MCHIP

Immunization

Globally, immunization prevents 2-3 million deaths each year. The World Health Organization estimates that the remaining under-5 deaths — approximately 1.5 million deaths annually — could be prevented with existing vaccines. Success in reducing vaccine-preventable mortality has been dramatic, but it cannot be taken for granted.

MCSP works to operationalize USAID’s longstanding commitment to strengthen routine immunization (RI). By increasing capacity to achieve and sustain high and equitable immunization coverage levels with all appropriate vaccines, we are reaching the unreached and reducing child mortality.

Our approach:

  • Provides the foundation for timely vaccination;
  • Supports and sustains new vaccine introduction;
  • Contributes to the achievement of disease control initiatives; and
  • Advances other health interventions.

MCSP is a global leader in the arena of immunization, helping to shape policies and strategies in close partnership with the WHO, UNICEF, GAVI, and ministries of health. Our participation in selected global working groups and committees amplifies the Program’s learning while infusing the strategic and operational plans of key partners with pragmatic, operational considerations.

We work to strengthen country-level capability to manage the delivery of immunization services and promote their acceptance and utilization by tailoring immunization strengthening approaches to each country’s context. By strengthening key neglected program components of the RI system—such as the supply chain and community partnerships— we are helping to ensure timely childhood vaccination and improving the quality and local use of data.

Our team applies a variety of strategies to improve immunization management in-country through in-service training, supportive supervision, on-the job training, and pre-service education. MCSP also partners with WHO to develop, review and adapt capacity-building materials to be used at the country level.

Fostering strong partnerships between the health system and communities, including caregivers, is critical to achieving our global goals. These partnerships improve the shared planning, delivery, utilization and monitoring of immunization services, and give particular attention to reaching underserved populations and reducing drop-out rates.

To download MCSP’s immunization fact sheet, click here.

Key Results


  • For the groundbreaking Ministerial Conference on Immunization in Africa, MCSP and UNICEF co-led the development of the ministerial brief on community involvement, contributed to four other ministerial briefs, ensured diversity and strength of civil society organization involvement, and developed a social media toolkit. MCSP’s efforts contributed substantially alongside WHO, the African Union, UNICEF, the Bill & Melinda Gates Foundation, and other partners to the passage of the Addis Declaration on Immunization (ADI). The signatories now include 80% of African countries, which have agreed to make immunization services a national priority and a cornerstone of development and, as of January 2017, the ADI has been endorsed by African Heads of State at the African Unit.
  • Through MCSP’s collaboration with partners, 11 countries completed the historic WHO-led global polio vaccine Switch, successfully removing all trivalent supplies nationwide. Program efforts resulted in effective planning and ensured that health care workers were trained and supervised to administer the new vaccine.
  • The Program continues to participate in immunization-related working groups, steering committees, and technical platforms, and focuses on integrating country-level experiences and best practices into the global immunization strategy through participation in these global level activities. MCSP also provides input to the WHO African Regional Office to revise and adapt the Reaching Every District (RED) guidelines to include a greater focus on integration, equity and the community. Once completed, MCSP will assist Program countries to adapt and implement these revisions, furthering MCSP’s goal of vaccinating every child while ensuring that children who receive vaccines also have access to other critical health services. In addition, the Program supported USAID in a review of the 2016 Gavi Joint Appraisal process in MCSP focal countries, which was later used by the Agency to provide feedback to Gavi as well as by MCSP during the West Africa Regional Working Group meeting and the Regional Immunization Technical Advisory Group meeting.
  • Through MCSP and partners support, 10 countries introduced and supported the rapid scale-up of lifesaving vaccines nationwide, including: measles-rubella; measles second dose; inactivated poliovirus; rotavirus; and pneumococcal conjugate vaccine. In Malawi, MCSP is supporting the implementation of all five RED components and infant tracking to improve routine immunization and other health interventions in two districts (368 communities), and in Bauchi and Sokoto states in Nigeria, the Program is working with state governments and partners to increase fixed and outreach routine immunization (RI) sessions, including investigating whether the engagement of traditional barbers and other community resource persons can be an effective way to identify and refer newborns to RI services.
  • MCSP Immunization staff from Nigeria, Tanzania, Malawi and Mozambique participated in a Mid-Level Managers (MLM) African regional training, which helped attendees gain needed planning, management, monitoring and evaluation skills, as well as the knowledge to supervise and support immunization operations such as service delivery, cold chain and logistics, purchase and quality control of vaccines, and communication in support of the immunization program. Program staff from Kenya and Zimbabwe helped to facilitate the sessions and shared country experiences. Across the African region, countries will be building capacity of mid- level managers at national and district levels using the revised MLM training curriculum and methodology, working closely with WHO and UNICEF counterparts on implementation.
Maternal Child Survival Program
Maternal and Child Survival Program