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


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Linked vaccination coverage surveys plus serosurveys among Ethiopian toddlers undertaken three years apart to compare coverage and serologic evidence of protection in districts implementing the RED-QI approach

The prevalence of seroprotective titers of tetanus antitoxin (stimulated by tetanus toxoid components within pentavalent vaccine) provides a reliable biomarker to identify children who received pentavalent vaccine. In the three study woredas, the RED-QI intervention appeared to improve immunization service delivery, as documented by enhanced pentavalent vaccine coverage, vaccination timeliness, and fewer missed vaccination opportunities….


Equity Analysis of Immunization Programming in Ethiopia’s Developing Regional States

This equity analysis centers on reviewing data from the Ethiopian District Health Information System 2 (DHIS2), the 2016 Demographic Health Survey (DHS), the 2019 mini-DHS, regional microplan data, and other project data sources.


Reaching Every District Using Quality Improvement (RED-QI) in Ethiopia

In this brief, learn how the RED-QI approach helped support managers and healthcare workers (HCWs) at the regional, woreda (district), and facility-level to plan, implement, and monitor tailored health services to reach all children with routine immunization regardless of where they live.


MOMENTUM Nigeria Country Profile – Immunization

Nigeria has more zero-dose children—defined as not having received the first dose of diphtheria-tetanus-pertussis (DTP) containing vaccine—than any other country in Africa and among the most worldwide. Each year nearly 2.5 million children do not receive DTP1, and in 2020, an additional 500,000 children were unvaccinated as a result of the COVID-19 pandemic. Learn more…


Improving Equality in Urban Immunization: Situational Analysis for the Development of a Roadmap in Karachi, Pakistan

From December 2018 to March 2019, JSI supported the Government of Sindh’s EPI unit, through support from Gavi the Vaccine Alliance to develop a Karachi-specific roadmap to improve its routine immunization program. This poster outlines the situational analysis used to develop the roadmap for Karachi. Authors: Dr. Tariq Masood, Dr. Iqbal Hossain


Improving DRC’s Routine Immunization Program in Urban Areas

Increasing urbanization and population in the large cities of the Democratic Republic of Congo (DRC) over the past 20 years have had a negative impact on the socioeconomic situation of the population living in urban areas, including a lack of health establishments, schools, good roads, water, and electricity, especially where poor communities live. This poster…


Improving urban immunization services in Cite Soleil, Haiti to address the zero-dose children and dropout rates through a human-centered approach

Healthcare in Haiti is extremely challenging, given the country’s history of poverty, poor infrastructure, social unrest and vulnerability to multiple types of natural disasters. In 2017, John Snow, Inc. (JSI) launched an intervention in collaboration with the Ministry of Health, with support from Gavi, the Vaccine Alliance, to strengthen the quality and use of immunization…


USAID Population, Health, and Environment (PHE) Integration Activity in Madagascar Final Report

The USAID-funded “Population, Health, and Environment (PHE) Integration Activity in Madagascar (October 1, 2017 to July 30, 2019) had the objective of studying, documenting, and promoting the effective integration of PHE activities with the Ministry of the Environment and Sustainable Development, Ministry of Socila Protection, Ministry of Public Health and PHE stakeholders in  Madagascar. In order to…


HPV Vaccination in Malawi: Lessons Learned from JSI’s Experience Supporting Vaccine Introduction and Routinization

Malawi has one of the highest age-standardized incidence rates of cervical cancer in the world, with it accounting for 45 percent of all cancers in the country. In 2019-2021, JSI Research & Training Institute, Inc. JSI), with funding from Gavi, the Vaccine Alliance, provided technical support to the country's Ministry of Health for the human…


Makassar Workshop Report: Action Plan Integration

In Makassar, Indonesia, the Building Healthy Cities (BHC) project works with City Planning and Development (Bappeda), Kominfo, and other key stakeholders to support the city’s vision and long-term goal to become a world class city that is healthy and livable for all. BHC encourages multisector collaboration to address the complexity of healthy city issues. In…


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