John Snow, Inc. - Region

Asia - Current Projects

Projects are listed by award date. Alternatively, list projects by title.

UNFPA Nepal NGO Sustainability and PARHI Evaluation
In 2009, JSI led an assessment of sustainability and organizational capacity of six district-based NGOs in Nepal. The assessment was funded by UNFPA to explore ways to sustain those NGOs' activities as UNFPA begins to phase-out direct program support. All six NGOs carried out facilitated self-assessments using JSI's Organizational Capacity Assessment (OCA) Tool, resulting in action plans and a number of areas requiring substantial capacity building. In 2010, JSI will conduct similar OCAs with four larger NGOs based in Kathmandu. Ideally, UNFPA expects that one or more of the centrally-based NGOs will have sufficient capacity to serve as a resource center for the six NGOs assessed in 2009, providing the latter with some of the needed technical assistance to realize their 2009 action plans.

JSI will also conduct a Population and Reproductive Health Integrated Project (PARHI) program review and assessment in 2010, two years after UNFPA implemented a program transition at the end of 2008. The PARHI review will inform district program staff about the context and rationale of the UNFPA program transition. To support this program transition UNFPA Nepal is providing evidence of what has worked and also showing that their work is aligned with the transition principles and transitory work that the District Development Committees (DDCs) can replicate.
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Data Quality Audit and Capacity Building UNICEF/Karnataka State, India
Globally, there is increasing interest in the measurement of indicators to capture key information about disease treatment and prevention programs. This reliance on indicators necessitates quality assurance mechanisms that promote reliable data collection, storage and management.

JSI, as a partner on the MEASURE Evaluation Project, was contracted by The Global Fund to assist in the development and pilot testing of the DQA methodology and tools. JSI has also been instrumental in the development of the Routine Data Quality Assessment Tool (RDQA), the capacity building and self-assessment version of the DQA tools. As an industry leader in ensuring data quality of routinely reported data for monitoring and evaluation, JSI has been approached by UNICEF in India for a data quality assessment of a PMTCT program in Karnataka State, India.
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Timor-Leste Integrated Health Assistance (TAIS II)
Timor-Leste Integrated Health Assistance (TAIS II) project has been USAID/Timor-Lestes largest bilateral investment in health. The approaches and strategies used by JSI under TAIS have adapted over time in response to the changing needs articulated by the MOH and the socio-political climate. The project has contributed significantly to shaping national child health policy and worked with the MOH to support program rollout, particularly child health interventions.

The overall purpose of this activity is to improve the effectiveness, quality, and accessibility of child health services through the development and implementation of high impact interventions, in coordination with the MOH's Basic Service Package, that prevent and reduce illness, mortality and malnutrition among children under the age of five in Timor-Leste. JSI is providing technical support to the MOH on child health including immunizations, IMCI, C-IMCI malaria, newborn care, nutrition and child spacing through leadership in appropriate technical working groups and through direct support to the MOH staff.
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TURKMENISTAN Youth Centers (YC)
JSI Research & Training Institute, Inc. has been awarded a three year, USAID-funded project to support the implementation of two youth centers in Turkmenistan. The overarching goal of this project is to reduce the initiation of young people (age 15 to 25 years old) into various risk-taking behaviors such as those leading to crime, drug use, poor health, including HIV infection, and diminished future economic opportunities. JSI will achieve this goal by working with local institutions to establish safe havens for young people to interact with each other, learn new skills, attend educational sessions, and participate in alternative entertainment activities.
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Jordan UNICEF Neonatal Mortality Study
Despite considerable efforts to increase the quality of primary health care--including antenatal, neonatal, perinatal care, and maternity services--in Jordan, the national neonatal mortality rate remains high at 15 neonatal deaths per 1,000 live births. While pregnant women have excellent access to care--98.6% deliver in hospitals--high neonatal mortality suggest that deficiencies in the Jordanian health care system still exist.

The Neonatal Mortality Study in Jordan is an 18-month UNICEF-funded study that will determine factors associated with neonatal mortality in Jordan; identify at which points in the health care system improvements can be made to better prevent neonatal deaths; and make recommendations to resolve deficiencies in the reporting and health care systems across the country. The results of this prospective population-based study will help to clarify health system delays contributing to neonatal death and identify subtle changes that can be made to increase neonate survival in Jordan.

