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 ...
  • 'Treat All' Policy in Ghana: Laboratory Costs Dynamics on Key Populations
    December, 2017 - This presentation looks at the 'Treat All' policy in Ghana which was adopted to ensure that every person testing HIV positive will be immediately initiated onto ART regardless of their CD4 count. It highlights the issues faced and lessons learned and outlines the next steps in implementing the policy. JSI/The ...
  • A Mixed-Methods Evaluation of a Community-Based Behavior Change Program to Improve Maternal Health Outcomes in the Upper West Region of Ghana
    December, 2017 - The Community Benefits Health (CBH) program introduced a community-based behavior change intervention to address social norms and cultural practices influencing maternal health and breastfeeding behaviors in rural Ghana. The purpose of this study was to determine if CBH influenced maternal health outcomes by stimulating community-level support in woman’s social networks. ...
  • Assessment of the Retail Environment of Male Condoms in Kenya, Nigeria, South Africa, Zambia, and Zimbabwe
    October, 2017 - The promotion and distribution of male condoms have been an important element of HIV prevention and family planning (FP) programs for host country governments and donors. Years of investment in condom programming have seen significant increases in condom use and total market volume of condoms. However, despite condoms being relatively ...
  • Bangladesh Farmer Nutrition School Cohort Study Technical Brief
    July, 2017 - To measure changes plausibly brought about by the farmer nutrition school (FNS) program when implemented at scale, this study surveyed a cohort of women who participated in the FNS curriculum beginning in November 2014. The study collected data from a cohort of 440 women in 38 upazilas and interviewed participant ...
  • Bangladesh: Final Country Report, SPRING Project
    June, 2017 - This document highlights the five years of the SPRING Project in Bangladesh. SPRING implemented an innovative, scalable, and sustainable community-based, multi-channel, integrated nutrition program between April 2012 and June 2017. During this five-year period, the project reached more than 125,000 pregnant and lactating women (PLW) and their children through its ...
  • Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs
    July, 2017 - Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done with FSWs in ...
  • Beyond the Crisis: Did the Ebola Epidemic Improve Resilience of Liberia's Health System?
    November, 2017 - Resilience was widely identified as a critical attribute for strong health systems following the 2014–15 West Africa Ebola epidemic. In Liberia, Sierra Leone, and Guinea, struggles to control the disease and suspension of the operation of many health services demonstrated that health systems must plan for resilience long before a ...
  • Building Healthy Cities
    October, 2017 - This document highlights the work of JSI's Building Healthy Cities project. The USAID-funded initiative aims to embed a health equity lens into city policies, planning, and services while improving data flow for existing Smart Cities in India, Indonesia, and Vietnam. Health and Smart Cities planning are related; decisions about transport, ...
  • Climate Change Fact Sheet
    November, 2017 - While climate change is serious, it can be slowed and managed if individuals and communities act now. This fact sheet contains information on some of the ways we can address climate change. JSI, 2017. Download (PDF, 300 KB) ...
  • Climate Change at JSI and World Education
    November, 2017 - John Snow, Inc. (JSI) and World Education believe that addressing climate change is key to advancing our public health and educational goals. Our joint Climate Change Working Group is a storehouse of global Climate Change expertise that serves to develop climate change related awareness and knowledge across the organization and, ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Designing a New Data Dashboard
    January, 2018 - The best dashboards give targeted audiences actionable information at their fingertips, and use great design practices to focus a user’s attention on the most important information on the page. If you’re embarking on the process of designing a new dashboard with data you already have (or plan to collect), a ...
  • Early Infant Male Circumcision Services for HIV Prevention: A Gateway for Fathers to Receive HIV Testing in Iringa Region, Tanzania
    December, 2017 - Early infant male circumcision provides an opportunity to bring fathers—who culturally are involved in the decision around the circumcision of their sons—into health services and offer them the benefit of HIV testing. This presentation gives an overview of the implementation and effects of using this strategy in Tanzania. AIDSFree, 2017. ...
  • Effect on neonatal mortality of newborn infection management at health posts when referral is not possible: A cluster-randomized trial in rural Ethiopia
    June, 2017 - The World Health Organization recently provided guidelines for outpatient treatment of possible severe bacterial infections (PSBI) in young infants, when referral to hospital is not feasible. This study evaluated newborn infection treatment at the most peripheral level of the health system in rural Ethiopia. When referral to higher levels of ...
