International Publications

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  • Amélioration des prestations de services de vaccination de routine pour les populations pauvres en milieu urbain du Ghana : Résultats de l’analyse situationnelle
    January, 2019 - Afi n d�identifi er les facteurs potentiels derri�re les faibles taux de vaccination chez les communaut�s pauvres en milieu urbain, JSI Research & Training Institute, Inc. (JSI), en collaboration avec le minist�re de la Sant� (MS) et le Service de sant� du Ghana (Ghana Health Service, ou GHS), a men� ...
  • Améliorer la prestation de services de vaccination de routine auprès des populations pauvres en milieu urbain à Kinshasa, en République Démocratique du Congo : Résultats de l'analyse situationnelle
    January, 2019 - En collaboration avec le PEV et les ZS, JSI Research & Training Institute, Inc. (JSI) a men� une analyse situationnelle de mai � juin 2018 pour identifi er les barri�res � l'acc�s et � l'utilisation des services de vaccination chez les enfants cibles dans deux ZS d�intervention � Kinshasa. Download ...
  • Assessing the Effectiveness of a Web-Based Vaccine Information Management System on Immunization-Related Data Functions: An Implementation Research Study in Tanzania
    July, 2018 - The Immunization and Vaccine Development (IVD) Program of Tanzania's Ministry of Health, Community Development, Gender, Elderly, and Children (MOHCDGEC) has focused significant system strengthening efforts on information and data management to improve the immunization program's performance. In partnership with JSI and other organizations, the IVD piloted a new vaccine information ...
  • Bimonthly Rota Talk Newsletter
    July, 2018 - A case of diarrhea for a child usually means a visit to the doctor, a course of medicine, and a few days of bland food. But for children in India, a case of diarrhea can mean life-long developmental challenges or even death. Despite the availability of simple effective treatment diarrhea ...
  • Bimonthly Rota Talk Newsletter; Issue 5, 2018
    October, 2018 - JSI India publishes the bimonthly Rota Talk newsletter to regularly update partners and the government on the introduction of rotavirus vaccine in India. JSI India is the lead technical partner for rotavirus vaccine introduction in India. To date, JSI India has provided technical support for the launch of rotavirus vaccine ...
  • Building Stronger Health Information Systems in Tanzania: A Decade of Collaboration and Learning
    September, 2018 - In Tanzania, JSI works hand-in-hand with the government to align resources from multiple projects, partners, and donors to build a sustainable, adaptable health information system that produces good quality, timely data for decision-making to improve the lives of the Tanzanian people. This infographic maps out JSI's decade of collaboration and ...
  • Child Health Worker Job Aid for Zimbabwe
    February, 2018 - Community Health Workers play an important role in ensuring that children receive timely vaccination. This job aid from Zimbabwe provides health workers with guidance on the proper use of the child health card or home-based records. Download (PDF, 807 KB) ...
  • Community Monitoring of Individual Children's Vaccinations: Six Country Experiences
    December, 2018 - In low- and middle income countries, unsatisfactory vaccination coverage often reflects services that are not sufficiently accessible, convenient, reliable, or friendly. It may also reflect a lack of public understanding or trust in vaccination and/or vaccination services. Additionally, in developing countries, various sociocultural factors affect the likelihood that families make ...
  • DPCP Snapshot: Findings in Deciding Dose per Container
    2019 - Providing vaccines in multidose presentations entails balancing trade-offs among timely coverage, wastage, safety, costs per dose, supply chain, and healthcare worker (HCW) behavior, weighing the advantages and disadvantages of lower versus higher dose per container (DPC). Beginning in 2016, the Dose Per Container Partnership (DPCP) conducted a series of activities ...
  • Data for Action: Coordination and Implementation of Home-based Record (HBR) Redesigns and Improved Use
    October, 2017 - JSI has a two year grant with the Bill & Melinda Gates Foundation to look at the coordination and implementation of home-based records (HBRs, also referred to as immunization cards or child health cards/booklets). We have explored opportunities to increase availability and use of HBRs through field work in 4 ...
  • Empowering Health Workers for Immunization Data Analysis and Use
    June, 2018 - These slides were presented at the Global Immunization Meeting in Kigali, Rwanda in June 2018 on empowering health workers for immunization data analysis and use. Download (PDF, 1.49 MB) ...
  • Every Women Every Child: JSI 2018 Progress Report
    May, 2019 - To sustain and accelerate progress toward the Sustainable Development Goals, JSI joined other organizations in pledging support for the Every Woman Every Child (EWEC) campaign in 2016. Working closely with our global and country-level partners, JSI exceeded its 2011�2014 commitments, and we are currently working to fulfill our six 2016-2020 ...