John Snow, Inc. is conducting this study and will be working with the Jordanian Higher Population Council, the Jordan Ministry of Health, and the Jordan University of Science and Technology (JUST).
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Global Fund Voluntary Pooled Procurement (VPP)
The Global Fund to Fight AIDS, Tuberculosis and Malaria is a major financing institution in the fight against these diseases in 140 countries. The Global Fund established a Procurement Support Service for its Principal Recipients, with Voluntary Pooled Procurement and Capacity Building Services aimed at ensuring a cost-effective and efficient procurement process. These services provide support to countries to resolve procurement bottlenecks and supply chain management challenges and facilitate timely access to pharmaceuticals and health products.

In March 2009, the Global Fund selected the Partnership for Supply Chain management (PFSCM) as its Voluntary Pooled Procurement Service Agent. JSI is a managing partner of PFSCM.
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MTCT-Plus Data Management Center
JSI's clinical data management and quality assurance experience is internationally recognized. For five years, JSI has been contracted as the Data Management Center for the Mother to Child Transmission Plus (MTCT-Plus) Initiative, developed in response to the UN Secretary General's Call to Action. Managed by the Mailman School of Public Health at Columbia University (the Secretariat), the center serves demonstration sites in 8 countries in Africa and Asia and as such handles data related to the care of over 9300 patients in 18 clinical facilities in Cameroon, Cote d'Ivoire, Kenya, Mozambique, Rwanda, South Africa, Uganda, Zambia and Thailand.

The clinical care paradigm for this initiative is family-centered and holistic, addressing the stigma and physical and mental health needs of HIV+ women and their family members, in addition to the distribution of anti-retroviral medications.

JSI has operated the programs Data Management Center for the Secretariat, helping sites manage and automate their medical record system for MTCT-Plus patients. Seven sites began record keeping on paper forms (in a variety of languages), which were processed at JSI into electronic format; now all 14 sites use an Access database developed by JSI. The database also has an appointment tracking system built into it. Each month, JSI's DMC staff work with sites to resolve discrepancies in their data - providing collaborative training/technical assistance in data entry, records management, and the clinical protocol in the process. Each month, the DMC returns clean data files to each site and to the Secretariat and also produces quality/performance indicators to help staff ensure all patients are being adequately managed. Some of the key performance indicators are: (a) the number and percent of patients who have not been to clinic or have missed appointments for over 3 (6) months; (b) the number and percent of patients who have had ARV regimen changes; (c) the number and percent of patients who are eligible for opportunistic infection prophylaxis but not currently receiving it.
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Supply Chain Management System (SCMS)
The Supply Chain Management System (SCMS) provides global procurement and distribution for essential HIV/AIDS medicines and supplies needed to provide care and treatment of people living with and affected by HIV and AIDS. Funded by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development, SCMS is implemented by 13 organizations, lead by the Partnership for Supply Chain Management (PSCM), a partnership established by JSI and MSH.
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Maternal & Child Health Integrated Program (MCHIP)
The Maternal and Child Health Integrated program (MCHIP) is USAID's flagship maternal, neonatal and child health program, which focuses on reducing maternal, neonatal and child mortality. MCHIP is designed to accelerate progress toward achieving the Millennium Development Goals (MDGs) in USAID's 30 maternal and child health priority countries over five years.

Using data driven priority setting approaches, MCHIP will help countries determine which innovations will yield the most impact in reaching the MDGs and support capacity building and health systems development to take those interventions to scale. Parallel to strengthening central and district level health teams, MCHIP considers communities, households and individuals not only as recipients of health services, but as an integral part of health services implementation.

