Publication Date March 1, 2023 Research & Evidence

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

The importance of immunization for child survival underscores the need to eliminate immunization inequalities. Few existing studies of inequalities use approaches that view the challenges and potential solutions from the perspective of caregivers. This study aimed to identify barriers and context-appropriate solutions by engaging deeply with caregivers, community members, health workers, and other health system actors through participatory action research, intersectionality, and human-centered design lenses.

Publication Date March 1, 2023 Research & Evidence

Gender-based Violence Services Mapping in Ebonyi and Sokoto States in Nigeria

As part of MOMENTUM’s efforts to prevent and mitigate the consequences of violence against women and girls (VAWG) and possible drivers of child early and forced marriage (CEFM), the mapping exercise aimed to identify, enumerate, and map existing survivor-centered GBV services, including formal and informal services; determine the readiness of facilities to provide quality services across sectors; and assess capacities of service providers in the 11 LGAs. The mapping project prioritized the following sectors: health care, law enforcement, legal counsel/support, psychosocial support, child protection, temporary/emergency shelter, and economic empowerment/livelihood.

Publication Date March 1, 2023 Program & Technical Resources

Case Study: India | Micro-Targeting for Equitable COVID-19 Vaccination

This case study illustrates how USAID’s MOMENTUM Routine Immunization Transformation and Equity project, in partnership with the Government of India and the Ministry of Health and Family Welfare, used a micro-targeting strategy to identify and convey information about COVID-19 vaccination to marginalized and hard-to-reach populations across 18 states in India. It discusses related opportunities, challenges, and key lessons for the global health community.

Publication Date March 1, 2023 Program & Technical Resources

Case Study: India | Rapid Establishment of a Monitoring, Evaluation, and Learning System for COVID-19 Vaccination

MOMENTUM Routine Immunization Transformation and Equity, in partnership with the Government of India (GoI) and the Ministry of Health and Family Welfare, developed a multi-faceted monitoring, evaluation, and learning system for COVID-19 vaccination activities and adapted it to accommodate the project’s rapid start-up and growth in the ever-evolving pandemic context in 18 states across India. This case study outlines the data management flow, data process and systems, and the corresponding benefits, challenges, and opportunities, and summarizes key lessons.

Publication Date March 1, 2023 Program & Technical Resources

Context Assessment Toolkit & Guide to Implementation Bundle

The Context Assessment Toolkit ('CA Toolkit') bundle includes tools and resources that can help improve the success of practice changes in health care by helping project implementers and facility leaders better understand the health care facility contexts in which they are implementing activities to improve quality of care. The Context Assessment Toolkit itself focuses on aspects of the facility that can affect implementation of a practice change, rather than a facility's ability to provide care. In addition to an implementation guide, the toolkit includes four distinct tools that are meant to be used with health facility staff: Pre-Implementation Survey; Progress Survey; Context Conversation Guides; and an Implementation Pulse Check. This bundle of resources also includes additional implementation resources, such as orientation slide decks, translation resources, and results interpretation guides. 

Publication Date March 1, 2023 Research & Evidence

Down But Not Out: Vasectomy Is Faring Poorly Almost Everywhere—We Can Do Better To Make It A True Method Option

This article, originally published in Global Health Science and Practice, draws attention to surprisingly low (and declining) global vasectomy rates and discusses the current state of low demand and low prioritization for this family planning method. The review and analysis described in the article were supported by MOMENTUM Safe Surgery in Family Planning and Obstetrics.

Publication Date February 1, 2023 Program & Technical Resources

Scaling up Effective Water, Sanitation, and Hygiene Services through Faith-Based Health Care Networks

In 2020, the COVID-19 pandemic shocked health systems, demanding the urgent identification and prioritization of immediate health care facility needs. Beginning in August 2020, USAID’s MOMENTUM Country and Global Leadership project implemented WASH improvements in 199 HCFs in Bangladesh, Ghana, India, Sierra Leone, and Uganda, including 44 faith-based facilities in Ghana, Sierra Leone, and Uganda. This brief distills learnings of faith-based partners, supports faith-based networks to take WASH activities to scale, and suggests ways to achieve scaling through limited, medium-level, and significant investments.

Publication Date February 1, 2023 Program & Technical Resources

Integrated Management of Childhood Illness in Sierra Leone: Successes, Challenges, and Opportunities

In 2022, MOMENTUM Country and Global Leadership undertook several country-based qualitative assessments of the successes of, challenges to, and opportunities for effective implementation of Integrated Management of Childhood Illness (IMCI). This Sierra Leone report captures the results and analysis from 18 interviews with Ministry of Health and Sanitation staff at the national, district, and facility levels.  The report breaks down the findings and recommendations across six key program areas: coordination and management, training, supervision, motivation, referrals, and supplies and equipment.

Publication Date February 1, 2023 Research & Evidence

Primary Health Care Integration Landscape Analysis: Literature Review Findings

To fill the knowledge gaps about what lessons have been learned about integration of primary health care (PHC) services in low- and middle-income countries and inform current and future efforts to improve the integration of PHC and immunization services, MOMENTUM Country and Global Leadership conducted this literature review to synthesize what is known about the level of implementation of immunization and PHC service integration in LMICs, identify policy and performance gaps in integration efforts, describe impediments and enablers of integration, and the solutions to address the main challenges.

Publication Date February 1, 2023 Program & Technical Resources

Promoting Vaccination: A Toolkit for Collaborating with Faith Communities

This toolkit is designed to equip faith actors and related stakeholders—such as Ministries of Health, medical and scientific bodies, and non-profit organizations that partner with or work alongside faith actors—with the information and tools needed to raise awareness, reduce misinformation, and address barriers that prevent faith communities in particular from engaging in vaccination. It includes information on theological dimensions of vaccination, holding discussions on vaccination, messaging on social media, holding inter-faith discussion forums on vaccine promotion, organizing harmonized inter-faith vaccine campaigns, and engaging with faith-based scientific technical bodies. Ultimately, this toolkit is intended to promote innovative partnerships that drive vaccine acceptance and uptake and to inspire increased strategic discussion and investment among stakeholders in the vaccine space.