Variations in the Uptake of Routine Immunization in Nigeria: Examining Determinants of Inequitable Access

Globally, immunization prevents an estimated 2–3 million deaths among under-5 children, yet in Nigeria, only 25% of children ages 12–23 months are fully immunized. There are also marked disparities in the uptake of immunizations, largely attributable to the context within which families live and seek health care. The authors assessed the individual and state determinants […]

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Community Engagement, Routine Immunization, and the Polio Legacy in Northern Nigeria

The Partnership for Reviving Routine Immunization in Northern Nigeria; Maternal, Newborn, and Child Health Initiative (PRRINN-MNCH) was a project funded by the UK Department of International Development and the Norwegian government that used an integrated approach to strengthen health services and increase community demand for and access to quality health care. Baseline and endline population-based […]

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Report on MCSP Support for the Polio Switch in April 2016

In April 2016, the largest and fastest globally-coordinated project in the history of immunization was carried out in 155 countries and territories. Known as “the switch,” this activity entailed replacing trivalent oral polio vaccine (tOPV), which protects against all three strains of the poliovirus, with the bivalent form (bOPV) which protects against two strains, types […]

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Redefining Immunization: Not Just a Shot in the Arm

The persistence and periodic resurgence of vaccine-preventable diseases have raised questions about the determinants of poor immunization coverage. In Sub-Saharan Africa, traditional health practitioners (THPs) play a major role in providing health care and health education, particularly in rural areas where Western health care is unavailable. The project, Immunization Advocacy: Saving Lives of Africa’s Children, […]

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Strengthening the Routine Immunization System through a Reaching Every Child-Quality Improvement Approach in Uganda

This how-to guide, based on experience and lessons learned from introducing Reaching Every Child-Quality Improvement (REC-QI) in Uganda and Ethiopia, provides guidance on how to carry out REC-QI. It supplements, but does not replace, the current national REC strategy. Staff from the Uganda National Expanded Program on Immunization, hospitals, district health teams, and health sub-districts […]

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Vaccination coverage and timely vaccination with valid doses in Malawi

This MCSP co-authored article, published in the journal Vaccine Reports, highlights the results of a cluster vaccination coverage survey conducted in two districts in Malawi: Dowa and Ntchisi. The survey measured the vaccination coverage of children 12–23 months old and identified factors impacting the utilization of vaccination services. To read the full article, click here. […]

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MCSP Fact Sheet

Two-page overview of USAID’s flagship Maternal and Child Survival Program, which is designed to advance the Agency’s goal of ending preventable child and maternal deaths. Available in English, French and Spanish. […]

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Reaching Every Community Using Quality Improvement (REC-QI): Mapping to support routine immunization microplanning in Uganda

The success of immunization depends largely on the ability to reach every child with vaccination services. That, in turn, requires that health facilities have current information on where even the most remote and underserved communities live so that plans to reach them can be prepared. This document describes a process developed by MCSP/Uganda for accurately […]

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Maternal Child Survival Program
Maternal and Child Survival Program