In alignment with the Immunization Agenda 2030, USAID remains committed to advancing equitable immunization to save lives and protect children and communities from outbreaks of vaccine-preventable diseases through a variety of approaches and projects. In March 2024, USAID held a meeting that convened USAID Missions, implementing partners, and external stakeholders in Washington, D.C., to harness the power of collective thinking in overcoming vaccination barriers at a critical moment for the global immunization community. Participants shared best practices and lessons learned from immunization programming successes, innovations, and challenges. This report summarizes meeting’s goals, sessions, and findings. The report also highlights what pivots are needed in the future for stronger, more resilient immunization programs.