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Regarding your question about scaling community-based solutions, we have a number of strategies: 1. We are creating awareness and demand at a community level and linking that demand to supply at the local health facility level. 2. We ware building capacity for immunization at the heart of where the problem is, at the same time strengthening the response of the local health facilities and workers, to make sure that as more caretakers bring their children to the facilities, the health workers have the capacity to service them. Therefore, the foundation of this intervention is based on both community systems strengthening and health systems strengthening for immunization. This will enable the primary healthcare system to replicate, scale, and sustain the efforts that we have introduced in the long term - after the project funding is over.

Dear Estela, during our pilot studies, we learned about the specific barriers that this community faces, some of which involve the supply and use of necessary materials. For example, when the clinic runs out of immunization cards, they ask caretakers to purchase booklets to keep the immunization records. We can easily provide these booklets at what is little cost to us, but a significant cost to the caretakers.

Dear Marichu, thank you for your comment - we absolutely agree that refugees are especially vulnerable to preventable diseases, and can benefit greatly from an intervention that draws on their own strength and abilities. Based on the comments here and the resources from the OpenIDEO team, we have been able to further increase the community involvement in our intervention design.