  • Example Scenarios and Exercises for Training Health Workers on Home-based Records
    October, 2018 - Home-based records (HBRs) are an important data collection and monitoring tool serving multiple purposes for the caregiver, health worker, and health system. These cards provide example scenarios and exercises to train health workers. Download (PDF, 54 KB) ...
  • Experiences in New Vaccine Introduction
    February, 2019 - In support of USAID�s efforts to help increase the equitable coverage of vaccines, strengthen routine immunization (RI) systems, and leverage the US Government�s large global contribution to Gavi, the Vaccine Alliance, the Maternal and Child Survival Program (MCSP, 2013�2019) has provided technical assistance to support countries in planning for, preparing ...
  • Fishbone Diagram Job Aid
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Guide for Frontline Health Workers: Improving Use of the HBR/Vaccination Card
    June, 2018 - This document is a compilation of home-based records materials developed in Democratic Republic of Congo, Nepal, and Zimbabwe as easy-to-understand guides for health workers who are vaccinating children as part of their regular jobs. Guidelines, posters, and/or job aids were developed in each country for frontline health workers to understand ...
  • Home-based Records Briefer: Rotavirus Vaccine Introduction Materials for Health Workers in Nepal
    October, 2018 - This home-based records briefer was included in rotavirus vaccine introduction materials developed for health workers in Nepal by JSI through the Coordination and Implementation of Child Health Record Redesigns project. Download (PDF, 283 KB) ...
  • Home-based Records Country Learning: Card Redesign for Improving Immunization Tracking in Benin
    July, 2018 - Benin has two types of home-based records (HBRs), known locally as “carnet de sante de l’enfant”, in circulation: one is a simpler design with basic immunization and health information and the other is a larger health booklet, including immunization. This 2-page brief highlights the approach and process of redesigning, updating, ...
  • Home-based Records Country Learning: Community Engagement to Improve Child Health Card Use in Zimbabwe
    July, 2018 - Although important for immunization data collection and monitoring, home-based records (HBRs)—known as child health cards—in Zimbabwe were often unavailable and undervalued. To address this, JSI and the Ministry of Health (MOH) staff in Manicaland province implemented a one-year intervention (with funding from the Bill & Melinda Gates Foundation) to improve ...
  • Home-based Records Country Learning: Improving Urban Immunization with Child Health Cards in the DR Congo
    July, 2018 - Immunization is a valued service in the Democratic Republic of Congo (DRC), including in the heavily populated capital, Kinshasa. Home-based records (HBRs), known as “Cartes de Consultation Pre-Scolaire (CPS)” in DRC, are a key data collection and monitoring tool to help ensure that children receive their complete series of vaccinations. ...
  • Home-based Records Country Learning: Increasing Child Health Card Retention in Nepal
    July, 2018 - Home-based records (HBRs), known as child health cards in Nepal, are a key data collection and monitoring tool to ensure that children receive life-saving vaccinations. Child health cards have been part of Nepal’s national immunization program since 1979. However, the 2016 DHS shows that half of caregivers have either not ...
  • How To Use the Card and Tickler File System for Defaulter Tracking (DRC Job Aid)
    October, 2018 - This guide is a component of the Home-based Records Guide for Frontline Health Workers. This 4-pager provides instructions for the child health card for the DR Congo, which is printed with a detachable piece (to be kept at the health facility). The card includes documentation of the primary interventions (vaccination, ...
  • Immunization @JSI (2018)
    2018 - JSI strengthens routine immunization systems around the globe to provide regular, reliable and equitable access to and use of life-saving vaccines. We have worked in 50 countries to introduce newer life-saving vaccines, prevent the spread of disease, and further reduce disability and mortality. Download (PDF, 56 KB) ...
  • Immunization Data Quality Job Aid
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Immunization Defaulter Tracing Job Aid
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Immunization Dose Per Container: Decision Support Resource
    March, 2019 - This resource is a culmination of DPCP research results to provide decision makers with evidence that can be generalized to other countries when considering vaccine presentation. Country- and global-level stakeholders�such as Expanded Program on Immunization (EPI) managers, logisticians, Ministries of Health (MOHs), Ministries of Finance (MOFs), donors, procurement agencies, manufacturers, ...
