International Publications

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  • An approach to increase coverage and equity by adapting and using Revised Reaching Every District (RED): 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 Reaching Every District (RED) guideline to country-specific contexts in order to inform other countries undertaking the process. JSI/Maternal and Child Survival Program (MCSP), 2018. Download (PDF, 130 KB) ...
  • 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 ...
  • 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 ...
  • 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) ...
  • 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 ...
  • 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) ...
  • 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) ...
  • 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) ...
  • Fishbone Job Aid
    July, 2018 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • 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 ...
  • 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 ...
  • 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 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 ...
  • 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 ...
  • 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 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • Immunization Defaulter Tracing Job Aid
    July, 2018 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • 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 ...
  • 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 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 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: Preliminary learning
    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. As the immunization technical lead for USAID's flagship Maternal and Child Survival Program (MCSP), JSI helps countries increase the generation, quality and use ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Integrated Home-based Records: Ensuring Immunization Format & Function
    April, 2018 - National immunization programs use home-based records (HBRs) e.g. vaccination or maternal-child health cards/booklets to record immunizations for each individual. HBR format and use varies by country. This resource supports countries and health workers in considering format and function when designing and redesigning their HBRs. Download (PDF, 3.83 MB) Download Portuguese ...
  • 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) ...
  • 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) ...
  • 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) ...
  • 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 ...
  • 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 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • 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 ...
  • 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 ...
  • 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) ...
  • Vaccine Management Job Aid: Front Opening Refrigerator
    July, 2018 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • Vaccine Management Job Aid: Top Opening Refrigerator
    July, 2018 - To reinforce good practices and help overcome challenges such as high staff turnover, JSI’s Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia developed a series of job aids to help health workers manage key functions of the routine immunization system. These five jobs aids help health workers ...
  • 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 ...