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Building Resilient Management of Immunization Programs at Subnational Levels: Implementation of RED-QI in Ethiopia and Uganda Shows How the Approach Strengthens the Ability of Immunization Programs to Respond Effectively to Problems

Resilience in an immunization system requires planning for both the sustainability of the program and the ability to quickly recover from adversity, through isolating and managing threats to limit their effect on the program. JSI developed a unique approach to help countries strengthen immunization programs, known as Reaching Every District using Quality Improvement (RED-QI). RED-QI…


How Engaging Non-health Stakeholders Strengthens Immunization Performance: Implementation of RED-QI in Ethiopia and Uganda Shows Benefits in Subnational Planning, Problem Solving, Resource Mobilization, and Utilization

While immunization programs usually receive funding from the national level to cover the costs of vaccines and related equipment, it is often political leaders and civil authorities (“non-health stakeholders”) at the district and community levels who decide on resource allocation to cover local operational costs. In Ethiopia and Uganda, JSI used the Reaching Every District…


Madagascar Technical Brief – A Bicycle Micro-Enterprise Approach to Improving Community Health Worker Mobility and Motivation in Rural Madagascar

In much of rural Madagascar, the lack of available and affordable transport hinders uptake of health services. In a country where over 60 percent of the population lives in rural areas, community health volunteers (CHV) have an essential role in health service delivery. In 2019, Madagascar had more than 35,000 CHVs serving 5,700 villages. CHVs…


Comprehensive review of the Universal Immunization Programme (UIP) – Identifying gaps and assist in formulating improvement plan for routine immunization in few states of India

Despite the concerted efforts of central and state governments and other stakeholders, full immunization in India remains low. This paper outlines the findings of a comprehensive review of the Universal Immunization Programme and provides recommendations to create an action plan for improving routine immunization coverage. The review was conducted using a mixed-methods approach in five…


Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia

The Last Ten Kilometers 2020 Project (L10K 2020) designed a strategy for piloting, implementing, and scaling a mobile health (mHealth) digital solution to improve the quality of community-level maternal and child health service delivery in Ethiopia. L10K 2020 first conducted a landscape assessment to design a context-appropriate smartphone-based mHealth solution for the Health Extension Workers…


Reaching Every District Using Quality Improvement Methods: A How-To Guide for Immunization Program Managers

Although the Reaching Every District (RED) strategy for immunization has been in place for nearly two decades, many districts and health facilities face challenges in implementing its components. The Reaching Every District using Quality Improvement (RED-QI) approach combines the full RED strategy and quality improvement tools and processes, and advances RED from a "what to…


Makassar Multisector Data Integration Series: Phase 1 Summary

The USAID-funded Building Healthy Cities (BHC) project is supporting data integration to improve data-driven decision making in Makassar, Indonesia, and worked with the city to adapt existing and familiar platforms. This activity was accomplished in 3 phases: stakeholder engagement; data aggregation and preparation; and training and capacity building. Phase 1: Stakeholder Engagement kicked off a…


Da Nang Workshop Report: Solid Waste Management Meeting

In Da Nang, Vietnam, Building Healthy Cities (BHC) works with the Smart City program and other multisectoral stakeholders to prioritize, plan, and fund urban health activities on citizen reporting systems, waste management, food safety, and community engagement, among others. In order to encourage multisectoral collaboration to address the complexity of healthy city issues, BHC holds…


Bimonthly Rota Talk Newsletter, Issue 12, 2021

JSI India publishes the bimonthly Rota Talk newsletter to regularly update partners and the government on the introduction of the rotavirus vaccine in India. JSI India is the lead technical partner for the rotavirus vaccine introduction in India. As of September 2019, India had officially introduced rotavirus vaccine in all 37 states and Union Territories…


Madagascar Technical Brief – Community-Led Transport Solutions Improve Access to Health Care

In Madagascar, the mortality rates for mothers and children under five (CU5) were 335 and 51 per 100,000 in 2019, respectively. To reduce maternal and under-five deaths, timely access to skilled care is critical before, during, and after pregnancy, and throughout a child’s first five years of life. Delays in seeking access to quality care…


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