In rural India, many barriers exist to full immunization coverage. Topographic constraints, such as walking long distances in hilly terrain, crossing bodies of water, poor road conditions, lack of transport and more deter caregivers from visiting outreach sites on time. Community health volunteers are forced to go door-to-door to inform caregivers about the arrival of the vaccination team at the outreach site. To overcome these challenges, JSI, in collaboration with the state government stakeholders and a local NGO, tested a unique, culturally appropriate, low cost, scalable method of disseminating information about the arrival of the vaccination team at the outreach site on designated vaccination days.
JSI contributed to the success of the introduction of the rotavirus vaccine (RVV) in all of its 36 states and union territories.
Advisors in JSI’s Immunization Center describe how health service providers and communities in northern Nigeria could digitize the paper-based system they use to collect, analyze, and map immunization data for microplanning.
One in 16 Ugandan children do not live to reach their fifth birthday. Thankfully, the country’s Ministry of Health (MOH) sees this tragic statistic for what it is: an unacceptable number of preventable deaths.
Uganda’s commitment to its youngest citizens is more than lip service. It became a strategic approach to reduce death, illness and disability – and improve growth and development – of children under five. The foundation of this success was the implementation of the Integrated Management of Newborn and Childhood Illnesses (IMNCI) approach as the main strategy for increasing coverage of low-cost, high-impact, evidence-based child health interventions at all levels of the health system.
In advance of the first Ministerial Conference on Immunization in Africa, the Maternal and Child Survival Program’s Katrin DeCamp and Robert Steinglass provide three key points about how to overcome immunization challenges.
One in five children in the African region does not receive the vaccines they need, while immunization coverage for Africa has stagnated over the past three years and health systems remain weak. The global health community realizes the Reaching Every District (RED) approach has not been fully implemented in many countries, and did not reach all underserved. It is against this background that a gathering was convened last month to exchange best practices for achieving equitable immunization access in Africa.