Publication Date December 1, 2024 Research & Evidence

Fragility, Health and the Risk Paradigm: A Health-Sensitive Framework

This article examines the relationship between fragility and health and proposed a health-sensitive conceptual framework for understanding the impact of fragility on health outcomes. Through a comprehensive literature review and comparison of existing fragility frameworks, the study identifies five key characteristics of fragility: alignment with the risk paradigm; multidimensionality; systems perspective; state-society relationship; and appreciating fragility in relation to ‘contexts’ rather than ‘states’. The paper highlights the need for a multidimensional approach to fragility that includes a distinct health dimension in addition to political, security, economic, social, environmental domains.

Publication Date December 1, 2024 Research & Evidence

Health Systems Considerations for the Adaptation and Redesign of Routine Immunization Services During and Beyond the COVID-19 Pandemic

The report examines the impact of COVID-19 on routine immunization (RI) services in Mozambique, highlighting adaptations like outdoor service delivery, integrated care, and electronic data reporting. These changes addressed immediate disruptions and informed strategies for equitable, client-centered, and resilient RI services to withstand future health system shocks.

Publication Date December 1, 2024 Research & Evidence

Assessing Government-funded Operational Expenditures for Routine Immunization Activities at the Health Zone Level in the Democratic Republic of the Congo

This report examines government-funded operational expenditures for routine immunization (RI) at the health zone level in the DRC, highlighting challenges like minimal funding, reliance on out-of-pocket expenses, and paper-based financial tracking. Key findings emphasize the need for better budget allocation, digitization of financial systems, and capacity building to improve RI service delivery and transparency.

Publication Date December 1, 2024 Program & Technical Resources

Building a National Learning Platform to Advance Quality of Care in Nigeria

With the technical support from MOMENTUM Country and Global Leadership, Nigeria launched a National Quality of Care (QoC) Learning Platform that hosts national and state data on QoC, learning events and courses, policy documents, implementation guides, and other helpful resources. This brief summarizes these efforts to foster learning to advance QoC for Nigerian citizens.

Publication Date December 1, 2024 Research & Evidence

Dynamics of Care and Sector Use Between Birth, Contraception, and Sick Child Services

This report presents the findings from an analysis conducted by MOMENTUM Private Healthcare Delivery using data collected by The Demographic and Health Surveys (DHS) Program to examine sector use and sector fidelity at the individual level for childbirth, contraceptives, and sick child care.

Publication Date December 1, 2024 Program & Technical Resources

Quadro de Parcerias Estratégicas e Conjunto de Ferramentas para Parcerias Inovadoras de Imunização

O Quadro de Parcerias Estratégicas fornece uma estrutura, processos sugeridos e exemplos históricos sobre como se envolver estrategicamente com parceiros inovadores e estratégicos para enfrentar os obstáculos à imunização. O kit de ferramentas complementa esta estrutura e fornece ferramentas práticas para ajudar a navegar pelas actividades ao longo do ciclo de vida da parceria.

Publication Date December 1, 2024 Program & Technical Resources

Cadre de partenariat stratégique et boîte à outils pour les partenariats innovants en matière de vaccination

Le cadre de partenariat stratégique fournit une structure, des suggestions de processus et des exemples historiques sur la manière de s'engager stratégiquement avec des partenaires innovants et stratégiques pour s'attaquer aux obstacles à la vaccination. La boîte à outils complète ce cadre et fournit des outils pratiques pour aider à naviguer dans les activités tout au long du cycle de vie du partenariat.

Publication Date December 1, 2024 Training & Guidance

Analysis of Resilience of Communities to Disaster Health Toolkit

The Analysis of Resilience of Communities to Disaster Health (ARC-D) Health Toolkit was developed to support MOMENTUM Integrated Health Resilience country teams and their partners to conduct ARC-D Health assessments in target communities. The toolkit includes tools, templates, checklists, and instructions and tips for implementing ARC-D Health assessments. The toolkit will be supplemented by course materials for training and deploying data collection teams, processing data, and reporting on findings.

Publication Date December 1, 2024 Program & Technical Resources

Impact of Joint State Advocacy Visits, State Engagement, and Capacity Strengthening in Nigeria

Quality service delivery in Nigeria has experienced setbacks and challenges over the years, adversely affecting health outcomes, particularly for mothers and children. In response to these challenges, the project identified state advocacy, engagement, and capacity strengthening as critical areas for intervention. This brief summarizes support from MOMENTUM Country and Global Leadership to foster collaboration among stakeholders, enhance health worker skills and competencies, and improve health outcomes for mothers and children across all states in Nigeria. With combined efforts, partnerships, and collaborations from the Federal Ministry of Health and National Primary Health Care Development Agency (NPHCDA), advocacy plans, training modules, and schedules were developed for organized and effective trainings.

Publication Date December 1, 2024 Program & Technical Resources

Locally Led Implementation of an Adolescent Intervention To Address Child, Early, and Forced Marriage And Improve Sexual and Reproductive Health Outcomes in Nigeria

This brief summarizes the implementation approach taken by USAID's MOMENTUM Country and Global Leadership to address the multiple factors underpinning intimate partner violence, CEFM, and early adolescent pregnancy. The project worked at each level of the socioecological model by engaging adolescents and their parents, partners, and communities to yield improved social and health outcomes.