International Publications

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  • Infographic: Vriddhi Contributes to Scale-Up of Community Management of Neonatal Sepsis
    April, 2018 - Sepsis (infection) causes many neonatal deaths, but is often curable if treated early and appropriately. Under Vriddhi, JSI supported the Jharkhand and Uttarakhand state governments to establish demonstration sites for community management of neonatal sepsis through Auxiliary Nurse Midwives (ANM). Vriddhi's work informed a scale up strategy with the potential ...
  • Community management of newborn with sepsis in special situations in India
    2017 - The Government of India recognizes that many rural communities in India have limited access to public health facilities equipped with newborn care services. In 2014, the GOI permitted Auxiliary Nurse Midwives (ANM) to administer injectable antibiotics to infants with sepsis in special situations. However, many states have found implementation a ...
  • Conducting a Situational Analysis and Engaging Stakeholders on Home-based Record Availability and Use
    March, 2018 - Home-based records (HBRs), or child immunization cards, are an important data collection and monitoring tool serving multiple purposes for the caregiver, health worker (HW), and health system. These records can aid health workers in documenting and tracking which vaccines have been given to a child, empower caregivers/parents to play a ...
  • Country Experiences with Home-Based Records: Results from Africa Respondents
    2017 - A survey of 25 multiple-choice questions was sent via email to over 150 country immunization program managers as well as WHO and UNICEF immunization focal points. This briefer outlines and analyzes the results from the 26 responses received from 18 countries in Africa. The purpose of the survey was to ...
  • Covalima: Becoming a Model Municipality
    2018 - This four-page brief highlights how the Reinforce Basic Health Services Project (Reinforce) created a model municipality in Covalima Municipality. In a model municipality, well-trained and competent health providers deliver quality FP and MNCH services in fully-equipped and people-friendly health facilities where providers receive consistent, high-quality supervision from MOH and INS ...
  • Essential Newborn Care Corps Process Documentation, Round One
    October, 2015 - Sierra Leone has one of the highest maternal mortality and neonatal mortality rates in the world with 1033 maternal deaths per 100,000 live births, and 30 stillbirths and 49 neonatal deaths per 1000 births. A contributing factor is poor care at delivery, with less than half of deliveries attended by ...
  • Essential Newborn Care Corps Project Evaluation Findings
    November, 2016 - Sierra Leone has one of the highest maternal mortality and neonatal mortality rates in the world with 1033 maternal deaths per 100,000 live births, and 30 stillbirths and 49 neonatal deaths per 1000 births. A contributing factor is poor care at delivery, with less than half of deliveries attended by ...
  • Establishing and strengthening immunization in the second year of life: Practices for vaccination beyond infancy
    2018 - This document provides practical guidance on establishing and strengthening immunization in the second year of life (2YL) and beyond. It also suggests ways that immunization visits during the 2YL can be used as a platform for delivery of other child health services. This document is designed to assist countries in ...
  • Every Woman Every Child 2020 Commitments - JSI's 2016 Progress Report
    May, 2017 - In 2015, JSI made a five-year commitment to scale-up activities on immunization, maternal, newborn and child health, logistics services, nutrition, and HMIS in 10 countries worldwide, while training over 20,000 health workers by 2020. This pamphlet documents JSI's progress in 2016 toward this commitment. JSI, 2017. Download (PDF, 9.40 MB) ...
  • Every Women Every Child: JSI 2017 Progress Report
    May, 2018 - In 2015, JSI made a five-year commitment to scale-up activities on immunization; maternal, newborn and child health; logistics services; nutrition; and HMIS in 10 countries worldwide, while training over 20,000 health workers by 2020. This report documents JSI's progress in 2017 toward this commitment. JSI, 2018. Download (PDF, 3.15 MB) ...
  • Focusing on the Hard-to-Reach: Lessons Learned from Social Behavior Change Communication Activities for Chlorhexidine in Nepal
    December, 2017 - 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 brief highlights ...
  • Haiti: Exploring Approaches to Building Capacity for Nutrition Assessment, Counseling, and Support Services
    August, 2015 - Given the need to strengthen nutrition services within health systems, the Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project has explored the advantages and disadvantages of two approaches that we use in Haiti for rolling out trainings on infant and young child feeding (IYCF) and nutrition assessment, counseling, ...
  • Home-Based Record Redesigns That Worked: Lessons from Madagascar & Ethiopia
    April, 2017 - Home-based records (HBRs) are an important tool for achieving, monitoring, and sustaining vaccination coverage but have often been underutilized in national immunization programs. Over the years, many countries have used a traditional format that may not be easy for health workers to complete accurately and legibly or for caregivers/parents to ...
