Publication Date January 1, 2025 Program & Technical Resources

COMING SOON: Toolkit to Identify, Reach, Monitor, Measure, and Advocate for Un- and Under- Immunized Children and Communities

This toolkit, which will be available in February 2025, is designed to help immunization program managers at national and subnational levels, as well as supporting organizations, identify and address gaps in immunization coverage.  By operationalizing the IRMMA (Identify – Reach – Monitor – Measure – Advocate) framework, the toolkit provides practical decision-making criteria and tools to determine when, where, and how to conduct rapid assessments or targeted surveys, and to take effective actions to reach, vaccinate, and follow up with un- and under-immunized communities. 

Publication Date January 1, 2025 About MOMENTUM

COVID-19 Vaccination Program in Review: Haiti

MOMENTUM Routine Immunization Transformation and Equity reflects on its successes, challenges, and lessons learned in reaching underserved and priority populations, strengthening health systems management, and enhancing the health workforce in Haiti. To learn more about the COVID-19 vaccination program in Haiti, conducted from March 2022 to September 2024, download this country program review.

Publication Date January 1, 2025 Research & Evidence

Strategic Planning Advisors for Education and School Health in Africa

The Strategic Planning Advisors for Education and School Health in Africa (SPAESHA) activity by MOMENTUM Country and Global Leadership was designed to explore the potential of multisector coordination within education systems to advance policies that promote healthy, safe, and resilient schools in an ever-evolving health landscape in Kenya, Malawi, Senegal, and Uganda. SPAESHA conducted national-level policy audits and a desk review of published and gray literature on school-age children (3-18 years) in each SPAESHA country. These reports detail findings, including an overview of the school health and education contexts and the known and emerging health needs affecting school-age children, including infectious diseases, nutrition, water, sanitation and hygiene, sexual and reproductive health, disabilities, oral health, injuries, mental health and wellbeing, and emergency, disaster, climate, or environment-related health issues.

Publication Date January 1, 2025 Program & Technical Resources

Using Integrated Digital Nudges to Strengthen Awareness and Demand for Postpartum Family Planning and Immunization

The MOMENTUM Healthcare Delivery Project partnered with Suvita to extend its successful platform of lower-cost digital SMS nudges for childhood immunization to support postpartum women’s access to family planning information and services. This learning brief summarizes the implementation of the family planning-related results of, and lessons learned, from this partnership.

Publication Date January 1, 2025 Training & Guidance

From Global Guidance to Country Adaptation: Contextualizing the World Health Organization’s Standards for improving the quality of care for small and sick newborns in health facilities in Nepal, Nigeria, and Kenya

MOMENTUM Country and Global Leadership facilitated the country-level adaptation of the WHO’s global guidance on Standards for Improving the Quality of Care for Small and Sick Newborns in Health Facilities in Nepal, Nigeria, and Kenya. This effort included a comprehensive desk review of relevant national policies and guidelines. The brief outlines the foundational steps each country took to compare existing policies and guidelines with the WHO standards.

Publication Date January 1, 2025 Research & Evidence

Improving Health Workers’ Immunization Performance

The brief from MOMENTUM Routine Immunization Transformation and Equity explores a behavior-focused methodology to enhance health worker performance in routine immunization services in Kenya. By employing behavior integration—a human-centered approach—the project identifies and addresses systemic barriers, such as inadequate training, limited resources, and poor community engagement, to improve immunization coverage. The initiative emphasizes co-creation, local ownership, and sustainability, enabling health workers and managers to adopt practices that enhance service quality and client experiences. This approach offers practical solutions to overcome entrenched challenges, fostering equitable access to life-saving vaccines.

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.