  • Efforts to monitor global progress on individual and community demand for immunization: Development of definitions and indicators for the Global Vaccine Action Plan Strategic Objective 2
    June, 2017 - The Second Strategic Objective of the Global Vaccine Action Plan says ‘‘individuals and communities understand the value of vaccines and demand immunization as both their right and responsibility.” This plan differs from the other five in that it does not focus on supply-side aspects of immunization programs but rather on ...
  • Engaging Key Populations Through Peer Navigation: An Effective Strategy for Contributing to the 90-90-90 Fast-Track Targets
    December, 2017 - Ghana faces numerous hurdles in providing tailored HIV services to key populations (KPs) since there are different segments of KPs. This presentation highlights the integrated and innovative approaches that are being used to reach the different typologies of KPs. JSI/ the Care Continuum Project, 2017. Download (PDF, 904 KB) ...
  • 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 ...
  • Ethiopia Data Use Partnership Co-Creation Workshop Report
    January, 2018 - The Ethiopia Data Use Partnership (DUP) is a Bill and Melinda Gates Foundation-funded collaborative endeavor of the Ethiopian Federal Ministry of Health and a JSI-led consortium currently includes: Regenstrief Institute, University of Gondar, and Gobee Group. The DUP aims to improve the collection and use of high-quality routine information in ...
  • Ethiopia Data Use Partnership Overview
    October, 2017 - This document provides an introduction and overview to the Ethiopia Data Use Partnership (DUP), which works to provide effective technical and financial support while galvanizing additional commitments to strengthen the national health information system. Download (PDF, 1.05 MB) ...
  • Ethiopia’s Integrated Electronic Regulatory Systems: Building the Foundation for End-to-End Medicine Traceability
    October, 2017 - JSI is developing and implementing a new, fully integrated open-source electronic regulatory information system (ERIS) that will enable end-to-end pharmaceutical supply chain visibility in Ethiopia. This brief outlines how we've partnered with the Food Medicine and Healthcare Administration and Control Authority and the Pharmaceuticals Fund and Supply Agency to modernize ...
  • 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) ...
  • Family Planning @ JSI
    June, 2017 - Of the 213 million pregnancies that occur worldwide each year, approximately 40%—or 85 million—are unintended. Family planning saves lives and empowers women to improve their family’s health, education, and financial stability, and is key to advancing economic progress in middle- and low-income countries. This brochure highlights JSI's family planning and ...
  • 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 ...
  • 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 Farmer Field School Curriculum: Good Agronomic Practices for Groundnut Production
    August, 2017 - SPRING/Ghana developed this farmer field school (FFS) curriculum to improve farming practices and increase aflatoxin-safe groundnut crops for better household nutrition. It was originally developed for the Ghana Ministry of Food and Agriculture’s agricultural extension agents to work with groundnut farmers in Northern Ghana supported by SPRING. The project team ...
  • 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 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 ...
  • Human-Centered Design at JSI
    December, 2017 - As global health challenges evolve and new technologies emerge, public health solutions and the way we capture their effects, must be creative, data-led, and most importantly, people-focused. JSI is a recognized leader in designing and implementing public health programs domestically and abroad. At the heart of our work is human-centered ...
  • 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 ...
  • Impact of Electronic Information Systems on HIV Service Delivery in Zambia
    December, 2017 - This presentation outlines the impact of electronic information systems on HIV service delivery in Zambia. JSI/AIDSFree, 2017. Download (PDF, 623 KB) ...
  • 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, ...
  • 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 ...
  • 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 ...
  • Interpersonal communication regarding pregnancy-related services- friends versus health professionals as conduits for information
    April, 2018 - Social network characteristics influence a wide range of health behaviors but few studies examine the relationship between social network characteristics and pregnancy-related outcomes. Using a baseline survey from a behavior change pilot project in the Upper West region of Ghana, we examine four outcomes: (1) early antenatal care, (2) having ...
  • JSI in Sierra Leone - Building a Resilient Sierra Leone
    November, 2017 - This brochure highlights JSI's work in Sierra Leone. Since 2000, JSI has leveraged its commitment and expertise in public health to assist the Sierra Leone government in strengthening the health system and meeting people’s needs. Featured are highlights from post-Ebola health system strengthening, including approaches too rebuilding community trust in ...