  • Home-Based Records Users and Actions
    March, 2018 - Home-based records (HBR) are an important tool for achieving, monitoring, and sustaining vaccination coverage. HBRs, alternatively known in countries as the child health card, maternal and child health booklet or handbook, vaccination card, road-to-health card, or other terms, serve three primary user groups: health workers and community healthworkers/ mobilizers, caregivers ...
  • Implementation of Kangaroo Mother Care in District Hospitals in India
    2016 - Under the Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” JSI provided technical assistance on rolling out Kangaroo Mother Care (KMC) in government district hospitals in high priority districts. This brief highlights the project's efforts to establish demonstration models for KMC within ...
  • Improving Availability and Use of Immunization HBRs
    June, 2017 - These slides were developed and presented at a joint meeting of the Family Planning & Immunization Integration Working Group to show the importance of improving availability and use of immunization home-based records and linkages with integrated home-based records. Country-specific experiences including lessons from the field, survey results and challenges to ...
  • Improving Community Health Services in the Post-Ebola Context
    2017 - The Ebola epidemic had a devastating effect on Sierra Leone’s already struggling health facilities. In support of the Ministry of Health and Sanitation 2015–2020 Health Sector Recovery Plan, the Advancing Partners & Communities project strengthened critical health services in local communities, with a focus on reproductive, maternal, newborn, and child ...
  • Improving the Availability and Use of Home-Based Records: Challenges and Lessons Learned
    September, 2017 - These slides were presented at the annual WHO-sponsored EPI (immunization program) Managers' Meeting in Accra, Ghana on improving the availability and use of home-based records. The presentation highlights challenges and lessons learned from country experiences in the field, including suggestions for improvement. Specific home-based record revision experiences include: Nigeria, Liberia, ...
  • Infographic: Vriddhi Contributes to Private Sector Engagement for RMNCH+A Services in India
    April, 2018 - Private medical practitioners are preferred health service providers across the socio-economic spectrum in India, but private sector engagement in government programs to improve reproductive, maternal, newborn, child, and adolescent health (RMNCH+A) services has been suboptimal. Through Vriddhi, JSI led an independent landscaping assessment in six USAID priority states to better ...
  • Infographic: Vriddhi Contributes to Scale-Up of Kangaroo Mother Care in India
    April, 2018 - Kangaroo Mother Care (KMC) is an evidence-based intervention to reduce mortality among small and sick newborns. Under the Vriddhi project, JSI provided technical assistance for KMC introduction and scale up in government district hospitals in two districts. Vriddhi's work informed a nationwide scale up strategy with the potential to reach ...
  • JSI’s contribution to increasing private sector engagement in Reproductive, Maternal, Neonatal and Child Health under Vriddhi
    2017 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” is a USAID-supported initiative to support the Ministry of Health and Family Welfare, National Health Mission, and state governments to scale up high-impact RMNCH+A interventions in six states in Northern India. This case ...
  • Job Aid: Application of 4% Chlorhexidine Gel
    2012 - This job aid provides step-by-step instructions illustrating the proper application and use of 4% Chlorhexidine gel for newborn umbilical cord care. 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 ...
  • Kangaroo Mother Care: simple technique, complex practice
    2016 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” is a USAID-supported initiative to support the Ministry of Health and Family Welfare, National Health Mission, and state governments to scale up high-impact RMNCH+A interventions in six states in Northern India. This case ...
  • Kyrgyz Republic Mother Support Groups: Three-Day Training of Facilitators - Trainers Facilitator Guide
    June, 2017 - The Baby Friendly Hospital Initiative (BFHI) in the Kyrgyz Republic engages hospitals to ensure an environment that supports women to initiate breastfeeding in a timely manner and promotes exclusive breastfeeding up to six months. Hospitals undergo a process of planning, training, and policy changes that lead to achieving 11 key ...
  • LEARN, DO, SHARE - Cultivating Better Nutrition Worldwide. Snapshots from SPRING, USAID’s Multi-Sectoral Nutrition Project, 2015–2016
    January, 2017 - These snapshots from our annual report take you on a journey, transporting you to the countries that SPRING serves and introducing you to the people whose lives SPRING touched in 2016. The report highlights accomplishments through personal stories. The SPRING project focuses on improving lives—especially in the first 1,000 days—by ...
  • Let's Talk! Capacitating Multi-Sectoral AIDS Committees to Give Voice to Most Vulnerable Children and People Living with HIV in Tanzania
    December, 2017 - This presentation highlights the work that JSI's USAID-funded Community Health and Social Welfare System Strengthening Program (CHSSP) is doing, in collaboration with the government of Tanzania, to revitalize multi-sectoral AIDS committees that are tasked with facilitating coordination and community participation in the HIV and AIDS response. JSI/CHSSP, 2017. Download (PDF, ...