  • Impact Infographic: Universal Immunization through Improving Family Health Services in Ethiopia
    December, 2018 - JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. This infographic illustrates some key results of the UI-FHS Project in Ethiopia as of December 2018. Download (PDF, 175 KB) ...
  • Importance and Usage of Child Health Card in Nepal
    2017 - This job aid was developed to help frontline health workers in Nepal to understand the importance of the home-based record form and how to use this tool during their regular immunization activities. This tool is designed to be easy to understand for health workers who are vaccinating children as part ...
  • Importance and Usage of Health Card
    December, 2017 - This poster was used in Nepal at health facilities and vaccination sessions to demonstrate the importance of using child health cards, also known as home-based records. Download (PDF, 285 KB) ...
  • Improving Routine Immunization Service Delivery to Urban Poor in Ghana: Results of Situational Analysis
    January, 2019 - To identify potential factors contributing to low immunization rates in urban poor communities, JSI Research & Training Institute, Inc. (JSI), in collaboration with the Ministry of Health (MoH) and the Ghana Health Service (GHS), conducted a situational analysis in seven major metropolitan areas across five regions in Ghana between January ...
  • Improving Routine Immunization Service Delivery to Urban Poor in Kinshasa, Democratic Republic of the Congo: Results of Situational Analysis
    January, 2019 - In collaboration with the EPI and health zones, JSI Research & Training Institute, Inc. (JSI) conducted a situational analysis in May-June 2018 to identify the barriers to access and utilization of vaccination among children in two health zones in Kinshasa. Download (PDF, 176 KB) ...
  • Improving Routine Immunization Service Delivery to Urban Poor in Kyrgyzstan: Results of Situational Analysis
    January, 2019 - Between January and July 2018, JSI Research & Training Institute, Inc. (JSI), in collaboration with local partners and the Republican Center for Immunoprophylaxis (RCI) conducted a situational analysis in Bishkek to identify potential factors contributing to low immunization rates in urban poor communities. Download (PDF, 191 KB) ...
  • Improving Routine Immunization in Niger
    October, 2018 - Through funding from Gavi, the Vaccine Alliance, JSI has been working with Niger’s Ministry of Health and the Immunization Department since 2013 to support and strengthen immunization program activities and supply chain management. JSI has provided support for new vaccine introduction, improved planning for program activities and cold chain needs, ...
  • Improving the Availability and Use of Home-Based Records: Challenges and Lessons Learned from the ESA EPI Managers Meeting
    March, 2018 - These slides were presented at the annual WHO-sponsored EPI (immunization program) Managers' Meeting in Kigali, Rwanda 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:Benin, DRC, Zimbabwe, ...
  • Improving the Generation, Quality, and Use of Routine Immunization Data
    May, 2018 - Using high-quality routine immunization data is critical to helping health officials and managers plan services and make decisions that enable them to reach every child with immunization. MCSP is documenting lessons learned across MCSP-supported countries using different approaches to improve the generation and active use of routine immunization data at ...
  • Improving the generation, quality, and use of data for routine immunization systems through the use of process indicators and other strategies
    2018 - This poster looks at process indicators for routine immunization and the importance of routine immunization data quality. It explores which process indicators are appropriate for providing real-time system data to demonstrate strengthening of routine immunization (RI) on a pathway to uniformly high immunization coverage that is sustainable over time. Process ...
  • Indicators that Describe the Strength of the Routine Immunization System: Preliminary Learning
    June, 2018 - Immunization is at the very core of health programs around the world yet its performance is commonly measured by just a single number, namely coverage with a third dose of a vaccine that protects against diphtheria, pertussis, and tetanus (DTP3). While DTP3 coverage is highly useful for describing the ability ...
  • Indicators that describe the strength of the routine immunization system: Preliminary learning
    June, 2018 - Immunization is at the very core of health programs around the world, yet its performance is commonly measured by just a single number, namely coverage with a third dose of a vaccine that protects against diphtheria, pertussis, and tetanus (DTP3). While DTP3 coverage is highly useful for describing the ability ...
  • Interview Guides for Key Home-based Records Users
    October, 2018 - To understand how key home-based records (HBR) users value the document, key informant interviews and/or focus group discussions can be conducted with stakeholder groups as part of a situational analysis. This document provides sample questions which have been used in several countries are included in the document as a guide, ...
  • JSI in Tanzania
    September, 2018 - For nearly four decades, JSI has worked with the Government of Tanzania and other partners to accelerate progress on the government's health and development priorities. Together, we've trained and deployed health workers, improved data collection and use, introduced new vaccines, and expanded services to vulnerable populations. This brochure highlights how ...
