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Zambian Peer Educators for HIV Self-Testing (ZEST) Study: Rationale and Design of a Cluster Randomised Trial of HIV Self-Testing among Female Sex Workers in Zambia

HIV testing and knowledge of status are starting points for HIV treatment and prevention interventions. Among female sex workers (FSWs), HIV testing and status knowledge remain far from universal. HIV self-testing (HIVST) is an alternative to existing testing services for FSWs, but little evidence exists how it can be effectively and safely implemented. Here, we…


Linking Health Facilities and Communities Improves Routine Immunization

The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in over 100 woredas (districts) in six regions of Ethiopia. The project works to operationalize Ethiopia’s national routine immunization strategy, Reaching Every District (RED), through technical assistance for immunization and by introducing Quality Improvement (QI) tools such as…


Scaling-Up the Use of Chlorhexidine for Umbilical Cord Care: Nepal’s Experience

The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc., provided technical assistance to the Government of Nepal to scale up the use of Chlorhexidine gel, an antiseptic applied to the umbilical cord of newborns to prevent infection and neonatal mortality. This brief documents Nepal's approach to bring Chlorhexidine gel…


Effect on neonatal mortality of newborn infection management at health posts when referral is not possible: A cluster-randomized trial in rural Ethiopia

The World Health Organization recently provided guidelines for outpatient treatment of possible severe bacterial infections (PSBI) in young infants, when referral to hospital is not feasible. This study evaluated newborn infection treatment at the most peripheral level of the health system in rural Ethiopia. When referral to higher levels of care is not possible, health…


Use of Chlorhexidine for Cord Care: Social Behavior Change Communication Experience from Nepal

The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc. (JSI), provides technical assistance to the Government of Nepal to scale up the use of Chlorhexidine gel, an antiseptic applied to the umbilical cord of newborns to prevent infection and neonatal mortality. This report shares Nepal's Social and Behavior Change…


Efforts to monitor global progress on individual and community demand for immunization: Development of definitions and indicators for the Global Vaccine Action Plan Strategic Objective 2

The Second Strategic Objective of the Global Vaccine Action Plan says ‘‘individuals and communities understand the value of vaccines and demand immunization as both their right and responsibility.” This plan differs from the other five in that it does not focus on supply-side aspects of immunization programs but rather on public demand for vaccines and…


Zambia Total Market Approach (TMA) Landscape Assessment: Contraceptives and Condoms

In January 2017, the USAID DISCOVER-Health Project conducted a landscape analysis to understand the potential challenges and opportunities for implementing a total market approach (TMA) for condoms and contraceptives in Zambia. The information gathered through this effort will guide the project’s TMA strategy, which supports government and donor priorities investment areas in condom, family planning,…


Use of Chlorhexidine to Prevent Infection in Newborns: An Orientation Manual for Health Workers and Female Community Health Volunteers

This orientation manual provides materials for a one-day orientation on the proper use of Chlorhexidine to prevent newborn infection on the umbilical cord stump. The orientation consists of several participatory exercises that are designed to educate health service providers on the causes of newborn deaths, benefits of Chlorhexidine use, proper hand washing techniques, Chlorhexidine application…


Reducing missed opportunities for vaccination in selected provinces of Mozambique: A study protocol

Background: A missed opportunity for vaccination (MOV) refers to any contact with health services by an individual who is eligible for vaccination, which does not result in the person receiving the vaccine doses for which s/he is eligible. A consortium of partners, including VillageReach, the Ministry of Health in Mozambique, and the World Health Organization,…


Universal Immunization through Improving Family Health Services

JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. The project provides support to operationalize and strengthen Ethiopia’s national routine immunization strategy, Reaching Every District, in order to improve availability, utilization, quality, and sustainability of immunization services in the country. This brief describes the UI-FHS…


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