  • Jeopardizing quality at the frontline of healthcare: prevalence and risk factors for disrespect and abuse during facility-based childbirth in Ethiopia
    March, 2018 - Disrespect and abuse (D&A) experiences by women during facility-based childbirth has gained global recognition as a threat to eliminating preventable maternal mortality and morbidity. This study aimed to quantify the frequency and categories of D&A experienced by women in four health centers in two rural regions of Ethiopia for the ...
  • 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 ...
  • 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, ...
  • 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 ...
  • 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 ...
  • 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 ...
  • 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) ...
  • 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 ...
  • Nutrition-sensitive agriculture programming: What SPRING has learned. Presentation by Heather Danton, IUNS 2017
    October, 2017 - This presentation was made at the IUNS 21st International Congress of Nutrition and highlights the lessons learned from nutrition programs implemented by the USAID-funded SPRING Project. The presentation highlights the results frameworks from Feed the Future and the SPRING Project, as well as SPRING's implementation model. The presentation was made ...
  • Pediatric HIV Champions in Action: A Community-Based Approach to Improve Pediatric Referrals and Care in an Urban Informal Settlement
    December, 2017 - This presentation highlights the AIDSFree Project's efforts to expand pediatric HIV services in Nairobi, Kenya through a community-based approach. JSI/AIDSFree, 2017. Download (PDF, 1.91 MB) ...
  • Peer Education Program to Reduce Tuberculosis and HIV Risks in Tanzania Prisons: Pocket Guide for Peer Educators
    August, 2017 - This guide provides peer educators with activities and information necessary to deliver training on HIV and TB to inmates and prison staff. The objectives of this program are to encourage behavior change among inmates and prison staff to reduce the risk of HIV and tuberculosis (TB) by educating them about ...
  • 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 ...
  • 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 ...
  • Quick Reference for Determining Orders for DMPA-SC
    January, 2018 - This quick reference summarizes the recommendations from Quantification of Health Commodities: DMPA-SC Companion Guide into an easy-to-use checklist. Family planning quantification teams and program managers can use this checklist as a quick reference guide during quantification exercises including DMPA-SC, and to validate their quantification methodology before placing DMPA-SC orders. JSI, ...
  • 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 ...
  • Reducing Anemia in Ghana: The SPRING Approach and Lessons Learned
    September, 2017 - This brief describes SPRING’s investments in three areas of anemia programming in Ghana: 1) strengthening coordination and collaboration for anemia, 2) capacity building, and 3) community-level engagement. Within each section on these areas, we also highlight our experiences and the lessons learned through two core principles that guided our anemia ...
  • Reducing missed opportunities for vaccination in selected provinces of Mozambique: A study protocol
    November, 2017 - Background: A missed opportunity for vaccination (MOV) refers to any contact with health services by an individual who is eligible for vaccination, which does not result in the person receiving the vaccine doses for which s/he is eligible. A consortium of partners, including VillageReach, the Ministry of Health in Mozambique, ...
  • Response Bias over Time: Interviewer Learning and Missing Data in Egocentric Network Surveys
    June, 2017 - This study investigates potential bias that may arise when surveys include question items for which multiple units are elicited. Examples of such items include questions about experiences with multiple health centers, comparison of different products, of the solicitation of egocentric network data. The larger the number of items asked about ...
  • Review of differentiated approaches to antiretroviral therapy distribution
    February, 2018 - In response to global trends of maximizing the number of patients receiving antiretroviral therapy (ART), this review summarizes literature describing differentiated models of ART distribution at facility and community levels in order to highlight promising strategies and identify evidence gaps. Findings suggest that differentiated models of ART distribution contribute to ...
  • Review of the History of Price Revisions of Social-Marketed Brands of Male Condoms in Select Countries
    November, 2017 - Social-marketed brands of condoms are usually sold at a subsidized price in African countries. The goals of this approach are to ensure that the price of the condom does not pose a barrier to purchase and to promote to condom use among the populations the social marketing organization aims to ...
  • 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 ...
  • SPRING Farmer Nutrition Schools: Multi-Sectoral Action, Durable Results
    September, 2017 - SPRING pioneered the farmer nutrition school approach in Bangladesh by innovatively combining the proven “farmer field school” and “essential nutrition actions” methods. Farmer nutrition schools enabled pregnant and lactating women and mothers with children under two to adopt improved nutrition and hygiene practices, and to improve production and consumption of ...
