Microplanning for Immunization Service Delivery Using the Reaching Every District (RED) Strategy

This World Health Organisation (WHO)/United Nations Children's Fund (UNICEF) planning guide intends to make the "Reaching Every District" (RED) approach for improving routine immunisation coverage more easily available. It outlines a set of steps for healthcare workers.

The guide is written for those at the health facility and district level to make microplans to improve immunisation services. It is not only potentially applicable in the provision of vaccinations, but the strategy may also be applied to improve health services more broadly by healthcare providers to find local solutions to local problems.

Contents include the following:

• "Abbreviations and acronyms
  
• Introduction
  
• Purpose of this guide
  
• Introduction to the Reaching Every District (RED) strategy
  
• Part 1: Health facility microplanning
  
  • Step 1: Quantitative analysis of local immunization data
    
  • Step 2: Preparing and reviewing an operational map
  • Step 3: Identifying special activities for the hard-to-reach and problem areas
  • Step 4: Preparing a health facility session plan
    
  • Step 5: Problem solving using the RED strategy
    
  • Step 6: Making a workplan for one quarter
    
  • Step 7: Using a monitoring chart
    
  • Step 8: Working with the community and tracking defaulters
    
  • Step 9: Managing supplies
    
  • Step 10: Making use of the monthly report
    
  • Annex 1: Simple questionnaire to investigate reasons for low coverage and dropouts
    
  • Annex 2: Worked examples
    
  • Annex 3: Special considerations for health facilities serving the hard-to-reach
    
  • Annex 4: Planning to reach high-risk urban areas; Preparing a map for urban immunization; Special planning issues for reaching the urban poor
    
• Part 2: District microplanning
  
  • Step 1: Analyses of district level data to identify priority areas
    
  • Step 2: Making a map to show all health facilities and outreach sites
    
  • Step 3: Making a district workplan
    
  • Step 4: Making an estimate of resource requirements
    
  • Step 5: Conducting regular monitoring and review of progress
    
  • Step 6: Taking action based on a review of progress
    
• Part 3: Microplanning FAQs
  
  • FAQs: Conducting a data analysis
    
  • FAQs: Preparing a map FAQs: Preparing a session plan
    
  • FAQs: Using the RED strategy
    
  • FAQs: Preparing a workplan"