Through the SS4RI, MCSP, and MCHIP projects, JSI applied concepts and methods from the field of quality improvement to the Reaching Every Community/Child (REC) approach already adopted by the MOH/UNEPI. This enhanced approach builds the managerial capacity of national and, especially, district and health facility teams to diagnose and prioritize problems affecting immunization service delivery and utilization, identify their root causes, and introduce and test solutions using Plan-Do-Study Act (PDSA) cycles.
It became increasingly apparent over time that the success of immunization program management at decentralized levels requires not just the technical capability of health personnel but also commitments from local “non-health stakeholders,” meaning local civil servants, administrative officials, political figures, and community leaders. When actively engaged by their local counterparts in the health system, these individuals have demonstrated that they play unique and vital roles that improve the reach, provision, and utilization of immunization services, thereby improving the health of communities.
This toolkit consolidates JSI’s learning from the past several years in engaging non-health stakeholders (NHS), making use of existing structures and processes. It presents clear, step-by-step guidance that district health teams (DHTs), district leaders, MOH/UNEPI, immunization partners and Civil Society Organizations (CSOs) can use to engage NHS and maximize the benefits of their participation in strengthening routine immunization. JSI. 2019.