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Overview
Zindagi Mehfooz – ZM (Safe Life) is a complete digital ecosystem that connects women and children to life‑saving vaccines in real time. Built as an open‑source Android “super‑app,” it harnesses low‑cost technology to address both supply‑ and demand‑side barriers to immunization. By improving the availability and quality of data, ZM‑Electronic Immunization Registry (EIR) encourages a culture of data‑driven decision making within public health services and brings the goal of universal coverage within reach. The platform allows vaccinators to register children and women on smartphones, generates unique quick‑response (QR) codes for each enrollee, and has the potential to integrate with provincial and national systems for seamless follow‑up. The Zindagi Mehfooz platform has reach across Sindh.
175.1M+
immunization events recorded
13.1M+
children enrolled
5.4M+
women registered
2,077+
immunization centers engaged
Our Partners
- Federal Directorate of Immunization
- The Ministry of Health, Sindh
- Emergency Operations Centre, Sindh
- Expanded Program on Immunizations, Sindh
The need for deworming
The need for deworming
High burden of worm infections
Pakistan is among the world’s top ten STH-burdened countries. STH infections can lead to anaemia, malnutrition and diminished concentration, undermining children’s health, educational outcomes and long-term productivity.
Evidence‑based need
The first nationwide STH prevalence survey (2016) conducted by Evidence Action, WHO, IRD & IHN and the Government of Pakistan showed that roughly 17 million school-age children in 47 at‑risk districts require deworming once annually.
Access and equity gaps
Out-of-school children, those in remote communities and pupils in schools lacking adequate water, sanitation and hygiene (WASH) facilities are particularly vulnerable. Without organised deworming, intestinal worms can perpetuate cycles of poverty, anaemia and undernutrition.
Our Approach: Pilot - Technical Assistance - Delivery
Zindagi Mehfooz (Safe Life) leverages mobile technology and analytics to modernize routine immunization in Pakistan. Through an Android-based application, vaccinators enroll children and women, record vaccinations in real time, and access electronic records across facilities. Built-in decision support tools guide vaccinators on due doses, while QR codes and two-way SMS reminders ensure caregivers stay informed. A 24-hour helpline and AI chatbot assist caregivers, while web dashboards and analytics generate real-time reports on coverage, stock, and performance to inform planning and supervision.
Designed for interoperability, ZM can be integrated seamlessly with health information systems such as DHIS2 and the provincial EPI MIS, allowing data to flow efficiently from local centers to provincial dashboards. The open-source platform supports offline data entry, geolocation tagging, and customizable modules for features like mobile incentives, outreach vans, and pregnancy-birth linkages. By aligning with national health data frameworks and enabling real-time reporting, ZM enhances coordination across sectors, strengthens evidence-based decision-making, and supports Pakistan’s progress toward universal immunization coverage.
Our partners
PDI has a nationwide footprint, focusing on districts identified by the national STH survey— 47 at-risk districts requiring annual deworming.
The drivers behind our impact
The drivers behind our impact
Strengthened decision‑making
Health managers use dashboards to allocate resources, monitor vaccinator and district wise performances, overall coverage rates, and plan outreach—allowing for more efficient spending and evidence‑based policy decisions.
Evidence‑driven and adaptive
Planning and roll‑out decisions are guided by real‑time registry data and coverage monitoring, ensuring resources go to districts and facilities with the largest gaps.