The document describes a program in Malawi that uses a community-based tool called MyVillage My Home (MVMH) to track infant vaccination rates. The objectives are to (1) increase fully immunized children compared to baseline, and (2) monitor immunization status of infants under 12 months in two districts. MVMH engages communities and leaders to identify newborns, register them, and mobilize families for vaccination. Health surveillance assistants use MVMH to record vaccination data and meet monthly with leaders to discuss statuses. The goal is for communities to take ownership over immunization through the visual tool.

1. MY VILLAGE
MY HOME
MALAWI
​Lora Shimp
​April 2015

2. 2|
Programme title:
Main objective of the
programme:
Geographic scope:
Duration:
Number of target
beneficiaries:
Implementing partner:
NewbornTracking and Monitoring of Infant
Vaccination Status Using MyVillage is My Home
(MVMH) - Malawi
a) In two districts,contribute to increased the
coverage of fully immunized children in
comparison to the baseline survey conducted
in February 2015
b) Monitor the immunization status of infants
from birth to one-year old at the community
level using MVMH over a period of six months.
395 immunizationsites in two priority districts in
Malawi (Dowa and Ntchisi)
Under 12 months population: 46,434
John Snow,Inc.(as subcontractors to Jhpiego
under the USAID-funded Maternal and Child
Survival Program (MCSP))

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Innovation &
Engaging
Community
Members
 MVMH engages families and communities as partners
rather than simply recipients of health services
 MVMH designed and implemented in India and
adapted for use inTimor-Leste. Scaled-up in both
settings, and assessments showed evidence of
effectiveness.
 Model to be adapted in Malawi and linked with the
“Reaching Every Community” approach,including
service deliverylinkage and monitoring (e.g. monthly
reviews and routine reporting)
 HSAs in Malawi currentlypromote community
cohesion suggesting a fertile ground for this approach
(and can record vaccination status using MVMH)
 MVMH empowers community leaders and volunteers
to engage with caretakers on health promotion
specific to vaccinating their children
 Communities take ownership in the success of the
immunization program

4. 4|
 Addresses 4th & 5th elements of REC/RED
(linking services with communities &
monitoring for action)
 Local Civil Society Organizations (CSOs) work
with Health SurveillanceAssistants (HSAs) to
engage community leaders to identify and
register newborns and mobilize families
 Spark engagement of community leaders as
partners in improving immunization results
 HSAs conduct a censure of the target
population and record vaccination statususing
MVMH tool
 HSAs meet monthly with leaders to provide a
list of children that should be vaccinated
 HSAs responsible for mobilizingand motivating
caregivers to bring their children on schedule
Intervention
Description

5. 5|
Understanding
the MVMH
Tool
 MVMH is community-based newborn tracking
tool
 Identifies and tracks all infants in a community
 Engage community leaders,volunteers,and
health workers in strategies to promote timely
and complete vaccination of all infants
 Poster-sized tool used as a guide and record
for community to recordbirth dates and
vaccination dates for every infant

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MyVillage My Home Draft ProgramTheory
Increased Immunization Coverage
Line of Accountability
IncreasedVaccination Services
Improved knowledge, attitudes and/or self-efficacy about when to utilize vaccination services
Financialorgeographicaccessto
immunizationservices
Immunizationservicequalityofcare
Social Influence Exerted through home visits and public display of the tool
on families by community to have their kids vaccinated
Health workers and community leaders/volunteers gain a strengthened
sense of responsibility for getting high community coverage
Monthly meetings conducted to assess and discuss the current vaccination
status based on information from the tool
Engage members of community including health workers and volunteers
to use tool to track birth dates and vaccination dates.
Individual
family’s
exposure to
messaging
about when to
use
vaccination
services
through public
display of the
tool
Foundational enabling environment:health system is functioning well, quality of care acceptable,community
organization effective