This report is an external assessment of the USAID-funded technical assistance (TA) on strengthening routine immunization (RI) programs under a Memorandum of Understanding (MOU) with Bauchi and Sokoto State Governments and the Bill & Melinda Gates and Dangote Foundations. In January-February 2018, an external team assessed the TA provided by the USAID-funded Maternal and Child Survival Program (MCSP)-RI. The team also visited Kaduna and Kano States where RI programming is being developed under a MOU between those States and the Foundations. Multiple qualitative methods were utilized and secondary analyses undertaken for population-based surveys and administrative data to assess changes in key State-level RI outcome indicators. Working collaboratively, key TA approaches used by MCSP included provision of technical advising to oversight structures and technical working groups and assignment of field-based Local Government Area (LGA) consultants to provide TA at the local level. Similarly, collaborative TA was provided by RI partners in Kaduna and Kano but without the use of LGA consultants working specifically on RI service delivery. Areas that need to be strengthened include understanding and addressing barriers to uptake and completion of immunizations and the factors contributing to or causing data quality issues; more use of strategic information for planning and allocation of resources; further development of processes to assure quality services; and development of the continuum of care and prevention systems. The assessment team recommends that USAID invest in specialized TA, giving priority to the development of demand creation strategies, quality assurance/improvement processes, and strategic information systems.
Assessment of USAID/Nigeria Technical Assistance for Routine Immunization Program in Bauchi and Sokoto States