This document discusses strengthening routine immunization programs in Pakistan through the polio eradication initiative network. It provides an overview of Pakistan's national routine immunization program and coverage levels. It notes challenges like discrepancies in population data, inaccessibility of some areas, and insecurity. The polio eradication initiative network has supported routine immunization by using polio surveillance data to identify low coverage areas, supervising vaccination centers, and providing trainings. Coordination is needed between partners to improve routine immunization coverage, especially as polio vaccination rounds decrease in non-transmission zones.