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Strengthening routine immunization services and sustainable financing for immunization

Nigeria - Immunization Resources

Summary Document: Making Reaching Every District Operational (IMMbasics, 2009)

The World Health Organization, USAID and other partners designed the Reaching Every District (RED) approach in 2002 as an innovative method to improve and sustain performance of routine immunization programs, particularly in the Africa region. IMMUNIZATIONbasics implemented Nigeria's adaptation of this approach in two northern states. In addition to strengthening the routine immunization system at state and Local Government Area/district levels, the approach also helped to improve the primary health care system as a whole. Read this summary document, or the more detailed in-country version below.

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Nigeria Version: Making Reaching Every Ward Operational (IMMbasics, 2009)

The World Health Organization, USAID and other partners designed the Reaching Every District (RED) approach in 2002 as an innovative method to improve and sustain performance of routine immunization programs, particularly in the Africa region. IMMUNIZATIONbasics implemented Nigeria's adaptation of this approach in two northern states. In addition to strengthening the routine immunization system at state and Local Government Area/district levels, the approach also helped to improve the primary health care system as a whole. The techniques applied focus on taking the RED approach to scale using low-cost methods and appropriate technology. This document details the experiences in Bauchi and Sokoto states.

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End of Project Review Report (IMMbasics, 2009)

IMMUNIZATIONbasics implemented a routine immunization system strengthening project in Nigeria from October 2006 to June 2009. The project worked with international partners and government agencies at both the national level and in the two northern states of Bauchi and Sokoto. The project focused on making the five components of Nigeria's Reaching Every Ward (REW) approach operational. Nigeria adapted REW from WHO's Reaching Every District (RED) approach for improving routine immunization. This report highlights findings and recommendations from an end of project review.

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Health Facility Catchment Area Mapping (IMMbasics, 2008)

This practical guide builds on Nigeria's Reaching Every Ward (REW) approach to improve how a health facility plans and organizes its services based on the communities in its catchment area. The document outlines a process taken in Bauchi state to update health facility catchment area maps using participatory methodologies with traditional leaders, ward heads, and key community stakeholders. The process used not only helped health facilities to better plan and organize their services, but also served to build stronger relationships between health facilities and the communities in their catchment area.

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Support Supervision Guide (NPHCDA, 2009)

To supplement in-country reference materials on supportive supervision, the Nigeria National Primary Health Care Development Agency worked with partners such as IMMUNIZATIONbasics, WHO and UNICEF to develop a quick guide for managers conducting supervision visits. This practical tool is intended for use in Nigeria by immunization and primary health care managers at all levels, but can also serve as sample material for other countries interested in developing a similar quick guide.

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IMMbasics Nigeria Baseline (IMMbasics, 2007)

This document describes baseline findings prior to IMMUNIZATIONbasics' intervention in the northern Nigerian states of Bauchi and Sokoto. It contains the results of a rapid statewide assessment conducted both to identify the structure of the routine immunization system in each of the 43 Local Government Areas and also to determine the contribution of the routine immunization system to the vaccine coverage of infants under one year of age.

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