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Strengthening routine immunization services and sustainable financing for immunization

Resources - Capacity Building and Training

Immunization Essentials—A Practical Field Guide (USAID, 2003)

This guide covers the gamut of major topics related to immunization in developing countries and describes many practical tools and field experiences. You may request print and CD-ROM versions at:

Download Immunization Essentials in English (PDF 3.7MB)

Download Immunization Essentials in French (PDF 4.9MB)

High Res. Immunization Essentials, Spanish (PDF, 8.36MB)

Low Res. Immunization Essentials, Spanish (PDF, 3.66MB)

USAID's Global Health eLearning (GHeL) Center

Immunization Essentials: Do you know the basic concepts of immunity and vaccination? Are you "up to speed" on vaccine-preventable diseases and safe injection policies? This course provides essential technical and managerial information that immunization program personnel need to know to plan, implement, monitor, and evaluate immunization programs effectively on a large scale.

IMMUNIZATIONbasics/India Job Aids (2008)

USAID’s IMMUNIZATIONbasics project in India developed this package of job-aids that cover the various aspects of immunization.

Download Job Aids (PDF, 3.96 MB)

Block Level Routine Immunization Microplanning Tool: Guidelines for Developing Block Level Microplan

Block level Microplanning Tool is an MS Excel based template, which has been designed to support Block Managers to develop an elaborate block level microplan for Routine Immunization activities.

Download Microplanning Tool (PDF Version) (PDF, 1.06 MB)

Download Microplanning Tool (Excel Version) (Excel, 6.59 MB)

Immunization in Practice—A Practical Guide for Health Staff (WHO, 2004)

WHO's recent compilation of immunization information is suitable either as a field reference or as a resource for training staff at health facility and district levels.

Download Target Diseases (PDF, 425KB)

Download The Vaccines (PDF, 235KB)

Download The Cold Chain (PDF, 3.58MB)

Download Ensuring Safe Injections (PDF, 1.66MB)

Download Planning Immunization Sessions (PDF, 1.67MB)

Download Holding an Immunization Session (PDF, 2.72MB)

Download Monitoring and Using Your Data (PDF, 818KB)

Download Building Community Support (PDF, 806KB)

Mid-Level Management Course for EPI Managers (WHO/AFRO, 2004)

Available in English and French, this resource contains 24 modules, including modules on the EPI managers' roles in communication, increasing immunization coverage, and reducing drop-out and missed opportunities.

Block I: Introductory Modules

Block II: Planning/Organisation Modules

Block III: Logistics

Block IV: New Vaccines

Block VII: Monitoring and Evaluation

Block VIII: EPI Training Materials

Advanced Immunization Management (AIM) training modules (Stanford University, PATH, and GAVI, 2004)

AIM e-Learning is designed to provide senior managers priority skills to strengthen their immunization programs. The following modules are available in several languages at

  • Considerations for Introduction of New and Underutilized Vaccines: Currently covers hepatitis B and Japanese encephalitis vaccines. Future modules will cover vaccines against rotavirus, meningococcus and Haemophilus influenzae type b.
  • Immunization Financing: This module teaches financial skills to help managers strengthen their immunization programs. Currently includes an introduction to the basics of immunization financing, and information on the vaccine market, costing, budgeting, financing, and strategies to improve sustainability.
  • Excel Tutorials: These tutorials will help you to learn more about Microsoft Excel, a spreadsheet application used widely for financing tables, charts and data.

Increasing Immunisation Coverage in Uganda: The Community Problem Solving and Immunisation Strategy Development Approach (BASICS, 2003)

To raise and sustain immunization coverage, the Uganda Ministry of Health elected to pursue the Community Problem Solving and Strategy Development (CPSSD) approach, which is designed to help health workers learn to work with communities, understand community perspectives about immunization services, and encourage community support and participation in immunization delivery. These documents summarize the approach, which is consistent with the Reaching Every District (RED) strategy.

CPSSD - Summary Document (PDF, 232KB)

CPSSD - Introduction to the Approach and Description of Facilitator Training (PDF, 273KB)

CPSSD - Facilitators' Guide: Consultation I (PDF, 3,789KB)

CPSSD - Facilitators' Guide: Consultation II (PDF, 988KB)

EPI Refresher & Training of Trainers; Module 0 Facilitating Adult Learning; Module 4 Communicating with caretakers and communities for improved routine immunization coverage (Amhara Regional Health Bureaus, ESHE Project, 2004)

Developed by Essential Services for Health in Ethiopia based on materials and lessons learned in training in many countries, these materials support the planning and implementation of training of front-line health workers in skills needs to effectively communicate and work with clients and their communities. A synopsis of principles of adult learning is included.

Download EPI Refresher & Training of Trainers. Facilitators’ Guide (PDF, 1,425KB)

Download Module 0. Facilitating Adult Learning (PDF, 99KB)

Download Module 4: Communicating with caretakers and communities for improved routine immunization coverage (PDF 839KB)

Identifying and overcoming obstacles to increased immunization coverage (WHO, 1997)

This training course is used to teach facility-based health workers how to gather information from the community and how to communicate effectively with mothers about immunization. It is designed for self-learning with the support of a facilitator/supervisor.

Low-Cost On-the-Job Peer Training of Nurses Improved Immunization Coverage in Indonesia (Bulletin of the WHO, 2002)

This article describes an effective mentoring approach to capacity building in which experienced nurses worked on the job with others, resulting in improvements in quality and coverage.

Download Document (PDF, 351KB)

Everyone's Oath—Immunization (PATH, CARE, USAID, IMMUNIZATIONbasics)

A 20 minute training video on proper immunization techniques. Warning: you will need a fast internet connection to download this.

Download Video, Hindi Version (MPG, 215MB)

Download Video, English Version (MPG, 215MB)

Immunization Scheduling Tool (IMMUNIZATIONbasics, 2007)

An excellent and simple to follow guide to scheduling routine immunizations and vitamin distribution for infants and children that was developed by the IMMUNIZATIONbasics India Office.

Download Document, simple version (PDF, 65KB)

Download Document, with more explanation (PDF, 356KB)

Reference sheets on key actions (BASICS, 2003-2004)

This series of one-page reference sheets was developed in Nigeria to remind health staff of key actions they should take during various contacts with children and their caregivers.

Download Document (PDF 494KB)


This job aid reminds health workers to discuss with caregivers what diseases the child is being immunized for, possible side effects, when to return for the next immunization, the need to always bring the immunization card and the goal of five visits before 12 months to achieve maximum protection.

Download Document, French (PDF 46KB)

Giving Safe Injections: Using Auto-Disable Syringes for Immunization (PATH, 2001)

This document is designed to facilitate and reinforce training of health workers in how to give injections without harming the recipient, the health worker, or the public. It includes illustrations, case studies, practical exercises and quizzes. Available in English, French and Russian.

Download Document, English (PDF, 1.82MB)

Download Document, French (PDF, 1.54MB)

Download Document, Russian (PDF, 1.39MB)

Many additional immunization training resources and links to them are available at the and websites.

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