  • Life After Ebola: Mothers Return to Health Facilities in Sierra Leone
    2017 - The USAID-funded Advancing Partners & Communities project supported the Sierra Leone Ministry of Health and Sanitation’s Post-Ebola Recovery Plan through capacity building for health care workers and renovation of water sanitation and hygiene and infection prevention and control structures. This photo essay shows the George Brook Community Health Center in ...
  • Mahefa Miaraka Annual Report Summary 2017
    2017 - During it’s first implementation year (second program year), the USAID Community Capacity for Health Program, locally known as Mahefa Miaraka, made significant progress assisting community health volunteers (CHVs) to provide quality health services to remote communities. The Program operates in a total of 4,887 fokontany, 456 communes, and 34 districts ...
  • Maker Movement for Maternal Newborn and Child Health Process Documentation Findings
    May, 2016 - Maternal mortality in Kenya decreased from 687 to 510 deaths per 100,000 live births between 1990 and 2015, a 26% reduction far short of the Millennium Development Goal (MDG) target of 75% reduction by 2015. Although no longer current, the MDG target was an important goal during the lifetime of ...
  • Maker Movement for Maternal Newborn and Child Health Process Documentation Review
    June, 2015 - Maternal mortality in Kenya decreased from 687 to 510 deaths per 100,000 live births between 1990 and 2015, a 26% reduction far short of the Millennium Development Goal (MDG) target of 75% reduction by 2015. Although no longer current, the MDG target was an important goal during the lifetime of ...
  • Maker Movement for Maternal Newborn and Child Health Project Evaluation Findings
    August, 2016 - Maternal mortality in Kenya decreased from 687 to 510 deaths per 100,000 live births between 1990 and 2015, a 26% reduction far short of the Millennium Development Goal (MDG) target of 75% reduction by 2015. Although no longer current, the MDG target was an important goal during the lifetime of ...
  • Monitoring and Evaluation of the Chlorhexidine "Navi" Care Program
    December, 2017 - The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc., 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 brief discusses JSI/CNCP's ...
  • National Consultation - Developing Strategic Roadmap to Engage Private Health Sector for Maternal, Neonatal, and Child Health
    February, 2017 - The national consultation on developing strategic roadmap to engage private health sector for maternal, neonatal and child health (MNCH) held on February 21, 2017, aimed at evidence-based discussions on engaging formal private sector health care providers in improving reach and quality of MNCH services in 30 high-priority districts across six ...
  • National Consultation Developing Strategic Roadmap to Engage Private Health Sector for Maternal, Neonatal, and Child Health
    2017 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” is a USAID-supported initiative to support the Ministry of Health and Family Welfare, National Health Mission, and state governments to scale up high-impact RMNCH+A interventions in six states in Northern India. This case ...
  • Nepal as a Global Leader in the Use and Scale Up of Chlorhexidine
    December, 2017 - The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc., 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. As Nepal was the ...
  • Newborn and Child Health @JSI
    September, 2017 - For over 30 years, JSI has implemented maternal, newborn, and child health (MNCH) programs in more than 80 countries throughout Africa, Asia, Latin America, and the Middle East. This short briefer describes JSI's approach to improving newborn and child health around the world, the history of JSI's involvement in global ...
  • Post-Ebola Recovery: Strengthening Primary and Community Health Services
    June, 2017 - Between May 2014 and January 2016, Sierra Leone was impacted by the worst Ebola outbreak in recorded history. The outbreak exposed critical gaps within the country’s health system, revealing the need to strengthen health services to prevent future outbreaks. To begin the country’s recovery, Sierra Leone launched the Health Sector ...
  • Reaching Every Newborn with Chlorhexidine in Nepal
    December, 2017 - The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc., 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 brief highlights JSI/CNCP's ...
  • SPRING/Ghana: Engaging Communities to Improve Nutrition through the 1,000-Day Household Approach
    September, 2017 - SPRING’s work in Ghana (2014–2017) aimed to improve the health of 1,000-day households with pregnant women and/or children under 2 years of age. Using evidence-based practices, SPRING developed a multi-sectoral program to reduce stunting and anemia in 15 districts of the Upper East and Northern regions of Ghana. The project ...
  • SPRING/Ghana: Helping Health Workers and Caregivers Improve Nutrition through Multi-sectoral Programming
    August, 2017 - The leading causes of stunting and anemia are poor diets, especially low dietary diversity, and poor sanitation infrastructure and practices that lead to intestinal infections, which interfere with achieving and sustaining nutrition gains. To combat these problems, we identified behaviors across the nutrition, WASH, and agriculture sectors that—when synthesized into ...