  • Learning from Implementation of the Reaching Every Child using Quality Improvement to Strengthen the Routine Immunization System in Uganda
    April, 2019 - MCSP has incorporated quality improvement (QI) concepts and tools into the standard Reaching Every District (RED)/Community (REC) management approach. While Uganda was one of the first countries to introduce RED in 2004 and updated it to REC in 2007, REC�s widespread use by districts and health facilities was limited by ...
  • Lessons Learned: HPV Vaccine Nationwide Introduction in Zimbabwe
    July, 2018 - This lessons learned document aims to capture the challenges and achievements of the HPV nationwide introduction in Zimbabwe to inform future integration of HPV and other vaccines into the routine immunization system. JSI supported the development of this document in collaboration with the Ministry of Health and Child Care (MoHCC) ...
  • Lessons learned in immunizing remote populations on the move: Mid-program review of the Universal Immunization through Improving Family Health Services (UI-FHS) project
    2018 - Ethiopia has made impressive progress in reducing infant and child mortality rates since 2000, with performance improvements in immunization playing an important role. Despite gains in immunization nationwide, Ethiopia continues to experience significant regional disparities in immunization coverage, including in Afar and Somali Regions, where the health system is fragile ...
  • MCSP Mozambique Program Brief: Addressing the Denominator Conundrum for Maternal and Child Health Programs: a New Methodology
    January, 2019 - In 2011, Mozambique�s National Immunization Technical Advisory Group (NITAG) recommended that the MOH revise the method it was using to estimate subnational-level target populations. Although it took some time to gain traction, in 2016, the Maternal and Child Survival Program (MCSP) worked closely with the MOH Public Health Directorate (DNSP) ...
  • Mahefa Miaraka Annual Report Summary 2018
    2018 - During its third implementation 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. Alongside partners ASOS, FHI 360, and Transaid, Mahefa Miaraka works in 4,885 fokontany, 456 communes, and 34 ...
  • Maternal and Child Survival Program Engagement in the 2018 Gavi Joint Appraisal and Portfolio Planning Processes: A Summary of Country Experiences
    June, 2019 - To assess the implementation progress and performance of Gavi�s support for new and underutilized vaccines and health system strengthening efforts, as well as its contribution to improved immunization coverage and equity, Gavi countries engage in regular review processes�either joint appraisals (JAs) or country engagement framework (CEF) reviews. The Maternal and ...
  • Mobilizing Local Support for Immunization: Experience from Uganda and Ethiopia in engaging local stakeholders and leaders
    February, 2019 - Protecting each year�s cohort of children and other beneficiaries from vaccine-preventable diseases requires more than vaccines. Routine immunization programs are comprised of several program elements, each with associated operational costs, such as transport to distribute vaccines, conduct outreach sessions, and provide supportive supervision; printing of supplies of data management tools, ...
  • Modeling to support decision-making for 5-dose measles-rubella routine vaccination in Zambia - DPCP Snapshot
    October, 2018 - The widespread use of multidose vaccine containers in low- and middle-income countries’ immunization programs is assumed to offer benefits and efficiencies for health systems, such as reducing the purchase price per vaccine dose and easing cold chain requirements. As part of the Dose per Container Partnership (DPCP), the HERMES Logistics ...
  • Opportunities to Improve MCV2/MR2 Coverage and Tracking
    February, 2018 - This presentation on opporunities to improve MCV2/MR2 coverage and how the health sector is building on and encouraging use of existing routine immunization tools and approaches was given at the MRI Routine Immunization Working Group Meeting in February 2018 Download (PDF, 1.37 MB) ...
  • Polio Eradication through Community Approaches - MCSP’s Role in Eradicating Polio in Madagascar
    November, 2018 - Between 2014 and 2015, Madagascar had 11 confirmed cases of vaccine-derived poliovirus, signifying challenges with the routine immunization system that urgently needed attention. In response to this outbreak, the national Expanded Program on Immunization and partners implemented 13 national and sub-national supplemental polio immunization campaigns and conducted a series of ...
  • Renforcer la vaccination pour les populations pauvres en zone urbaine : Expériences et enseignements tirés de l'étude de cinq pays<br>RDC, GHANA, HAÏTI, KENYA & KIRGHIZSTAN
    January, 2019 - En 2017 et 2018, avec le soutien de Gavi, l'Alliance du Vaccin (Gavi), JSI Research & Training Institute, Inc. (JSI) a pass� en revue le statut vaccinal des communaut�s pauvres en milieu urbain dans les m�tropoles de cinq pays : la R�publique D�mocratique du Congo (RDC), le Ghana, Ha�ti, le ...
