The presentation by Sagar Dahal details Nepal’s Full Immunization Initiative (FID), which stems from the National Immunization Program (NIP) established in 1979. NIP now covers 13 antigens and prioritizes reaching every child, sustaining vaccine-preventable disease control, and ensuring local financial and operational ownership. Despite progress, challenges include coverage below 90%, dropout rates, and difficulties vaccinating mobile or marginalized populations. The FID process involves household surveys, microplanning, verification with immunization registers, and multi-tier certification (ward, municipal, district, provincial). By 2022, over 90% of Nepal’s districts had declared full immunization. Key lessons emphasize sustained community engagement, political commitment, and integrating immunization goals into local governance plans to maintain high coverage and address missed children