Mali’s Expanded Programme on Immunization (EPI) has long played a central role in strengthening the national immunization system, particularly at the frontline. To further enhance supervision and support for immunization staff, a new digital tool—the C2P mobile application—was developed and integrated into the programme.
In the final days of July 2025, a dedicated team of C2P Champions embarked on a ten-day mission across five health districts: Kayes, Kolondieba, Bougouni, Segou, and Niono. More than a routine field visit, this mission marked the first full-scale deployment of C2P, following a successful pilot in Bamako. The application delivers digital coaching, structured supervision, and targeted on-site support to frontline immunization workers—where and when it is needed most.
Drawing from lessons learned during Bamako’s pilot phase, the July field visits were an opportunity to observe how the C2P approach was being translated into practice. Supervision teams visited Community Health Centers (CHCs) and followed a structured methodology: briefing health workers on how to use the C2P mobile app, administering integrated checklists, analyzing auto-generated improvement plans, and discussing concrete adjustments directly with coaches. Coaches were then responsible for remote follow-up throughout the championship period.
For many vaccinators, the experience was transformative. Previously, supervision had often been sporadic, delayed, or limited to fault-finding. With C2P, it became formative, immediate, and focused on solutions. Through the app, coaches can visualize the gaps that need to be addressed in different locations, follow the progress of their coachees in real time, and provide feedback on the materials uploaded as evidence that any given task has been accomplished.
This hands-on coaching, anchored by digital tools, directly addressed the challenges identified in the 2023–2024 rapid assessment of CAPEV-Mali. The report highlighted gaps in planning, supervision, and motivation among frontline immunization staff, particularly in remote and diverse health district contexts. The C2P approach, with its structured supervision and contextual performance analysis, responded precisely to these needs.
Moreover, the implementation to date has already reached a significant number of users, including Centre Technical Directors (DTCs), Epidemiological Surveillance Officers (ESCs), and Heads of EPI Units. A total of 116 individuals participated in each of the two cohorts, resulting in 232 users benefiting from the C2P app during the replication phase.
But perhaps most significantly, the championship helped reframe the role of vaccinators—not just as service providers, but as active problem-solvers. With support from C2P Champions and supervisors, they began to own their performance data, engage in constructive dialogue, and recognize their impact on community health outcomes.
By the end of the supervision phase, momentum was growing. Teams were not only applying the C2P solution—they were shaping it. They proposed adaptations, shared use cases with other programs like the National Program against Tuberculosis (NPT), and created informal peer networks, such as on WhatsApp. What began as a tool had become a Community of Practice.
This work has been made possible with support from Gavi, the Vaccine Alliance, whose commitment to digital transformation, equity, and reaching zero-dose children in fragile settings aligns with the human-centered vision behind C2P.
This championship is only the beginning. As Mali scales the approach further through the ongoing replication phase and beyond, the lessons from July’s field visits—rooted in real-time supervision, accountability, and coaching—are setting the tone for a new era of equitable, data-informed immunization delivery.
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