International Publications

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  • An approach to increasing coverage and equity by adapting and using revised reaching every district: MCSP experiences adapting the RED Guide in Malawi and Kenya
    May, 2018 - This document provides a summary of MCSP/JSI’s experience in the adaptation of the regional RED guideline to country-specific contexts in order to inform other countries undertaking the process. Adaptation happened in three stages: pre-adaptation, adaptation, and post-adaptation. At each stage, under leadership of the MOH, careful, preparation was made through ...
  • 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 ...
  • Data Triangulation: Use of Health Facility Immunization Reporting Tools
    September, 2017 - Immunization reporting tools vary between countries, but typically various paper-based tools are used at health facilities. The data collected from each tool provides important information for individual child tracking as well as for numbers vaccinated and calculating percentage coverage and drop-outs. When used together and data entries are up-to-date across ...
  • 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 ...
  • Evaluation of the Initiative to Strengthen Nurses' Expanded Programme on Immunization Pre-Service Training in Kenya
    December, 2017 - In 2008, the Kenya Ministry of Health (MOH) embarked on a process to strengthen pre-service training for the Expanded Programme on Immunization (EPI) using the WHO prototype curriculum, partnering with the WHO, UNICEF and the United States Agency for International Development’s (USAID) Maternal and Child Health Integrated Program. In 2017, ...
  • 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) ...
  • Frequently Asked Questions on Immunization for Health Workers & Other Front-Line Functionaries
    September, 2017 - Rapid development of Universal Immunization Program in India, especially in terms of new vaccine introduction, has led to several changes in existing policies, guidelines and protocols, in a very short time. Thus, it is imperative that all stakeholders, especially at the field level, are informed of the latest updates in ...
  • Frequently Asked Questions on Immunization for Parents & Caregivers
    December, 2017 - Rapid development of Universal Immunization Program in India, especially in terms of new vaccine introduction, has led to several changes in existing policies, guidelines and protocols, in a very short time. Thus, it is imperative that all stakeholders, especially at the field level, are informed of the latest updates in ...
  • Frequently Asked Questions on Immunization for Program Managers
    January, 2018 - Rapid development of Universal Immunization Program in India, especially in terms of new vaccine introduction, has led to several changes in existing policies, guidelines and protocols, in a very short time. Thus, it is imperative that all stakeholders, especially at the field level, are informed of the latest updates in ...
  • Frequently Asked Questions on Immunization for Religious Leaders & Other Stakeholders
    December, 2017 - Rapid development of Universal Immunization Program in India, especially in terms of new vaccine introduction, has led to several changes in existing policies, guidelines and protocols, in a very short time. Thus, it is imperative that all stakeholders, especially at the field level, are informed of the latest updates in ...
  • Ghana: Understanding Changes in Vaccine Presentation
    October, 2017 - In 2016, a Dose Per Container Partnership (DPCP) study team reviewed policy and planning documents, records, and monitoring reports from the Expanded Program on Immunization (EPI). They also observed vaccine storage, supply chain management, and service delivery at several facilities; and conducted semi-structured, in-depth interviews with stakeholders—government officials, HCWs, the ...
  • Haiti - Job Aid for Vaccination in Urban Areas
    December, 2017 - This job aid provides a diagram and brief summary for the JSI’s efforts to strengthen urban immunization programs in Cité Soleil– an urban commune located within the Port au Prince metropolitan area in Haiti. This aid contains the factors accounting for low coverage and inequity on vaccination programs in urban ...
  • Haiti Strategies for Improving Vaccination Coverage in Urban Poor Settings
    December, 2017 - The directorate of the Expanded Program on Immunization (EPI), an arm within the Ministry of Public Health and Population (MPHP) in charge of vaccination activities, after having noticed the low rate of vaccination coverage in recent years within some cities, particularly the city of Cité Soleil, solicited and received GAVI’s ...
  • 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 ...
  • Immunization @ JSI
    2017 - Immunization has the power to save millions of lives, but complete immunization coverage can only be achieved by strengthening the systems that deliver life-saving vaccines. This brochure highlights JSI's work in immunizations and new vaccine introduction. JSI, 2017. Download (PDF, 312 KB) ...
  • Immunization Incentive System for ASHA workers: A suggested framework for standard operating procedures to streamline process of incentivizing ASHA for immunization services
    December, 2017 - ASHA workers support India’s Universal Immunization Programme by mobilizing beneficiaries and generating awareness among the community. ASHA workers strive to get all pregnant women and children under five years of age immunized with vaccines as per the national immunization schedule. In return they get fixed performance-based incentives for the services ...
  • Immunization Tools to Help the Dose Per Container Decision
    March, 2018 - Ministries of Health (MOH) considering a change in the presentation of vaccine containers or introducing different presentations of the same vaccine for different delivery contexts will want to assess the effects of that change in advance. The Dose Per Container Partnership (DPCP) reviewed 10 frequently used immunization tools that include ...
