The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. This project conducted qualitative research to understand the experience of QI Teams in using PDSA cycles to improve routine immunization service delivery. It was found that the RED Quality Improvement (QI) approach encouraged greater facility-community linkages through engagement in PDSA cycles. This was presented at the IHI Africa Forum on Quality and Safety in Healthcare in Durban, South Africa.