JSI leads MCHIP's work in the areas of child health, immunization and pediatric HIV/AIDS. Other MCHIP partners include Jhpiego, Save the Children, PATH, PSI, Broadbranch and JHU IIP. MCHIP is the follow-on project to BASICS and IMMUNIZATIONbasics, other USAID global technical assistance projects which were also implemented by JSI.
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Yemen Reproductive Health Commodity Security (RHCS) II
The Republic of Yemen Ministry of Public Health and Population's (MOPHP) Population Sector worked with its development partners to finalize the RHCS framework. In its transition from planning to implementation, MOPHP invited JSI Logistics Services to assist with the production of the following outputs: 1) Revise the system operations manual that embodies the contraceptive logistics system design, 2) Conduct a procurement/distribution/warehousing study, 3) Prepare an updated five-year forecast, which will be appended to the procurement and distribution report.
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AIDSTAR-One (AIDS Support & Technical Assistance Resources)
AIDSTAR Sector I Task Order 1 ("AIDSTAR-One") is USAID's global HIV & AIDS project that provides technical assistance services to the Office of HIV/AIDS and USG country teams in knowledge management, technical leadership, program sustainability, strategic planning and program implementation support.
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NEPAL Family Health Program (NFHP) II
The public sector health care system in Nepal has the potential to provide quality primary health care throughout the nation. There are a number of obstacles, however: difficult terrain in the middle hills and mountain regions, inadequately trained and supervised staff, and a lack of consistent supplies of essential drugs, resources and equipment.

JSI has worked in Nepal since 1981 to assist the government in developing a functional health care system that integrates health services to meet people's needs. Under the USAID-funded Nepal Family Health Program II (NFHP II), JSI will follow up its successful predecessor, the Nepal Family Health Program, to improve the delivery and use of basic public sector family planning, maternal, newborn, child health, and literacy/life skills services, in a manner that builds local capacity and encourages stakeholder collaboration. Working with government and NGO partners at national and district levels, NFHP II will work to improve policy and strengthen leadership and management capacity; improve service delivery; spearhead innovative approaches in community-based maternal and neonatal care, including nutrition; and increase community participation in health decisions and activities.

To learn more, read our 2007 semi-annual report .

Read the following success story about the project: Empowering Individuals While Treating Communities
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NEPAL Morang Innovative Neonatal Intervention Program (MINI 2)
The MINI 2 project builds on work addressing the high level of neonatal mortality in Nepal started under the original MINI project, in which community health workers, first-level health facilities, families, and communities worked together to ensure that they could correctly identify and manage neonatal infections in Morang district of Nepal. MINI 2 will create a model for the Ministry of Health and Population (MOHP) to expand these services throughout the country, to advance toward significantly decreasing neonatal mortality. The project is also working to determine how much external support is needed to maintain program performance and/or to initiate this model in other districts.

JSI is collaborating with partners to define the best integrated approach for improving neonatal health and survival in Nepal. Specific objectives include: identifying the most efficient model for scaling up community-based management of neonatal sepsis, and determining the effect on community health worker performance and program coverage with decreased external supervision and support; testing and finalizing a set of tools and materials that the MOHP will use for the expansion of this model to additional districts; provide technical expertise and catalyze the integration of community-based treatment of neonatal sepsis into the Community-based Integrated Management of Childhood Illnesses (CB-IMCI) program of the MOHP, and provide support for replication of the modified MINI 1 model in new districts; and monitor and document the challenges of implementation of MINI 1 model in hill regions, where there is limited or non-existent transportation, and to define viable alternatives for appropriate management of neonatal infections at the community level in this setting.

The MINI 2 project is funded by the Bill & Melinda Gates Foundation and is implemented by JSI Research & Training Institute, Inc., through a subgrant, and in close collaboration with, Save the Children/US.

Read the following success story about the project: The Little Goddess
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USAID | DELIVER PROJECT: Supply Chain Management for Outbreak Response (SCM-OR)
The USAID | DELIVER PROJECT improves essential health commodity supply chains by strengthening logistics management information systems, streamlining distribution systems, identifying financial resources for procurement and supply chain operation, and enhancing forecasting and procurement planning. Health programs cannot operate successfully without a full supply of essential commodities. The project encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates.

Task Order 2 (TO2) supports USAID's Avian and Pandemic Influenza Preparedness and Response Unit. Objectives include procuring commodities; and establishing and operating a secure and reliable global distribution system to store, transport, rapidly deliver, and track in-country distribution of current and future USAID Avian Influenza International Stockpile (USAID AI Stockpile) assets.