  • 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 Immunization Service Delivery for the Urban Poor
    February, 2018 - The world is currently experiencing the largest wave of urban growth in history. More than half the population now lives in towns and cities, and by 2030 this number is expected to swell. Much of this rapid urbanization is taking place in Africa and Asia, bringing social and economic transformation, ...
  • 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, ...
  • Improving the Generation, Quality and Use of Routine Immunization Data: Preliminary learning
    May, 2018 - Building on its immunization technical support to countries to address this challenge, the Maternal and Child Survival Project (MCSP) is documenting lessons learned across MCSP-supported countries using different approaches to improve the generation and active use of routine immunization data at levels close to where the data is generated. Sub-objectives ...
  • Information Gaps in Decision-Making on Vaccine Presentation in 3 Francophone African Countries
    October, 2017 - In 2016, a Dose Per Container Partnership (DPCP) study team visited Benin, Côte d’Ivoire, and DRCongo to examine the selection process for vaccine presentation and countries’ role in choosing the vaccine presentations. The study team reviewed policy and planning documents, records, and monitoring and evaluation reports; and interviewed 33 people ...
  • Linking Health Facilities and Communities Improves Routine Immunization
    February, 2018 - The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in over 100 woredas (districts) in six regions of Ethiopia. The project works to operationalize Ethiopia’s national routine immunization strategy, Reaching Every District (RED), through technical assistance for immunization and by introducing Quality ...
  • Maternal and Child Survival Program Engagement in the 2017 Gavi Joint Appraisal and Country Engagement Framework
    April, 2018 - 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 ...
  • Measles Vaccination in Zambia: Balancing Coverage & Wastage
    January, 2018 - Zambia’s measles prevention initiative seeks to reach 95 percent of children each year through the routine immunization program. Currently Zambia recommends two doses of measles-containing vaccine (MCV) be delivered through the routine program at 9 months and 18 months of age. Historically, however, MCV has been available in a 10-dose ...
  • My Village My Home: A Tool That Helps Communities Track Vaccinations of Individual Infants
    May, 2018 - The level of vaccination coverage in a given community depends on both service factors and the degree to which the public understands and trusts immunization services. This brochure describes an approach in Malawi that aims to raise awareness and boost demand. The “My Village My Home” (MVMH) tool is a ...
  • New Vaccine Introduction Paves the Way toward Ending Preventable Diseases
    April, 2018 - Introducing new vaccines requires careful planning and provides an opportunity to strengthen existing immunization systems. This infographic shows how JSI has supported 76 new vaccine introductions in 25 countries around the globe, including rotavirus to prevent childhood deaths and HPV to prevent cervical cancer. JSI, 2018. Download (PDF, 932 KB) ...
  • Project Briefer: Strengthening Vaccination Programs in Haiti's Urban Communities
    February, 2018 - This project briefer outlines JSI’s efforts to strengthen urban immunization programs in Cité Soleil, an urban commune located within the Port au Prince metropolitan area in Haiti. This Briefer contains information on the initial results of the situational analysis regarding problems, mainly within the immunization system, such as unreliable vaccine ...
  • Review the mechanism of documentation, distribution, claim, and verification of ASHA incentives
    December, 2017 - This report reviews the gaps in the existing Accredited Social Health Activist (ASHA) incentivization system, especially those for immunization services, and provides technical support in developing standard operation procedures for reaping full benefit of immunization incentives. JSI Research & Training Institute carried out a review to understand the gaps in ...
  • Situation of Routine Immunization in Urban Poor Areas of Kisumu City, Kenya
    November, 2017 - In Kenya, according to a 2013 assessment, approximately 353,000 people are unimmunized,1 and DPT3 coverage in the poorest wealth quintile is 10% lower than in the highest quintile. A situation analysis of routine immunization (RI) in Kisumu City was conducted to assess the immunization status of children, and to understand ...
  • 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 ...
  • Strategies for Strengthening Vaccination Programs in Poor Urban Settings: Lessons Learned and Recommendations for Cité Soleil, Haiti
    December, 2017 - The Cité Soleil health zone is a very poor urban commune located within Haiti’s Port au Prince metropolitan city. Based on data collected from a situational analysis of Cité Soleil, the commune’s vaccination system faces several significant challenges specific to or exacerbated by the urban environment. A number of strategies ...
  • 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 ...
  • Universal Immunization through Improving Family Health Services
    February, 2018 - JSI's Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. The project provides support to operationalize and strengthen Ethiopia’s national routine immunization strategy, Reaching Every District, in order to improve availability, utilization, quality, and sustainability of immunization services in the country. ...
  • Vaccination in Zambia: Health Worker Experiences Using 5-dose MR Vaccine
    April, 2018 - Many countries procure vaccines in multi-dose presentations. This can present difficulties for health care workers (HCWs) who wish to ensure high, timely coverage while minimizing vaccine wastage—especially for vaccines without preservatives that must be discarded 6 hours after the vial is opened. In Zambia, the Dose Per Container Partnership (DPCP) ...