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Reaching Every District Using Quality Improvement Methods: A How-To Guide for Immunization Program Managers

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Although the Reaching Every District (RED) strategy for immunization has been in place for nearly two decades, many districts and health facilities face challenges in implementing its components. The Reaching Every District using Quality Improvement (RED-QI) approach combines the full RED strategy and quality improvement tools and processes, and advances RED from a "what to do" strategy to a "how to" approach for strengthening the routine immunization system.

This guide brings together the experience and lessons learned from introducing RED-QI in Uganda and Ethiopia. The aim of this document is to provide guidance on how to carry out the RED-QI approach, including operational details and best practices about the approach's planning, implementation, and monitoring and evaluation. 

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