Implemented by John Snow Inc., the project designs, develops, strengthens, and, upon request, operates safe, sustainable, and reliable supply systems that provide a range of affordable, quality essential health commodities, including drugs, diagnostics, and supplies, to clients in country programs. Under this task order, JSI will establish a comprehensive management information system to provide current information about all aspects of the AI global distribution mechanism.
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Reproductive Health Access, Information and Services in Emergencies (RAISE) Initiative
The RAISE Initiative seeks to ensure that displaced populations receive quality reproductive health (RH) services. Despite the great need, the provision of high quality RH services for displaced persons is often neglected in emergency response. There are approximately 70 million displaced persons in the world today, and roughly half of them are women who are especially vulnerable to RH risks both in crisis and conflict settings. When RH care is limited or absent, the toll - in terms of life-threatening medical emergencies and the violation of human rights - is profound.

Developed by Columbia University's Heilbrunn Mailman School of Public Health/Department of Population and Family Health and Marie Stopes International (MSI), the RAISE Initiative is committed to the provision of fully integrated and comprehensive RH services for refugees and internally displaced persons (IDPs). Through partnerships with humanitarian and development agencies, United Nations (UN) bodies, advocacy agencies and academic institutions, RAISE strives to have RH recognized as an absolute necessity for populations displaced by emergencies - and, in a broader sense, as an integral part of basic health care for all, just as food, water, sanitation and shelter are commonly accepted as primary needs. The RAISE Initiative emphasizes positive change in six priority areas within RH care, which were identified by staff, partners, and leading researchers as key factors in achieving overall RH improvement, including: technical support, clinical training, emergency funding, advocacy, research, and documentation and dissemination. RAISE is working in Colombia, N. Uganda, S. Sudan, Darfur, Sudan and Chad.

JSI Research & Training Institute is a RAISE Initiative advocacy partner. In collaboration with RAISE staff and partners, JSI provides assistance to the initiative's advocacy efforts, working to positively influence the policy and funding environment to facilitate widespread support for comprehensive RH care in emergency situations. JSI's work with the RAISE Initiative falls under JSI's Reproductive Health for Refugees Project which encompasses multiple initiatives that seek to increase quality RH services in crisis-affected areas.
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Europe & Eurasia Regional Family Planning Activity
Lack of access to modern contraceptives and quality family planning services--including limited method choice, provider bias and misinformation, and out-of-pocket costs--are among the greatest health challenges faced by women in Eastern Europe and Eurasia. These factors contribute to abortion rates that are higher than those found in many other parts of the world, and negatively impact women's health.

The Europe and Eurasia (E&E) Regional Family Planning Activity was a three-year initiative implemented by John Snow, Inc from October 1, 2006 until September 30, 2009 and funded by the USAID E&E Bureau. The Regional Activity was designed to leverage best practices in family planning with the goal of accelerating FP program implementation across the region, ultimately increasing modern contraceptive use and decreasing abortion rates. The program was designed as an institutional support activity working for and through USAID country missions to enhance and complement country-level family planning programs and USAID bilateral projects.

E&E Regional Family Planning Activity final report

Improving Family Planning PreService Education Experience from the Eastern E&E Region
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USAID | DELIVER PROJECT
The USAID | DELIVER PROJECT, a U.S. Agency for International Development (USAID)-funded project, improves essential health commodity supply chains by strengthening logistics management information systems, streamlining distribution systems, identifying financial resources for procurement and supply chain operation, and enhancing forecasting and procurement planning. Health programs cannot operate successfully without a full supply of essential commodities. The project encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates.

Implemented by John Snow Inc., the project designs, develops, strengthens, and, upon request, operates safe, sustainable, and reliable supply systems that provide a range of affordable, quality essential health commodities, including drugs, diagnostics, and supplies, to clients in country programs. The project's technical support strengthens all aspects of in-country supply chains, including forecasting, procurement, distribution, management information systems, quality assurance, storage and infrastructure, and medical waste disposal.

The USAID | DELIVER PROJECT works on a range of health commodities, including contraceptives and condoms, essential drugs, as well as select commodities for HIV/AIDS, malaria, maternal and child health, infectious diseases, and avian influenza (AI). The project currently supports USAID's efforts to improve product availability through task orders in strengthening integrated in-country supply chains, avian and pandemic influenza preparedness, and the President's Malaria Initiative (PMI).

