JSI RESOURCES: Publications

Documentation of REC in Malawi


In Malawi, MCSP’s immunization work focused on collaboration with the Ministry of Health’s Expanded Program on Immunization (MOH/EPI) and partners at the national level; and provision of intensive support for implementing the Reaching Every Child (REC) approach in two low-coverage districts, which were selected from among seven districts in Malawi with Penta 3 coverage under 80%. REC aims to fully immunize every infant with all vaccines in the national immunization schedule.

MCSP supported implementation of all five REC components:

  1. planning and management of resources;
  2. reaching target population;
  3. monitoring and use of data for action;
  4. linking services with communities;
  5. supportive supervision—in Ntchisi and Dowa districts.

About 90% of villages in these districts, under the leadership of local village heads (VH) and volunteers, actively track the immunization status of infants using the My Village My Home (MVMH) tool introduced by JSI through MCSP in January 2016.

In 2016, the quality of immunization services improved: the proportion of health facilities (HFs) with no stock-outs of vaccines increased from 31% to 80%; the proportion of HFs using monitoring charts increased from 46% to 85%. All (100%) HFs in the districts now monitor refrigerator temperatures twice daily, compared to 75% at baseline.

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