In the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, Bertur Alface, medical chief of Gaza Province in Mozambique, discusses changes in vaccine distribution and availability in the country. He notes, “It was not easy to convince policy makers in Gaza to change from a system that had been followed for more than 30 years to a new and innovative approach. I admit that initially there was some resistance, but, with time, good sense prevailed and with it came a readiness for higher quality of care to the community, particularly in rural areas at the last mile of service delivery. The evidence is there to justify the change. We have increased vaccine coverage and healthier children…” (3/17).