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Mobile Health Services Increase COVID-19 Vaccinations in Remote Areas of Pakistan

This is a success story about a local rehabilitation center director and district social welfare officer in a remote area of Pakistan who sought to provide his patients and people access to COVID-19 vaccinations. His urgent request sparked a government response of recruiting mobile health service units (MHSUs) with trained health workers to vaccinate people in these hard-to-reach…

A Young Teenager Takes Healthy Hygiene into Her Own Hands

This is a success story featuring a school handwashing and hygiene program in Pakistan that prepared many young children to protect themselves from COVID-19. This program was implemented by JSI through the USAID-funded Integrated Health Systems Strengthening and Service Delivery Activity. This story is for all audiences to see how transformative and life-saving a program like…

Rethinking the Routine: Modernizing outreach services to immunize zero-dose children

Outreach efforts play an important role for immunization activities, bringing these services to communities that may not have easy access to fixed health centers and may otherwise be overlooked. With global strategies focused on reaching unimmunized (“zero-dose”) and under-immunized children, outreach efforts are becoming more important, yet need to be prioritized and refined for optimal…

Using quality improvement to accelerate care for children and adolescents living with HIV in the Lango sub-region of northern Uganda

Providing high-quality care for all children and adolescents living with HIV (CALHIV) remains a global challenge and requires the development of new health care delivery strategies. Through a health system strengthening intervention, the USAID Regional Health Integration to Enhance Services-North, Lango (RHITES-N, Lango) project used targeted quality improvement (QI) methods to optimize care for CALHIV….

Outcomes and implementation considerations for optimizing dolutegravir-based antiretroviral therapy among PLHIV in northern Uganda

In 2018, the Uganda Ministry of Health (MOH) adopted World Health Organization’s (WHO’s) guidance to switch first-line antiretroviral therapy (ART) from non-nucleoside reverse transcriptase inhibitors (NNRTIs) tom dolutegravir (TLD/DTG). This study conducted by  USAID Regional Health Integration to Enhance Services-North, Lango (RHITES-N, Lango) project and implemented by John Snow, Inc. (JSI), assesses the outcomes and implementation considerations…

Innovative use of supply chain data to strengthen HIV commodities management in the Apac District of northern Uganda

Appropriate supply chain management of HIV commodities ensures optimal and uninterrupted supplies are available to provide high-quality HIV care and treatment. However, inadequate data use prevented realization of a resilient system in the Apac District of Northern Uganda. Other stock out-causing challenges related to infrastructure, human resources, policy, governance, and COVID-19 worsened the situation. However,…

HIV & ID Center 2021 Highlights

A 2021 infographic summary highlighting some of the primary work areas of the Center for  HIV and Infectious Disease at JSI around HIV, tuberculosis, and COVID-19.

The ‘Magic Bullet’ for HIV Viral Suppression? How Fixed-dose Combination Dolutegravir Antiretrovirals are Improving Viral Suppression among Children 10–14 Years on Antiretroviral Therapy in Zambia

Globally, viral suppression among children living with HIV (CLHIV) is at 40% compared with 67% among adults (UNAIDS, 2021). Zambia faced a similar challenge, which was compounded by limited availability of the more palatable and highly efficacious fixed-dose combination dolutegravir (DTG)-containing antiretrovirals, until pediatric ART guidelines were launched in 2020. In November 2020, with increased…

Immunization Service Experience Toolkit: Fact Sheet

Immunization service experience (SE) includes the factors within and beyond the interactions between a health worker and an immunization client which influence the delivery and experience of the immunization service. This fact sheet presents 13 key elements which contribute to creating a positive, person-centered immunization service experience.  This resource is part of the Immunization Service Experience…

Immunization Service Experience Toolkit: Getting Started Guide

Immunization service experience includes the factors within and beyond the interactions between a health worker and an immunization client which influence the delivery and experience of the immunization service. This Getting Started Guide is designed to be a reference guide for toolkit users who may be responsible for introducing discussions or activities related to immunization…

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