  • SPRING/Bangladesh Final Country Report
    July, 2017 - SPRING/Bangladesh implemented an innovative, scalable, and sustainable community-based, multi-channel, integrated nutrition program between April 2012 and June 2017. During this five-year period, the project reached more than 125,000 pregnant and lactating women and their children through its farmer nutrition schools (FNS) approach, and nearly 6,500 FNS were established over this ...
  • SPRING/Bangladesh: Farmer Nutrition School Cohort Study
    July, 2017 - To measure changes plausibly brought about by the farmer nutrition school (FNS) program when implemented at scale, this study surveyed a cohort of women who participated in the FNS curriculum beginning in November 2014. The study collected data from a cohort of 440 women in 38 upazilas and interviewed participant ...
  • 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: Engaging Community Members to Adopt Effective WASH Practices for Nutrition
    August, 2017 - SPRING’s “WASH 1,000” strategy promotes focused, evidence-based water, sanitation, and hygiene (WASH) practices to eliminate common fecal-oral contamination pathways in children during the first 1,000 days after birth. The strategy takes an integrated, multi-sectoral approach, simultaneously delivering products, services, and information to households with pregnant and lactating women and those ...
  • 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/Ghana: Reducing Aflatoxin Risks as Part of a Multi-sectoral Approach to Nutrition
    August, 2017 - Food safety is an underlying driver of undernutrition. Unsafe foods lead to disease and chronic conditions that prevent the body from properly absorbing food nutrients SPRING/Ghana takes a multi-sectoral approach, simultaneously addressing both the direct and underlying causes of malnutrition. Groundnuts are a staple legume in the northern regions of ...
  • SPRING/Senegal Dynaset-setal: Material Didactique
    August, 2017 - Le manuel de formation en hygiène est conçu dans le cadre des stratégies du projet SPRING/USAID afin de dispenser d’une formation de base en hygiène, eau et assainissement à l’intention des cellules de suivi WASH. En effet, ces dernières ont été mises en place dans les communes et villages afin ...
  • SPRING/Senegal Manuel de formation sur le genre et la nutrition
    July, 2017 - To address issues of gender equality and women’s empowerment in nutrition and agriculture, we must recognize the role of women not only as producers and consumers of food but also as the individuals traditionally responsible for the nourishment and health of the household. This French training manual targets adult learners ...
  • 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/Uganda: Fortifying National Efforts to Improve Nutrition for All
    September, 2017 - In Uganda, SPRING provides technical assistance and leadership at the national and district levels to help reduce stunting, micronutrient deficiencies, and anemia, particularly in children and women of childbearing age. This infographic provides highlights of the program at the national and district levels. JSI/SPRING Project. 2017. Download (PDF, 660 KB) ...
  • SPRING/Uganda: Mapping of Maize Millers: A Road Map to Scaling Up Maize Flour Fortification
    August, 2017 - The Government of Uganda has made considerable progress in advancing the food fortification agenda and developing food quality control systems. SPRING's goal was to establish baseline information on maize flour processing and the status of maize flour fortification in the different regions of Uganda. Mapping the maize millers was a ...
  • 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 ...
  • SPRING: The Integrated 1,000-Day Household Approach in Ghana
    August, 2017 - In line with global programming, SPRING’s stunting and anemia reduction efforts focus on the segment of the lifecycle called the “first 1,000 days,” which encompasses pregnancy and the child’s first two years. This window of opportunity is the time to take action to prevent stunting in young children because it ...
  • Saving lives with CHX
    July, 2017 - JSI is at the forefront of global efforts to scale up the use of chlorhexidine, a simple, low-cost antiseptic to prevent newborn deaths caused by umbilical cord infections. This infographic highlights the impact of chlorhexidine use on newborn umbilical cords in five countries. JSI has been at the forefront of ...
  • 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 ...
  • Seeing RED to Immunize in an Evolving African Landscape
    June, 2017 - Learning lessons from implementing context-specific Reach Every District (RED) approaches in Africa has potential to generate more evidence for policy makers who need to know what works and what does not for strengthening immunization systems. Renewed political and financial commitment for countries to roll out and integrate context-specific RED approaches ...
  • 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 ...
  • Strengthening Access to Mental Health Services in Sierra Leone
    December, 2017 - This technical brief highlights the work of JSI's Advancing Partners & Communities project's work in Sierra Leone strengthening mental health services, with a particular focus on Ebola survivors. The brief outline's JSI's interventions at the various levels of the health care system - community, primary health care, hospital, and national ...
