12 – Innovative approaches to immunisation and health delivery

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This workshop brought together a wealth of country experience in implementation of health programmes and routine immunisation to discuss innovative ideas to improving immunisation services and delivery

3.3_Courtesy of Aga Khan Health Services, Pakistan copyF

Copyright Aga Khan Health Services/2005

Understanding what works in different settings and sharing lessons and experiences is essential for improving immunisation systems and health delivery.

This dynamic workshop, facilitated by Robert Steinglass of MCHIP-JSI, brought together a wealth of country experience in implementation of health programmes and routine immunisation to discuss innovative ideas to improving immunisation services and delivery.

Ghana presented their experience with Reaching Every District (RED) and highlighted that by constantly reminding themselves that every year starts with a new cohort, maintaining consistency good performance is essential to protect all children, including those in the future.

Therefore reaching every child, not just those living in some poor performing districts, is a national priority.

The use of supportive supervision as an innovative means to improve immunisation services was also emphasised by MCHIP’s experience in India.

Participants engaged in further sharing of experiences about how to encourage and identify good practices and accelerate learning to improve performance through smaller round-table discussions.

They discussed universal and generalizable conditions that must be cultivated to identify and move promising and innovative ideas into successful, widespread, institutionalized practice.

These included mentorship, affordability, simplicity, government ownership and engagement of multiple stakeholders.

The workshop concluded that the ultimate innovation may be deliberately creating a stimulating culture of learning that seeks to do this. Such a culture of learning is more likely to emerge when it is inclusive of multiple perspectives, diverse disciplines and broad partnerships. 

Innovation can also be thought of as a process leading to better learning of what works and how it works.

While we should more generally identify promising and proven approaches appropriate for our unique contexts, these may or may not be novel or innovative.

Investments in incremental improvement in activities, processes and products operating at scale can also lead to significant improvement and produce value over time.

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