To support the three task orders, the USAID | DELIVER PROJECT partners with many organizations including: 3i Infotech, Abt Associates, Center for International Health and Development at Boston University School of Public Health, Crown Agents Consultancy, Inc., Family Health International, Fuel Logistics Group (Pty) Ltd., The Manoff Group, MAP International, PATH , UPS Supply Chain Solutions, and U.S. Pharmacopeia.

Read the following success story about the project: Logistics Plays Key Role in Zambia's Effort to Reduce Maternal Mortality
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Central Asia Quality Health Project (ZdravPlus II Project)
The ZdravPlus project supported an integrated and comprehensive approach to health systems strengthening and quality improvements in service delivery. JSI was a sub-contractor and Abt the prime contractor on this project.

Key project components included:

Stewardship:Strengthen national and local governance, leadership, and capacity to continue improvements in health services through the design and implementation of evidence-based policies, laws, and guidelines and cost-efficient institutional structures, roles, and relationships.
Resource use: Increase equitable access to health services and supplies, through the design and implementation of health financing mechanisms, including pooling of health funds, provider payment systems, health insurance, and basic benefit and outpatient drug benefit packages.
Service delivery: Improve the quality of services according to evidence-based practices at hospital and primary care facilities, through clinical training and mentoring and quality improvement and performance monitoring systems.
Population and community empowerment: Empower individuals and communities to take actions to maintain and improve their health status, and specifically to access, utilize, and benefit from health services of higher quality and at affordable costs.

JSI played a lead role on the project in improving quality of care and enhancing the population's involvement in health care.

Read the following success story about the project: "Stop Diarrhea" in Uzbekistan
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INDONESIA Health Services Program (HSP)
The Health Services Program (HSP) is improving the health of women and children in priority districts in Indonesia and strengthening the link between elected officials, health providers, and the communities they serve. The Program is designed to reduce mortality among mothers, newborns, and children and to improve health facilities which deliver basic human services.

Part of the Basic Human Services Package, HSP is a bilaterally funded program supported by the United States Agency for International Development (USAID) and the Government of Indonesia. Through September 2009 JSI Research & Training Institute, Inc. worked with University of Indonesia - Center for Family Welfare (PUSKA-UI), Abt Associates, Inc., The Manoff Group, Inc., and Mercy Corps to provide technical assistance to implement the program. From October 2009 through September 2010 JSI is working with University of Indonesia - Center for Family Welfare (PUSKA-UI) on a 1 year project extension specifically with Malang and Pasuruan districts, intensifying its integrated services and documenting the effects and lessons of its various evidence-based interventions.

The Health Services Program has implemented maternal, newborn, and child health interventions at the district level, and worked with health facilities, NGOs, and community organizations as well as the private commercial sector. The Program has establishing strong coordination mechanisms with other donors and other USAID-funded programs to maintain consistency in program approaches.

HSP also assists districts to improve planning, budgeting and management of their own programs using evidence-based data. These initiatives are tailored to the needs of individuals and communities. The project has also addressing new and emerging health issues, such as tsumani relief and avian influenza.

To learn more, read our annual reports:
2007 annual report
2006 annual report

Read a recent report on mental health in post-conflict situations, human rights and international mental health produced under the project, Community Mental Health Treatment, Protection and Promotion for Women and Children in Aceh: Findings from an Evaluation of Programs Supported by the Health Services Program.

Read the following success stories about the project:
A Father Delivers!
JSI Serves Indonesian Earthquake Survivors
Building the Capacity of Communities to Address Mental Health
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WEST BANK & GAZA Hanan Maternal and Child Health and Nutrition (MCHN)
Although access to health care has improved overall in recent years, limited health-seeking behavior, lack of social security, and continually deteriorating living conditions remain as barriers to better health for women and children living in the Palestinian territories. Results from Hanan's household baseline survey, conducted in late 2005, indicated low coverage of timely antenatal and postnatal care and high levels of iron deficiency anemia. Women's knowledge of danger signs in pregnancy, and of dietary practices to help prevent iron deficiency anemia is limited.

