Immunization Technical Reference Materials

The Technical Reference Materials (TRMs), products of the United States Agency for International Development, Bureau for Global Health, Office of Health, Infectious Diseases, and Nutrition (USAID/GH/HIDN), are a series of guides to help program planners and implementers consider the many elements in a particular technical area of the Child Survival and Health Grants Program (CSHGP). These guides are not an official policy for practice; rather, they are basic everyday summaries to be used as field reference documents. They also may be downloaded from MCHIP.

The TRMs are organized in modules that correspond to the primary interventions and key strategies that are central to CSHGP. Each module covers the essential elements that need to be considered during implementation, resources for nongovernmental organizations (NGOs) and others implementing community-oriented programs to consult when planning interventions, and examples of tools most commonly used among CSHGP grantees to collect baseline population-level data.

The TRM modules cover the following topics:

Technical Interventions

Cross-cutting Strategies

Technical specialists in the USAID Collaborating Agency community, CORE Group Working Groups, USAID technical staff, and community-oriented practitioners all contribute to updating the TRMs on an ongoing basis. The revision date for each TRM module is at the bottom of each page. The modules are living documents, and we depend on readers to tell us of the usefulness of the information, the need for additions or amendments, and general comments. This feedback will help us keep the modules alive and responsive to readers’ needs. Please share comments with the Maternal and Child Health Integrated Program (MCHIP) at

MCHIP is grateful for the many contributions and reviews by staff of the different Offices of the Bureau of Global Health, and many of their Collaborating Agencies, CORE Group Working Groups, and most of all to our private voluntary organization (PVO) and NGO partners that continue to use these guides and provide valuable insight on how to improve them. Contributors to this update from USAID include LaToya Armstrong, Endale Beyene, Meredith Crews, Katherine Farnsworth, and Angela Shen. Other contributors include Claire Boswell, Independent; Rebecca Fields, MCHIP; Lee Losey, CORE Group Polio Project; Meghan Lynch, CORE Group Polio Project and Catholic Relief Services; Melanie Morrow, MCHIP; Debra Prosnitz, ICF; and Jennifer Yourkavitch, MCHIP.

Toolkit last updated: July 28, 2014