Immunization programs are considered as key to avert vaccine preventable diseases in a country. The Expanded Program on Immunization (EPI) was launched in 1994 in Pakistan, since then it has been delivering extensively to reduce the burden of vaccine preventable disease in the country. To augment further Pakistan started its National Immunization Support Project (NISP) in 2016 to coordinate efforts for immunization and reducing vaccine-preventable diseases. This project liaises with development partners to help coordinate fund distribution and monitors the progress of the immunization efforts. NISP includes ten Disbursement Linked Indicators (DLIs), which are the benchmark for progress monitoring of the project and triggers disbursement from the co-financing partners (the World Bank, the United States Agency for International Development (USAID), Gavi the Vaccine Alliance and the Bill and Melinda Gates Foundation).