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Primary Health Care Unit RED Guidelines

In collaboration with the Ethiopian Ministry of Health and EPI partners, JSI is excited to announce two news guidelines for implementation of the Reaching Every District (RED) strategy in Ethiopia. In 2018, Ethiopia introduced an adapted version of the RED approach with guidance specific to implementation in Ethiopia. As a complement to the Ethiopian RED…


Primary Health Care Unit Health Post Guidelines to Implement RED

In collaboration with the Ethiopian Ministry of Health and EPI partners, JSI is excited to announce two news guidelines for implementation of the Reaching Every District (RED) strategy in Ethiopia. In 2018, Ethiopia introduced an adapted version of the RED approach with guidance specific to implementation in Ethiopia. As a complement to the Ethiopian RED…


Indore Teachers Training Guidelines for Health Promoting Schools, Version 2.0

This Teachers Training Guidance was developed in partnership with the Madhya Pradesh Voluntary Health Association in support of the Health Promoting Schools initiative in Indore, India. A Health Promoting School is one that fosters health and learning by engaging health and education officials, teachers, teacher unions, students, parents, health providers, and community leaders in efforts…


Key Findings from the Implementation of the Reaching Every District Using Quality Improvement (RED-QI) Approach in Ethiopia and Uganda: An Approach Designed to Improve Immunization Program Effectiveness and Reach

By 2004, the Reaching Every District (RED) strategy became the approach used by most African countries to improve their routine immunization systems. However, many districts and health facilities faced challenges with implementation of of RED, finding the strategy difficult to fully operationalize. To address these challenges, JSI applied concepts and tools from the field of…


Building Resilient Management of Immunization Programs at Subnational Levels: Implementation of RED-QI in Ethiopia and Uganda Shows How the Approach Strengthens the Ability of Immunization Programs to Respond Effectively to Problems

Resilience in an immunization system requires planning for both the sustainability of the program and the ability to quickly recover from adversity, through isolating and managing threats to limit their effect on the program. JSI developed a unique approach to help countries strengthen immunization programs, known as Reaching Every District using Quality Improvement (RED-QI). RED-QI…


How Engaging Non-health Stakeholders Strengthens Immunization Performance: Implementation of RED-QI in Ethiopia and Uganda Shows Benefits in Subnational Planning, Problem Solving, Resource Mobilization, and Utilization

While immunization programs usually receive funding from the national level to cover the costs of vaccines and related equipment, it is often political leaders and civil authorities (“non-health stakeholders”) at the district and community levels who decide on resource allocation to cover local operational costs. In Ethiopia and Uganda, JSI used the Reaching Every District…


Madagascar Technical Brief – A Bicycle Micro-Enterprise Approach to Improving Community Health Worker Mobility and Motivation in Rural Madagascar

In much of rural Madagascar, the lack of available and affordable transport hinders uptake of health services. In a country where over 60 percent of the population lives in rural areas, community health volunteers (CHV) have an essential role in health service delivery. In 2019, Madagascar had more than 35,000 CHVs serving 5,700 villages. CHVs…


Comprehensive review of the Universal Immunization Programme (UIP) – Identifying gaps and assist in formulating improvement plan for routine immunization in few states of India

Despite the concerted efforts of central and state governments and other stakeholders, full immunization in India remains low. This paper outlines the findings of a comprehensive review of the Universal Immunization Programm and provides recommendations to create an action plan for improving routine immunization coverage. The review was conducted using a mixed-methods approach in five…


Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia

The Last Ten Kilometers 2020 Project (L10K 2020) designed a strategy for piloting, implementing, and scaling a mobile health (mHealth) digital solution to improve the quality of community-level maternal and child health service delivery in Ethiopia. L10K 2020 first conducted a landscape assessment to design a context-appropriate smartphone-based mHealth solution for the Health Extension Workers…


Reaching Every District Using Quality Improvement Methods: A How-To Guide for Immunization Program Managers

Although the Reaching Every District (RED) strategy for immunization has been in place for nearly two decades, many districts and health facilities face challenges in implementing its components. The Reaching Every District using Quality Improvement (RED-QI) approach combines the full RED strategy and quality improvement tools and processes, and advances RED from a "what to…


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