  • SPRING/Sierra Leone: Entry Points for Nutrition in Feed the Future Value Chains
    June, 2017 - In February 2017, SPRING used rapid appraisal techniques to explore how value chains can be supported and leveraged to contribute to improvements nutrition for women and children in the first 1,000 days from pregnancy through two years of age (a critical window of opportunity). Specifically, we analyzed how each of ...
  • SPRING: Enplane Survey Results of Nutrition Assessment, Counseling, and Support (NACS) Services in Health Facilities Supported by SPRING/Uganda
    April, 2017 - In Uganda, the SPRING project's primary goal was to contribute to the reduction of stunting and anemia in children and women of childbearing age. The project provided technical assistance and leadership at the national level to implement activities and policies related to large-scale food fortification—via industrial fortification and micronutrient powders—to ...
  • SPRING: Evaluation of the Community Infant and Young Child Feeding Counselling Package in Nigeria: Women's Empowerment
    November, 2016 - Women’s empowerment and gender equity are globally recognized as essential for sustainable development. Not only is women’s empowerment crucial for women’s human rights, but a growing evidence base suggests that empowering women improves nutrition outcomes for both mothers and their children. One review estimates that improvements in women’s status and ...
  • SPRING: Six Key Actions to Reduce Anemia
    September, 2017 - Anemia is a widespread public health problem that few countries have been able to reduce in compliance with World Health Assembly goals. Anemia is characterized by a low concentration of hemoglobin in the blood and results in poor health and decreased economic development. For expectant mothers, serious maternal anemia increases ...
  • Scaling-Up the Use of Chlorhexidine for Umbilical Cord Care: Nepal’s Experience
    November, 2017 - The USAID-funded Chlorhexidine “Navi” Care Program (CNCP), implemented by JSI Research & Training Institute, Inc. (JSI), 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 ...
  • Small babies get life-saving hugs in Jharkhand and Uttarakhand
    2017 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” is a USAID-supported initiative to support the Ministry of Health and Family Welfare, National Health Mission, and state governments to scale up high-impact RMNCH+A interventions in six states in Northern India. This case ...
  • Stock Management for Home-Based Records: Ensuring timely availability for every person/child
    October, 2017 - Immunization cards (HBR) are an important reporting tool worldwide for recording and tracking individuals' vaccination status. Countries face challenges with ensuring that children/parents receive and retain their vaccination cards- due to lack of card stock management and often lack of guidance on assuring their availability in use. This document outlines ...
  • Strong Systems Save Lives - Health Systems Strengthening Component of the USAID Pakistan Maternal and Child Health Program
    2017 - In 2010, Pakistan decentralized its health system, giving provinces a much greater role in setting health sector strategies, policies, and financing. USAID’s Maternal and Child Health Program was developed to support the Pakistani government and Sindh province, in particular, through the initial process of decentralization. The JSI-implemented HSS Component of ...
  • The Post-Ebola Transition: Strengthening Reproductive, Maternal, Newborn, and Child Health Services
    2017 - In Sierra Leone, the Advancing Partners & Communities project worked to strengthen the policy environment to enable increased access to health posts (HPs) (community health posts and maternal and child health posts) and at the community level; increase capacity and effectiveness of the health workforce and community platforms to provide ...
  • The Use of Design Thinking in MNCH Programs: A Case Study of the Essential Newborn Care Corps (ENCC) Pilot, Sierra Leone
    December, 2016 - This case study focuses on the use of design thinking in the Essential Newborn Care Corps (ENCC) pilot project that aimed to transform the role of traditional birth attendants (TBA) in Bo district, Sierra Leone, from community midwives to maternal newborn health promoters (MNHP) and test their potential to improve ...
  • Use of Chlorhexidine for Cord Care: Social Behavior Change Communication Experience from Nepal
    August, 2017 - 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 ...
  • Use of Chlorhexidine to Prevent Infection in Newborns: An Orientation Manual for Health Workers and Female Community Health Volunteers
    2017 - 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 ...
  • Vriddhi Project: Achieving Results for Maternal, Newborn, and Child Health in India
    March, 2018 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” supported the scale-up of high impact RMNCH+A interventions through innovative programming and by working closely with the Ministry of Health and Family Welfare, the National Health Mission, and state governments. In consensus with ...
  • Vriddhi Project: Improving Maternal, Newborn, and Child Health in India
    March, 2018 - The Scaling Up Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Interventions project, also known as “Vriddhi,” supports the scale-up of high impact RMNCH+A interventions through innovative programming and by working closely with the Ministry of Health and Family Welfare, the National Health Mission, and state governments. In consensus with ...