  • Routine Immunization Sessions Job Aid (brochure)
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Routine Immunization Sessions Job Aid (poster)
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Senegal: Weighing the Costs and Benefits of Changing DPC
    April, 2019 - Vaccines for low- and middle-income countries have traditionally been procured in multi-dose containers of 10 or 20 doses. However, vaccines in single or low-dose presentations offer potential advantages such as reduced wastage and increased access that must be weighed against potential disadvantages such as higher costs and supply chain and ...
  • Strengthening Comprehensive Council Health Planning to Increase Immunization Coverage: A Pilot Activity in Kagera Region, Tanzania
    January, 2019 - In Tanzania, MCSP provides technical support to the Ministry of Health Community Development, Gender, Elderly, and Children focused on ensuring that all women, newborns, and children who are most in need have equitable access to quality health care services to save lives. In 2013, MCHIP, the predecessor to MCSP, supported ...
  • Strengthening Immunization for the Urban Poor: Experiences and Lessons Learned from Five Country Studies
    January, 2019 - With support from Gavi, in 2017 and 2018, JSI Research & Training Institute, Inc. (JSI) reviewed the immunization status of the urban poor communities in metropolitan centers of five countries: the Democratic Republic of Congo, Ghana, Haiti, Kenya, and Kyrgyzstan. The findings from JSI’s analysis contributed to the identification of ...
  • Strengthening the Routine Immunization System through a Reaching Every Child-Quality Improvement Approach in Uganda
    June, 2016 - USAID's flagship Maternal and Child Survival Program (MCSP) developed this how-to guide based on experience and lessons learned from introducing Reaching Every Child-Quality Improvement (REC-QI) in Uganda and Ethiopia. This document provides guidance on how to carry out REC-QI within the context of the Ugandan health system. It supplements, but ...
  • Tool to Review Quality and Completeness of HBRS
    January, 2018 - This tool can be used to spot-check home-based records (HBRs) during facility and/or randomized home visits to see if immunization data are being completed in the HBR. Additional questions can also be incorporated to provide further quantitative analysis. This tool should be used along with the qualitative tools (e.g. Interview ...
  • UI-FHS Mid-Program Review in the Pastoralist Regions of Ethiopia
    2018 - Ethiopia has made impressive progress in reducing infant and child mortality rates since 2000, with performance improvements in immunization playing an important role. Despite gains in immunization nationwide, Ethiopia continues to experience significant regional disparities in immunization coverage, including in Afar and Somali Regions, where the health system is fragile ...
  • Vaccine Dose Per Container: Deciding What's Right for Your Immunization Program
    2019 - To help immunization stakeholders make effective DPC decisions for their country context, the Dose Per Container Partnership (DPCP) has developed generalized information based on the partnership�s research in a number of countries. JSI, Dose Per Container Partnership. 2019. Download (PDF, 283 KB) ...
  • Vaccine Management Job Aid: Front Opening Refrigerator
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Vaccine Management Job Aid: Top Opening Refrigerator
    July, 2018 - Effective immunization programs rely on strong health worker capacity. JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia uses a multi-faceted approach to build health worker capacity which includes classroom training and on the job training through supportive supervision and peer to peer learning. To reinforce good ...
  • Vietnam: Effects of changing dose per container on the immunization system - DPCP Snapshot
    October, 2018 - The widespread use of multidose vaccine containers in low- and middle- income countries’ immunization programs is assumed to offer benefits and efficiencies for health systems, such as reducing the purchase price per vaccine dose and easing cold chain requirements. In the balance between achieving high coverage and avoiding wastage in ...
  • What to Know about Your CCEOP Application and Deploying Cold Chain Equipment: Lessons from Tanzania and Mozambique
    December, 2018 - With one in five children in low- and middle-income countries (LMICs) still not fully vaccinated and thus at risk of preventable, immunization programs are under pressure to increase coverage and improve performance and efficiency. Adding to that challenge, the number of vaccines available has grown from the original six recommended ...
  • Word of Mouth: Learning from Polio Communication and Community Engagement Initiatives
    July, 2018 - The journey toward polio eradication offers 30 years of accumulated learning. At the February 2018 polio partners meeting, representatives from USAID, MCSP, CORE Group Polio Project, The Communication Initiative, John Snow, Inc., and the UN Foundation discuss best practices for communication and community engagement within the polio program This document ...