Publication Date September 1, 2023 Research & Evidence

Factors Associated with Uptake and Use of Immunization Toolkits and Guidance

Immunization-related resources, such as toolkits and guidance, are designed to address critical technical components of immunization activities. Resource designers and implementers may benefit from additional information to identify strategies to support uptake and use of the resource—including implementation best practices. As a work plan activity in the 2023 project year, MOMENTUM Routine Immunization Transformation and Equity examined existing immunization-related toolkits and guidance to identify opportunities to improve uptake and use. As a foundational step to help the project prepare for these activities, the Measurement, Adaptive Learning and Knowledge Management Lab (MAKLab) for MOMENTUM conducted a desk review of relevant gray and published literature and conducted key informant interviews to identify known facilitators and barriers to the uptake and use of immunization-related resources. The analysis primarily focused on implementation of immunization-related resources, but non-immunization resources were considered if the type of resource, user, or use was similar to the immunization context. Findings from the desk review and interviews were synthesized into a list of factors associated with uptake and use of immunization-related toolkits and guidance.

Publication Date August 1, 2023 Webinars

Using Data Triangulation for Identifying Zero-Dose and Under-Immunized Children

Data triangulation offers an alternative route to using data to identify and estimate non-immunized, under-immunized, and zero-dose children more accurately. On August 31, 2023, MOMENTUM Routine Immunization Transformation and Equity held a webinar on the use of this approach drawing from experiential knowledge, and included a panel discussion featuring colleagues from the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) and the Centers for Disease Control (CDC).

Publication Date August 1, 2023 About MOMENTUM

MOMENTUM Tiyeni Fact Sheet

This fact sheet for the Malawi MOMENTUM Tiyeni project highlights the project's focus on maternal and newborn health, child health, reproductive health, and family planning, and nutrition, where it works, and other key project information.

Publication Date August 1, 2023 Program & Technical Resources

Integrated Management of Childhood Illness in Three Districts in Ghana: Successes, Challenges, and Opportunities

This report captures results and analysis from interviews with Ghana Ministry of Health and Sanitation staff at the national, district, and facility levels to assess the successes of, challenges to, and opportunities for effective implementation of Integrated Management of Childhood Illness (IMCI), part of a multi-country study begun in 2022. Despite broad support for the IMCI protocol, implementation in Ghana has been limited, with four key challenges cited by multiple interviewees: 1) policy restriction on CHPS (Community Health Planning and Service) activities, 2) insufficient prioritization by international partners working in Ghana, 3) frequent stockouts of medicines essential for IMCI, and 4) lack of referral transport. The report provides key programmatic recommendations to address these barriers.

Publication Date August 1, 2023 Webinars

Making the Case: Supporting Breastfeeding by Integrating Perinatal Mental Health Services in PHC

Recent evidence has shown that women who are experiencing common perinatal mental disorders (CPMDs)—such as depression, anxiety and somatic disorders—are more likely to report insufficient milk and other breastfeeding difficulties, preventing them from exclusive breastfeeding. On August 29, 2023, MOMENTUM Country and Global Leadership hosted a webinar on this under-explored area of intersection and integration, looking at the latest evidence and discussing how to support of breastfeeding through the integration of perinatal mental health services in primary health care.

Publication Date August 1, 2023 Program & Technical Resources

COVID-19 Vaccination Program in Review: Ghana

As MOMENTUM Routine Immunization Transformation and Equity’s COVID-19 vaccination program in Ghana comes to an end, this report looks back on the successes, challenges, and lessons learned that the project had in reaching underserved and priority populations, strengthening health systems management, and improving the health workforce. To learn more about the COVID-19 vaccination program in Ghana, which was conducted from June 2021 to June 2023, download this country program in review.

Publication Date August 1, 2023 Program & Technical Resources

MOMENTUM Modular Health Facility Assessment

The Modular Health Facility Assessment (HFA) and user guide provide the MOMENTUM suite of awards with a tool focusing on reproductive, maternal, newborn, child and adolescent health/family planning care and services, including seven modules that collect information on the following: service availability; service readiness; quality and safety of patient care; experience of care; availability of register; community services and mobilization; health facility oversight; quality improvement; and use of data.

Publication Date August 1, 2023 Research & Evidence

Zero Dose Country Profile: Madagascar

In Madagascar, 34% of children between the ages of 12 and 23 months are ‘zero dose’, meaning they have never received any vaccinations. Reaching zero dose children with immunizations can be a valuable opportunity to connect vulnerable children and communities with the health system. This brief describes the zero dose population in Madagascar, the barriers they face, and the tools that can be leveraged to reach them. 

Publication Date August 1, 2023 Program & Technical Resources

Investment Case for Scaling Up Integrated Community Case Management (iCCM) and Community Health Services in Malawi

MOMENTUM Country and Global Leadership collaborated with the Malawi Ministry of Health to develop a national “Investment Case for Scaling Up Integrated Community Case Management (iCCM) and Community Health Services in Malawi.” The Investment Case provides the Government of Malawi and development partners, as well as other domestic stakeholders focused on strengthening community health, with clear financing requirements and impact projection. The Investment Case justifies continued and increased investments to ensure institutionalization of sustainable, accessible, and equitable iCCM and community health services at scale. It lays out the specific costs associated with scaling up iCCM services in Malawi as a component of the overall community health program—an expansion that would double the percentage of the population served by Health Service Assistants to nearly 80% in 2026, saving an estimated additional 16,000 children’s lives through 2031. 

Publication Date August 1, 2023 Program & Technical Resources

Where Do We Go From Here: Using a Behaviorally Focused Applied Political Economy Analysis to Strengthen Continuing Professional Development

In Ghana, MOMENTUM Country and Global Leadership partnered with the country’s Nursing and Midwifery Council to conduct a Behaviorally Focused Applied Political Economy Analysis (BF-APEA) process on continuing professional development (CPD) for nurses and midwives. Stakeholders and decision makers were brought together to discuss goals for CPD, impediments to achieving those goals, and key behaviors required of stakeholders to address those impediments. Primary research was also conducted with providers, supervisors, policymakers, stakeholders, and other individuals who could offer insight and understanding on the challenges and motivations faced in practicing these key behaviors. This executive summary and report shares the findings of this process, as well as a co-created set of recommendations and solutions for the future of CPD in Ghana.

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