Our Focus

Drawing from science and policy dialogue and expert exchange, this section addresses structural, social, and system-level barriers to equity through coordinated policy and prevention strategies across the LifeCourse, making equitable access a real and measurable objective.

Why Health Equity Matters

Health equity is central to lifelong health and effective prevention. When policies, systems, and services respond to diverse needs across life stages and social contexts, population health improves and disparities narrow. A LifeCourse approach shows that addressing inequities early prevents long-term consequences and reduces the burden on healthcare systems.

Why Equity Fails in Practice

Health inequities result from how systems function, not just intent. Systems often assume equal access, while administrative complexity, rigid pathways, and limited coordination create barriers for underserved populations, shaping trust over time. Equity is too often addressed only after disparities emerge, rather than built into system design from the start.

From Evidence to Implementation

Addressing these challenges requires a shift from isolated interventions to system-level change, with equity built into how policies are designed and services delivered. This work spans universal health coverage, social determinants of health, culturally responsive care, and solutions that improve access for underserved populations across the LifeCourse.

Resources

Insights, Reports & Expert Perspectives

Explore a collection of policy briefings, expert interviews, reports and newsletters from the LifeCourse Prevention Initiative.

Community Engagement Approaches to Improve Health

Community engagement approaches to improving health, the key barriers to successful engagement and a framework for building trust and equity in underserved communities.
December 5, 2025

Barriers to Childhood Vaccination in Underserved Communities

The structural and behavioral barriers to vaccination in underserved communities and how health systems must be redesigned around people's lived realities.
December 5, 2025

Social Inequities in Child Health and Vaccine Uptake - Evidence from the UK

Evidence on the widening inequalities in childhood vaccination uptake in the UK, linking the declining coverage to rising child poverty and cuts to preventive services.
December 5, 2025

Inequalities in RSV - Lessons from Barnardo's Public Health Campaign

Barnardo's RSV public health campaign, showing how a culturally competent, community-led approach can reach underserved families and reduce health inequalities.
December 5, 2025

Overcoming System-Level Failures in Vaccination Equity

The three systemic failures that prevent vaccination programs from achieving equity, what overcoming them requires.
December 5, 2025

HTAi for Vaccines - Why It Matters and What Europe Must Get Right

What Health Technology Assessment means for vaccines, and why getting it right matters for new vaccines to reach patients equitably and efficiently across EU.
December 4, 2025

Pediatric RSV Immunisation from Across Europe and Beyond

Review of the available strategies for pediatric RSV prevention, presenting real-world evidence from across Europe and arguing that all infants need protection.
May 12, 2025

Vaccine Trust and Confidence in the Context of Inequality

The drivers of vaccine hesitancy and declining confidence globally, evidence on the role of trust, and institutional credibility in shaping vaccination decisions.
May 12, 2025

A Life Course Approach to Increase Coverage Amongst the Most Vulnerable

Strategies to improve immunization access in underserved communities, addressing social determinants of health and healthcare system barriers.
November 29, 2024

Interview: Trust Poverty and the System

Sir Terence Stephenson, Nuffield Professor of Child Health and Chair of EiP2026, offers both a systemic diagnosis and a clear prescription: there is no magic bullet — vaccination equity is the product of a more equal society, better systems, and professionals who listen before they speak.
December 4, 2025

Interview: The Power of Trusted Communities

Rukshana Kapasi, Director of Health at Barnardo's, sets out a clear reality: closing the vaccination gap requires more than clinical delivery. It requires trust — and community-based organizations are essential to building it.
December 4, 2025

Interview: The Unseen Children

Monica Lakhanpaul, Professor of Integrated Community Child Health at UCL GOS Institute of Child Health, shines a light on children who are mobile, marginalized, and invisible to the health system — and what it takes to reach them.
December 4, 2025

Interview: Child Poverty & Vaccination Inequalities

David Taylor-Robinson, Professor of Public Health and Policy at the University of Liverpool, presents stark data: the more deprived the area, the lower the vaccination uptake — and the gap is widening.
December 4, 2025

Interview: Community Engagement & Vaccination Uptake

Angela Harden, Professor of Community and Family Health, makes the case that community engagement is not the 'nice to have' of public health — it is the essential. Vaccination confidence can't be lectured into communities. It has to be built from within them.
December 4, 2025

Vaccination Equity Report 2025

The report brings together evidence, policy perspectives, and practical experience from leading experts across public health, clinical practice, social science, civil society, and policy, all focused on a critical question: why do vaccination inequities persist, and what will it take to fix them? The answer that emerged is clear: Vaccination inequities are not accidents. They are predictable, patterned, and preventable outcomes of how systems are designed, measured, and experienced.

May 1, 2026

Vaccination Equity Report 2024

This report presents findings from a survey of 198 pediatric healthcare professionals that examines why children go unvaccinated in mixed-income communities. It distinguishes outright vaccination refusal driven by mistrust, sociocultural beliefs, and low health literacy from adherence issues such as missed appointments, which stem from logistical and economic barriers. The report closes with targeted recommendations for healthcare systems and practices to improve equity.

Volume V - Vaccination Equity - Equitable Access Requires Far More Than Free Vaccines

Free vaccines don't guarantee equal access. Why child poverty drives vaccination inequity, and why reducing it is a prerequisite.

June 8, 2026

Volume III - Vaccination Equity - Vaccination Programs Should Be Designed Around Families - Not Systems

When communities are engaged as partners, vaccination programs work better. Insights from the 2025 LifeCourse Summit on co-design, engagement, and equity.

May 21, 2026

Volume I - Vaccination Equity - When Communities Don’t Trust Vaccination Systems, It’s a System Failure

Why do vaccination systems fail the communities they serve? Insights from the 2025 LifeCourse Prevention Summit on trust, access, and the case for system change

May 7, 2026
Focus Zones

Priority Areas Shaping the
Future of Prevention

The initiative focuses on key prevention priorities shaping health systems, policy frameworks, and long-term population outcomes across the LifeCourse.