UI-FHS creates and publishes a range of documents about its work. Most resources are available for online viewing and download. Use the free Adobe Acrobat Reader program to view the PDF files on your computer.

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Peer-Reviewed Journal Articles | Publications & Presentations | Tools & Guidelines | Blog Posts & Online Media | Learning Grant Reports


Peer-Reviewed Journal Articles

Immunization Coverage Surveys and Linked Biomarker Serosurveys in Three Regions in Ethiopia

Mark A. Travassos, Berhane Beyene, Zenaw Adam, James D. Campbell, Nigisti Mulholland, Seydou S. Diarra, Tassew Kassa, Lisa Oot,  Jenny Sequeira, Mardi Reymann, William C. Blackwelder, Yukun Wu, Inna Ruslanova, Jaya Goswami, Samba O. Sow, Marcela F. Pasetti, Robert Steinglass, Amha Kebede, Myron M. Levine. PLOS ONE, 11(3), March 2016

Strategies for Coordination of a Serosurvey in Parallel with an Immunization Coverage Survey

Mark A. Travassos, Berhane Beyene, Zenaw Adam, James D. Campbell, Nigisti Mulholland, Seydou S. Diarra, Tassew Kassa, Lisa Oot, Jenny Sequeira, Mardi Reymann, William C. Blackwelder, Marcela F. Pasetti, Samba O. Sow, Robert Steinglass, Amha Kebede and Myron M. Levine. American Journal of Tropical Medicine and Hygiene, 2015 93:416-424, June 2015


Publications & Presentations

From 3 Districts to 103: Lessons Learned and Considerations for Scaling Up Innovative QI Approaches

This poster presentation identified key findings that facilitate uptake and scaling of innovative QI approaches into a larger, complex health ecosystem. It was presented at the CORE Group Global Health Practitioner Conference in Maryland, USA. (2019)

Mobilizing Local Support for Immunization: Experience from Uganda and Ethiopia in engaging local stakeholders and leaders

This brief outlines JSI’s experience in Uganda and Ethiopia to strengthen subnational level teamwork between the health personnel typically responsible for immunization and the non-health stakeholders who are in a position to support it. (2019)

On the Move: The Challenges of Providing Routine Immunization Services to Nomadic Populations in Ethiopia

This poster presentation summarized findings on how microplanning improved immunization services for nomadic populations and overall immunization performance in study regions. It was presented at the Fifth Global Symposium on Health Systems Research in Liverpool, England. (2018)

Mid-Program Review in Afar and Somali Regions

A Mid-Program Review was conducted in 2017 to improve operationalization of RED-QI in pastoralist contexts, examine contextual factors that influence implementation, and assess factors that might hinder or facilitate sustainability. (2018) Download the brief; Download the full report

Use of Plan-Do-Study-Act (PDSA) Cycles to Strengthen Routine Immunization in Ethiopia

This oral presentation summarized findings from qualitative research on the experience of quality improvement teams using PDSA cycles. It was presented at the IHI 1st Africa Forum on Quality and Safety in Healthcare in Durban, South Africa. (2018)

Linking Health Facilities and Communities Improves Routine Immunization

This brief focuses on key findings from operational research conducted on Plan-Do-Study-Act (PDSA) cycles, highlighting how the RED-QI approach encouraged greater facility-community linkages through engagement in PDSA cycles. (2018)

Costing Study Policy Brief

This policy brief summarizes the key findings from a costing study that aimed to better understand the resources that will be required by the Expanded Program on Immunization to reach all populations with equity and quality. (2017)


Tools & Guidelines

Immunization Job Aids

To reinforce good health worker practices and help overcome challenges like high staff turnover, UI-FHS developed a series of job aids to help health workers manage some key functions of the routine immunization system. These job aids address five common challenges with providing immunization services at the health facility level in Ethiopia, and they underwent two rounds of pre-testing to ensure they were practical, user-friendly, and context-appropriate. Download:

Planning of routine immunization sessionsposter in English; brochure in Englishposter in Amharic; brochure in Amharic

Vaccine managementposter in English (front-opening refrigerator); poster in English (top-opening refrigerator); poster in Amharic (front-opening refrigerator); poster in Amharic (top-opening refrigerator)

Using a fishbone diagram to analyze and solve problemsposter in English; poster in Amharic

Improving data qualitybooklet in English; booklet in Amharic

Tracing defaulters to improve immunization performanceposter in English; poster in Amharic

Quick Guide to Vaccine-Preventable Diseases and Vaccines in Ethiopia

This quick guide is used to provide basic information about vaccine-preventable diseases and their vaccines so that Expanded Programme on Immunization (EPI) program managers may apply this knowledge of key epidemiologic and clinical features of each vaccine-preventable disease to make decisions for their EPI program.

