In Cote d’Ivoire, a number of lessons learnt regarding integra- tion of vitamin A supplementation with OPV were noted. These lessons include the importance of grassroots micro planning, good local coordination, involvement of all stakeholders at the district and national levels in the campaign as well as in social mobilization, involvement of local authorities including civil society, religious leaders, military, and involvement of local radio stations. There were also challenges noted in Cote d’Ivoire which included slowing down of vaccination teams as they had to administer the two interventions, the additional resources from the nutrition pro- gram not always arriving on time, the rounds being very close together, and the low daily allowances paid to vaccinators [13].