Hanan was a three year USAID-funded project implemented by JSI Research & Training Institute, Inc., in partnership with American Near East Refugee Aid (ANERA) and Emerging Markets Group, Ltd. (EMG). The project benefited 190,000 women of reproductive age and 168,000 children under 5 living in the West Bank and Gaza, by improving their access to quality maternal and child health and nutrition (MCHN) services and by promoting positive household and community MCHN-related behaviors. Hanan provided technical support and strengthened service delivery for 122 partner clinics and hospitals. Complementary community mobilization and communications and marketing interventions have created demand for essential MCHN services and indirectly reached even more beneficiaries.

Read the project final report, Building Capacity, Building Communities

Read the following success stories about the project:
Cries of Life
Moving from Treatment to Prevention
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PAKISTAN Initiative for Mothers and Newborns (PAIMAN)
Pakistan's maternal and newborn mortality rates are some of the highest in the subcontinent. Every 20 minutes, a Pakistani woman dies due to complications of pregnancy. More than 60% of newborn deaths occur within the first week of life. The majority of these maternal and newborn deaths occur at home.

The Pakistan Initiative for Mothers and Newborns (PAIMAN) is a six-year, USAID-funded project aimed at building the capacity of the existing health system and fostering a community-based approach to ensure a continuum of care for mothers and newborns. The project uses the Pathway to Care and Survival, developed by JSI's MotherCare project, to create an environment of increased awareness and informed decision making across all levels of the health systems. PAIMAN is working in 24 districts across all four provinces and AJK (Azad, Jammu and Kashmir), including the conflict zones of Swat, Buner, and Dir. In addition, PAIMAN is working with two agencies in two frontier regions in FATA.

The PAIMAN consortium is led by JSI Research & Training Institute and includes the Aga Khan University, Contech International Health Consultants, Greenstar Social Marketing, Johns Hopkins University-Center for Communications Programs, Pakistan Voluntary Health & Nutrition Association (PAVHNA), The Population Council, and Save the Children.

Read the following success stories about the project:
Good Information Leads to Good Will
Transforming Medical Practices for Individuals and Communities
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Basic Support for Institutionalizing Child Survival (BASICS)
Less than half of the world's newborns and children receive the basic nutrition and health care that they need to ensure healthy growth and development. As a result, 10 million children under the age of five die each year, most from preventable causes and almost all in developing countries.

BASICS - Basic Support for Institutionalizing Child Survival - was an innovative project funded by the United States Agency for International Development (USAID) for three project cycles between 1994 and 2009. BASICS helped scale-up the use of proven effective nutrition and health interventions for newborns and children in developing countries. To achieve population-level coverage of life-saving interventions, BASICS partnered with ministries of health, other USAID projects, UN organizations, donor agencies, and nongovernmental organizations (NGOs).

The Partnership for Child Health Care, Inc., implemented BASICS. The Partnership was comprised of John Snow, Inc., the Academy for Educational Development, and Management Sciences for Health and supported by the Manoff Group, Inc., PATH, and Save the Children USA.

The website, www.basics.org, not only houses 15 years of BASICS publications, but also features an innovative close-out report design that links readers to expanded documentation on the themes and results being discussed. Be sure to check out this and other "Knowledge Sharing Quick Links" you can find directly on the homepage.
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Central Asian Republics TB Program: Project HOPE
The five-year Central Asian TB Expansion and Improvement Project, funded by USAID, addresses issues having to do with limited access to high-quality TB drugs, lack of rational systems and drug management knowledge, and skills among Ministry of Health staff when administering TB control programs. Under this project, JSI, in a subcontract to Project HOPE, is working to improve TB drug treatment and strengthen commodity security in health facilities.
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MEASURE Evaluation Project
MEASURE Evaluation develops and applies methods for monitoring and evaluation for population, health, and nutrition projects. MEASURE works with developing country programs, USAID, and other international donor agencies to: improve performance monitoring systems, identify indicators and test their measurement, develop and apply methods for evaluating interventions, and increase capacity for monitoring and evaluation through technical assistance and training.

MEASURE Evaluation is a USAID-funded Leader with Associates award implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill, in partnership with The Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University.
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