelerator of eradication. Continued commitment from GPEI leadership, partners and donors will be critical to sustaining progress and closing the final mile toward a polio-free world.