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Many countries procure vaccines in multi-dose presentations. This can present difficulties for health care workers (HCWs) who wish to ensure high, timely coverage while minimizing vaccine wastage—especially for vaccines without preservatives that must be discarded 6 hours after the vial is opened. In Zambia, the Dose Per Container Partnership (DPCP) examined the effect of providing…
Understanding social inequalities in terms of neighborhood characteristics and the context to which individuals belong is important for reducing disparities. This article describes how perceptions of food access are related to three physical and social environmental factors: perceived neighborhood walkability, safety, and social cohesion. A cross-sectional survey was conducted of a random sample of 1,500…
Medi-Cal managed care plans (MCPs) and community health initiatives have a shared interest in improving the health of populations by addressing social determinants of health and improving health equity. Yet there are many barriers to collaboration and aligning resources across sectors including mismatched timeframes and difficulty ensuring that benefits accrue to entities that make investments….
Responding to growing interest among designers, global health practitioners, and funders in understanding the potential benefits of applying design thinking methods and tools to solving complex social problems, the Innovations for Maternal, Newborn, and Child Health (MNCH) Initiative (Innovations) developed and piloted innovative interventions to address common barriers to improving the effectiveness of basic MNCH…
This document provides a summary of the findings of the Reducing Older Adults Asthma (ROAAD) study. The ROAAD study was designed to mitigate challenges faced by older adult residents in MA, including, asthma self-management, the inability to afford medicine and multiple health problems, by bringing care and education directly to patients. The study was completed…
Immunization is at the very core of health programs around the world, yet its performance is commonly measured by just a single number, namely coverage with a third dose of a vaccine that protects against diphtheria, pertussis, and tetanus (DTP3). While DTP3 coverage is highly useful for describing the ability of the routine immunization system…
This document is a compilation of home-based records materials developed in Democratic Republic of Congo, Nepal, and Zimbabwe as easy-to-understand guides for health workers who are vaccinating children as part of their regular jobs. Guidelines, posters, and/or job aids were developed in each country for frontline health workers to understand the importance of the HBR…
Kangaroo Mother Care (KMC) is an evidence-based intervention to reduce mortality among small and sick newborns. Under the Vriddhi project, JSI provided technical assistance for KMC introduction and scale up in government district hospitals in two districts. Vriddhi's work informed a nationwide scale up strategy with the potential to reach nearly 550,000 small babies annually…
Sepsis (infection) causes many neonatal deaths, but is often curable if treated early and appropriately. Under Vriddhi, JSI supported the Jharkhand and Uttarakhand state governments to establish demonstration sites for community management of neonatal sepsis through Auxiliary Nurse Midwives (ANM). Vriddhi's work informed a scale up strategy with the potential to reach 1,972,000 babies born…
Examples to ensure all staff find meaning and fulfillment in their work while removing impediments to joy and preventing burnout