The report focuses on scaling the project in the most effective way to make a difference in uptake of vaccines. It analyzes details of the project ‘Transforming the vaccine delivery system in Ghana: identifying approaches that benefit women’ (also known as the Women Rear project - women rearing animals). The aim is to improve animal health care delivery to support women health service providers in reaching women livestock keepers, improving all farmers' livelihoods. From the current twenty communities it aims to add twenty more, targeting a total 4,000 women farmers. Women small livestock owners account for many of the rural poor