Maternal and Child Survival Program Engagement in the 2017 Gavi Joint Appraisal and Country Engagement Framework: A Summary of Country Experiences

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. This report provides an overview of […]

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Evaluation of the Initiative to Strengthen Nurses’ Expanded Programme on Immunization Pre-Service Training in Kenya

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 WHO’s prototype curriculum. Partnering with the WHO, UNICEF and USAID’s Maternal and Child Health Integrated Program (later became USAID’s MCSP), the MOH developed an immunization manual for medical and nursing students, […]

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Documentation of REC in Malawi

In October 2016, MCSP began its third year of activities in Malawi, with immunization work focusing on collaboration with the Ministry of Health/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 […]

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Situation of Routine Immunization in Urban Poor Areas of Kisumu City, Kenya

In Kenya, according to a 2013 assessment, approximately 353,000 people are unimmunized, 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 the challenges and barriers to […]

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Understanding vaccine hesitancy in polio eradication in northern Nigeria

Vaccine hesitancy constitutes a major threat to the Global Polio Eradication Initiative (GPEI), and to further expansion of routine immunisation. Understanding hesitancy, leading in some cases to refusal, is vital to the success of GPEI. This article explains the method, findings and conclusions to a recent study in northern Nigeria that sought to understand factors at household and community level […]

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Maternal and Child Survival Program Engagement in the 2016 Gavi Joint Appraisal: A Summary of Country Experiences

The Gavi Alliance (Gavi) joint appraisal (JA) is an annual, in-country multi-stakeholder review of the implementation progress and performance of Gavi’s support for new and under-used vaccines and health system strengthening support, and of its contribution to improved immunization outcomes. Before the introduction of this process in 2015, in order for countries to renew funding […]

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Immunization review meetings: “Low Hanging Fruit” for capacity building and data quality improvement?

Although systematic program review meetings are common practice in many health and immunization programs, there is little documentation on their implementation and role. Adult education principles espouse opportunities for peer exchange to build capacity and cross-learning, for which review meetings have been a forum utilized in immunization programs for many years. This study describes the […]

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Beyond new vaccine introduction: the uptake of pneumococcal conjugate vaccine in the African Region

The number of vaccines available to low-income countries has increased dramatically over the last decade. Overall infant immunization coverage in the WHO African region has stagnated in the past few years while countries’ ability to maintain high immunization coverage rates following introduction of new vaccines has been uneven. This case study examines post-introduction coverage among […]

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Maternal Child Survival Program
Maternal and Child Survival Program