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


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Redesigning immunization supply chains: Results from three country analyses

Immunization supply chains (iSC) are critical to ensuring access to vaccines. JSI supported Gavi in conducting a supply chain analysis and design exercise in Madagascar, Guinea, and Niger, building on the preliminary work JSI completed in each of these countries. This paper summarizes findings from the analysis of each country's iSC system designs. Authors: Wendy Prosser, Olamide Folorunso, Joseph McCord, Gregory Roche, Marie Tien, Benjamin…


USAID Digital Health Activity – Annual Report 2019-2020

This report presents the major achievements of the Digital Health Activity (DHA) in its first year, October 2019 to September 2020. The DHA is a five-year, USAID-funded Activity implemented by John Snow, Inc. (JSI) to support Ethiopia’s Health Information Revolution (IR) Agenda. This is a shortened version of the annual report submitted to USAID in…


Makassar Citizen Reporting System Assessment Report

In 2020, the USAID-funded Building Healthy Cities project conducted an assessment of the Call Center 112 citizen reporting system (CRS) in Makassar, Indonesia. This report summarizes those findings and provides recommendations for improvement.  Increased access to digital technology enables citizens to engage with city administrations to solve problems in urban neighborhoods. Makassar has initiated multiple CRSs…


Lessons Learned: Adapting Ethiopia’s health supply chain to COVID-19

During the COVID-19 pandemic, our Digital Health Activity (DHA) team in Ethiopia supported the national pandemic response by ensuring the availability of critical COVID-19 supplies to protect frontline workers and citizens. To ensure availability of COVID-19 essential commodities, DHA quickly leveraged human resources and infrastructure to enhance existing health information systems. These adaptations involved rapidly customizing…


A review of nutrition-related service delivery packages: What they train providers to deliver

To increase coverage of the nutrition and health needs of infants and young children, governments, donors and implementing organisations have developed a range of service delivery packages – often including training materials, job aids such as counselling cards or decision algorithms and monitoring and supervision tools. Unfortunately, these service delivery packages are rarely rolled out…


Use of Quality Improvement Approaches to Strengthen Immunization Service Delivery and Reach the Hardest to Reach Populations

Through a series of four briefs, UI-FHS outlines key strategies for bridging the equity gap for immunization in Ethiopia. JSI’s approach addressed inequity in immunization programming from the ground up, working at the facility, district, and regional levels to carry out the following three strategies: (1) engaging communities in health programming, (2) building health workforce…


Improving Data Use to Achieve More Equitable Service Delivery

High-quality data are essential for immunization programs. As a data-intensive public health service, immunization is an apt case study for the generation, quality, and use of data to inform decision-making and guide programmatic improvements to reach all populations. In Ethiopia, JSI’s RED-QI approach sought to strengthen data use by incorporating use of different types of…


Ebola Transmission Prevention and Survivor Services Program Overview: Liberia

This document, written by JSI in 2017, provides a brief outline of the Ebola Transmission Prevention and Survivor Services (ETP&SS) program in Liberia. The ETP&SS program works to mitigate the risk of resurgence of the Ebola virus. Survivors experience psychological complications that require specialized medical attention, such as anxiety disorders, depression, and posttraumatic stress. The core objectives of…


Improving the Capacity for Immunization Management and Service Delivery

In Ethiopia, challenges to skills-building for healthcare workers (HCWs) include a national capacity building strategy focused almost exclusively on training, combined with high rates of HCW attrition. These and other factors create a perpetual need to train and build the skills of new HCWs. JSI, through the UI-FHS project, responded to these challenges by designing a…


The Systems, Health, and Resiliency Project Brief

The Systems, Health and Resiliency Project (SHARP) is a three-year (2019-2022), USAID-supported development project that works to reduce maternal and infant mortality in Yemen by focusing on reproductive, maternal, newborn, child health, and nutrition coupled with support services to mitigate life-threatening challenges such as COVID-19, malnutrition, and diarrhea. SHARP is implemented by John Snow, Inc….


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