From 2011-2021, JSI Research & Training Institute, Inc. (JSI) implemented the Universal Immunization through Improving Family Health Services (UI-FHS) project in Ethiopia. In over 100 districts, UI-FHS applied quality improvement methods and tools to the national Reaching Every District (RED) strategy in order to strengthen the routine immunization system. This approach, known as RED-QI, focuses on improving equity in immunization service delivery to ensure that all children are reached with high-quality vaccination services.
The graphic summarizes each phase of the project:
Phase 1: Learning Grant
From 2011-2014, the project implemented in three districts with varying context, examining what it would take to strengthen routine immunization (RI) in each. Coverage and serology surveys were conducted at baseline and endline that demonstrated improved levels of protection and coverage, improved timeliness, and reduced missed opportunities for vaccination (MOV).
Phase 2: Scaling RED-QI
From 2014-2018, the project scaled RED-QI to over 100 districts (two-thirds of which were in weak-infrastructure settings). UI-FHS implemented tailored strategies to strengthen implementation based on context and produced lessons on what it takes to scale.
Phase 3: Institutionalization
From 2018-2021, the project shifted focus to capacity building at Regional Health Bureau (RHB) and Zonal Health Department (ZHD) levels to institutionalize RED-QI. UI-FHS also piloted new innovations such as integrated planning and service delivery with other health services and data triangulation activities, and it conducted an urban immunization assessment.