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We document and disseminate various results, trainings, and resources from our research, programs, and projects.


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Commentary on “Community Health Workers and the Changing Workforce.” No More Opportunities Lost

The health care workforce in the United States is increasingly reliant on new and emergent health care professionals. Optimally, these varied professionals work in teams to deliver medical and prevention services. This article is a commentary on "Community Health Workers and the Changing Workforce." The authors believe that by ensuring that health care provider teams…


Interpersonal communication regarding pregnancy-related services- friends versus health professionals as conduits for information

Social network characteristics influence a wide range of health behaviors but few studies examine the relationship between social network characteristics and pregnancy-related outcomes. Using a baseline survey from a behavior change pilot project in the Upper West region of Ghana, we examine four outcomes: (1) early antenatal care, (2) having at least four antenatal care…


Maternal and Child Survival Program Engagement in the 2017 Gavi Joint Appraisal and Country Engagement Framework

To assess the implementation progress and performance of Gavi’s support for new and underutilized vaccines and health system strengthening efforts, as well as its contribution to improved immunization coverage and equity, Gavi countries engage in regular review processes—either joint appraisals (JAs) or country engagement framework (CEF) reviews. The Maternal and Child Survival Program (MCSP) is…


Integrated Home-based Records: Ensuring Immunization Format & Function

National immunization programs use home-based records (HBRs) e.g. vaccination or maternal-child health cards/booklets to record immunizations for each individual. HBR format and use varies by country. This resource supports countries and health workers in considering format and function when designing and redesigning their HBRs.


Haiti Strategies for Improving Vaccination Coverage in Urban Poor Settings

The directorate of the Expanded Program on Immunization (EPI), an arm within the Ministry of Public Health and Population (MPHP) in charge of vaccination activities, after having noticed the low rate of vaccination coverage in recent years within some cities, particularly the city of Cité Soleil, solicited and received GAVI’s support for the development of…


Improving Immunization Service Delivery for the Urban Poor

The world is currently experiencing the largest wave of urban growth in history. More than half the population now lives in towns and cities, and by 2030 this number is expected to swell. Much of this rapid urbanization is taking place in Africa and Asia, bringing social and economic transformation, including large numbers of poor,…


Review of differentiated approaches to antiretroviral therapy distribution

In response to global trends of maximizing the number of patients receiving antiretroviral therapy (ART), this review summarizes literature describing differentiated models of ART distribution at facility and community levels in order to highlight promising strategies and identify evidence gaps. Findings suggest that differentiated models of ART distribution contribute to higher retention, lower attrition, and…


Mahefa Miaraka Annual Report Summary 2017

During it’s first implementation year (second program year), the USAID Community Capacity for Health Program, locally known as Mahefa Miaraka, made significant progress assisting community health volunteers (CHVs) to provide quality health services to remote communities. The Program operates in a total of 4,887 fokontany, 456 communes, and 34 districts in the Analanjirofo, Boeny, DIANA,…


The Voice of New Hampshire’s Young Adults: Results of the 2015 Young Adult Needs Assessment

In partnership with the NH Department of Health & Human Services, Bureau of Drug and Alcohol Services, JSI — the state contractor for the New Hampshire Center for Excellence— coordinated with the State’s Regional Public Health Networks to participate in a comprehensive assessment of young adults. The focus of the assessment was on the risk behavior,…


Conducting a Situational Analysis and Engaging Stakeholders on Home-based Record Availability and Use

Home-based records (HBRs), or child immunization cards, are an important data collection and monitoring tool serving multiple purposes for the caregiver, health worker (HW), and health system. These records can aid health workers in documenting and tracking which vaccines have been given to a child, empower caregivers/parents to play a role in the health of…


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