Quick Reference Guide for Implementing QI Strategies

This guide is intended for health workers, EPI focal points at the Woreda Health Office (WoHO) and Primary Health Care Unit (PHCU) levels. It provides step-by-step instructions on how to implement various quality improvement (QI) tools and methods and serves as a practical tool for supervisors to use on supportive supervision visits to the health facility level.

Practical Guide for Woredas to Implement Mobile Immunization Services

This step-by-step guide was created to help woreda staff plan, implement and monitor mobile services for routine immunization.

RED-QI How-to Guide

The RED-QI How-to Guide for Immunization Program Managers conveys the essential knowledge and tools needed to apply the Reaching Every District using Quality Improvement (RED-QI) approach. It is a practical resource intended for program managers at woreda health offices and primary health care units.

RED Categorization Database

This Excel database allows woreda health office staff to analyze their coverage and drop-out rates to place their facility into one of four access- and utilization-related categories. Staff use the data to target routine immunization efforts and support.

Microplanning Template

This Excel template for the microplanning process can be used to plan for immunization service delivery. The microplan helps identify both gaps and resources, set targets, and guide health staff in developing appropriate strategies to reach immunization goals.

Process Based Supportive Supervision Checklists

These are checklists for immunization supportive supervision at woreda, health center, and health post levels. Woreda health offices and primary health care units can utilize these checklist as an opportunity to provide on-job training and mentoring to health facility staff. Download woreda levelDownload health center levelDownload health post level 

PDSA Template

The plan-do-study-act cycle is a useful quality improvement tool that helps health workers identify problems, brainstorm and test solutions, and analyze the results. This template is designed to help health extension workers solve routine immunization problems.


Blog Posts & Online Media

Improvement through Continuous Learning: Key Takeaways from the 1st Africa Forum on Quality and Safety in Healthcare (by Adriana Almiñana and Milly Namaalwa, on JSI’s “The Pump” blog; 2018)

Inspiring Data Use, Action, and Innovation across the Southern Nations, Nationalities, and People’s Region in Ethiopia (by Adriana Almiñana and Diane Masket, on JSI’s “The Pump” blog; 2018)

Working toward Universal Immunization: John Snow, Inc (JSI) (by Molly Abbruzzese, on Bill & Melinda Gates Foundation’s “Impatient Optimists” blog; 2016)

How on Earth Can a Remote Ethiopian Health Post Function without Electricity? (by Dr. Orin Levine, on Huffington Post’s “Impact” blog; 2016)

JSI’s UI-FHS Project Joins Ethiopian Government Efforts to Shine Spotlight on Critical Region for World Immunization Week (by Adriana Almiñana, on JSI’s “The Pump” blog; 2015)


Learning Grant Reports

Routine Immunization Tools Used for Analysis and Decision Making at the Toga Health Post

This case study examines how health extension workers at a health post in SNNP Region collect, monitor, analyze, and use their data to make informed decisions to improve routine immunization services in their community. (2015)

Health Extension Workers’ Contributions to Strengthening Routine Immunization in One Woreda

This case study highlights the contributions that health extension workers make to routine immunization services in Hintalo Wajerate Woreda of Tigray Region. (2014)

Health Facility Based Experience Share Programs & Peer Learning Opportunities

This case study conducted in Hintalo Wajerate Woreda of Tigray Region highlights the implementation of peer learning methods and the impact of the peer learning process on woreda health staff and communities. (2013)

UI-FHS Desk Review

This desk review, explored the health landscape in Ethiopia and aided in preparation of the strategy for implementation of the project. It summarizes the Expanded Program on Immunization (EPI) and maternal, neonatal, and child health (MNCH) strategies implemented over the past decade in Ethiopia, and it examines EPI performance and progress. (2012)

Rapid Assessment Report

The rapid assessment report highlights key programmatic and community/cultural issues and existing assets and promising practices in each of UI-FHS’s three learning woredas. This information was used to design woreda-specific quality improvement approaches to strengthen and sustain high levels of routine immunization performance. (2012) Download the briefDownload the full report