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The Government of Tanzania introduced the human papillomavirus (HPV) vaccine nationally in April 2018. The HPV vaccine was introduced to adolescent girls to prevent cervical cancer, which is the leading cause of cancer among women in Tanzania. This journal article discusses the results of a desk review and key informant interviews designed to better understand…
Gavi, the Vaccine Alliance, and global partners were informed by HPV vaccine manufacturers of vaccine supply constraints in 2018. Due to insufficient supply, Gavi-eligible countries, such as Tanzania, needed to determine which age cohorts to vaccinate against HPV based on available vaccine stock. This commentary discusses Tanzania's experience with HPV vaccine introduction and decisions made…
Through its work to encourage urban planning structures, the USAID-funded Building Healthy Cities project (BHC) identified a major gap in multisector engagement relating to the private sector. While individual sectors have documented success with developing private-sector relationships, there is a gap in the knowledge base about how to develop private-sector relationships for urban health projects,…
A child under five (CU5) can progress from uncomplicated to severe illness within a few hours. In Madagascar, malaria, diarrhea, pneumonia, and underlying malnutrition are among the leading causes of illness and death. The country has seen reductions in child deaths, from 93 to 51 deaths per 1,000 live births during the period 2003 to…
Madagascar has very low immunization coverage, with only 32 percent of children ages 12–23 months having received all their vaccinations, with only 59 percent having received the full three doses of the pentavalent five-in-one vaccine against diphtheria, tetanus, pertussis, hepatitis B, Haemophilus influenzae type b infections (DTP-hepB-Hib), according to the 2018 Multiple Indicator Cluster Survey…
This is the third in a JSI series on child health – Beyond Survival. JSI’s approach to supporting the health of women and children is rooted in a life-course perspective and recognizes that biological, behavioral, environmental, and socioeconomic factors determine health outcomes. Health equity is therefore integral to our work.
Approximately two billion people globally lack access to basic sanitation facilities, including a toilet or latrine. Although the number of people practicing open defecation (OD) globally has declined, Madagascar is one of only a few countries that have seen the rate increase, from 38 percent to 45 percent between 2000 and 2017. Approximately 38 percent of…
We provide technical assistance and training to government agencies and health care organizations for building, scaling up, and managing robust, resilient global health supply chains. This map highlights JSI's health logistics and supply chain work by program area in 2021,
The USAID Transform: Primary Health Care leadership, management, and governance (LMG) training and design sessions strengthen the skills of health care managers to identify the root causes of high priority challenges in their facilities and districts and develop solutions. USAID Transform: Primary Health Care designed the LMG program to train and mentor more women from…
Partners in the Vaccination Demand Hub Service Experience Workstream are collaborating to inform a new direction in people-centered quality immunization service delivery and re-orient immunization services to include caregiver, client and health worker perspectives and needs. In support of this effort, JSI has consolidated existing knowledge and conducted rapid learning around immunization service experience. This…