  • Strengthening Tuberculosis Service Delivery in India
    November, 2017 - Seven countries account for 64% of new tuberculosis (TB) cases with India leading the way. In addition, each year there are a “missing million TB patients” in India who either remain undetected or are misdiagnosed. JSI India contributes to the national TB response as a partner on several tuberculosis strengthening ...
  • The effect of implementation strength of basic emergency obstetric and newborn care (BEmONC) on facility deliveries and the met need for BEmONC at the primary health care level in Ethiopia
    April, 2018 - Basic emergency obstetric and newborn care (BEmONC) is a primary health care level initiative promoted in low and middle-income countries to reduce maternal and newborn mortality. Tailored support, including BEmONC training to providers, mentoring and monitoring through supportive supervision, provision of equipment and supplies, strengthening referral linkages, and improving infection-prevention ...
  • 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. ...
  • Upgrading Supply Chain Management Systems to Improve Availability of Medicines in Tanzania: Evaluation of Performance and Cost Effects
    September, 2017 - To address challenges in public health supply chain performance, Tanzania invested in a national logistics management unit (LMU) and a national electronic logistics management information system (eLMIS). This evaluation examined the impact of these two key management upgrades approximately one year after they were introduced. It was found that investing ...
  • Upscaling Participatory Action and Videos for Agriculture and Nutrition (UPAVAN) trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child nutritional outcomes in rural Odisha, India: study protocol for a cluster randomised controlled trial
    March, 2018 - Maternal and child under-nutrition have adverse consequences for pregnancy outcomes and child morbidity and mortality. This study reports on a four-arm cluster randomised controlled trial in Odisha, India. Interventions included an agricultural extension platform of women’s groups viewing and discussing videos on nutrition-sensitive agriculture (NSA) practices, and follow-up visits to ...
  • Use of Cellular Phone Contacts to Increase Return Rates for Immunization Services in Kenya
    September, 2017 - In Kenya, failure to complete immunization schedules by children who previously accessed immunization services is an obstacle to ensuring that children are fully immunized. Home visit approaches used to track defaulting children have not been successful in reducing the drop-out rate. This study tested the use of phone contacts as ...
  • 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 ...
  • 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 ...
  • What is the VMMC Online Training Hub?
    October, 2017 - The VMMC Online Training Hub (OTH) is an e-learning platform that provides classes, resources, and communities of practice to help clinicians advance their skills and knowledge around performing voluntary medical male circumcision (VMMC). The OTH covers the didactic, theoretical VMMC information traditionally learned through in-person workshops. With the OTH, learners ...
  • What should you deliver by unmanned aerial systems? - White Paper
    January, 2018 - Unmanned aerial systems (UAS) have significant potential to improve the availability of health products in hard-to-reach locations. As more low- and middle-income countries explore opportunities to improve their public health supply chains and diagnostics networks, knowing how best to use UAS to improve reach in the last mile is critical. ...
  • Why WASH is crucial to nutrition programs. Presentation by Dr. Jennifer Nielsen, IUNS 2017.
    October, 2017 - Dr. Jennifer Nielsen, senior nutrition advisor for Helen Keller International, presented on "Why WASH is crucial to nutrition programs” on October 15th, 2017 at the JSI-sponsored satellite symposium entitled “Better Together: Lessons Learned from Multi-Sectoral Implementation of Nutrition Programs,” which was held at the IUNS 21st International Congress of Nutrition ...
  • Why is a multi-sectoral approach needed for nutrition, and why is it so hard to actually put it into practice?
    October, 2017 - This presentation was made at the IUNS 21st International Congress of Nutrition and highlights the lessons learned from multi-sectoral nutrition programs as well as the life-cycle approach to nutrition-specific programming. The presentation was made at the JSI-sponsored satellite symposium titled “Better Together: Lessons Learned from Multi-Sectoral Implementation of Nutrition Programs,” ...
  • eLMIS: A Supply Chain Becomes a Lifeline
    October, 2017 - In Zambia, the AIDSFree-supported launch of the electronic Logistics Management Information System has streamlined commodities management; enabled better, faster, and more accurate reporting of supply chain data; and reduced stockouts of health commodities at facilities. JSI/AIDSFree Project, 2017. Download (PDF, 1.09 MB) ...

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