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An evaluation of community perspectives and contributing factors to missed children during an oral polio vaccination campaign--Katsina State, Nigeria.
Michael, Charles A; Ashenafi, Samra; Ogbuanu, Ikechukwu U; Ohuabunwo, Chima; Sule, Adamu; Corkum, Melissa; Mackay, Susan; Storms, Aaron D; Achari, Panchanan; Biya, Oladayo; Nguku, Patrick; Newberry, David; Bwaka, Ado; Mahoney, Frank.
Afiliación
  • Michael CA; African Field Epidemiology Network (AFENET).
  • Ashenafi S; US Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Ogbuanu IU; US Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Ohuabunwo C; African Field Epidemiology Network (AFENET).
  • Sule A; African Field Epidemiology Network (AFENET).
  • Corkum M; United Nations Children Fund (UNICEF), Nigeria Country Office.
  • Mackay S; United Nations Children Fund (UNICEF), Nigeria Country Office.
  • Storms AD; US Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Achari P; United Nations Children Fund (UNICEF), Nigeria Country Office.
  • Biya O; African Field Epidemiology Network (AFENET).
  • Nguku P; African Field Epidemiology Network (AFENET).
  • Newberry D; US Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Bwaka A; African Field Epidemiology Network (AFENET) US Centers for Disease Control and Prevention, Atlanta, Georgia United Nations Children Fund (UNICEF), Nigeria Country Office World Health Organization (WHO), Katsina State Office, Nigeria.
  • Mahoney F; US Centers for Disease Control and Prevention, Atlanta, Georgia.
J Infect Dis ; 210 Suppl 1: S131-5, 2014 Nov 01.
Article en En | MEDLINE | ID: mdl-25316827
ABSTRACT

BACKGROUND:

Unvaccinated children contribute to accumulation of susceptible persons and the continued transmission of wild poliovirus in Nigeria. In September 2012, the Expert Review Committee (ERC) on Polio Eradication and Routine Immunization in Nigeria recommended that social research be conducted to better understand why children are missed during supplementary immunization activities (SIAs), also known as "immunization plus days (IPDs)" in Nigeria.

METHODS:

Immediately following the SIA in October 2012, polio eradication partners and the government of Nigeria conducted a study to assess why children are missed. We used semistructured questionnaires and focus group discussions in 1 rural and 1 urban local government area (LGA) of Katsina State.

RESULTS:

Participants reported that 61% of the children were not vaccinated because of poor vaccination team performance either the teams did not visit the homes (25%) or the children were reported absent and not revisited (36%). This lack of access to vaccine was more frequently reported by respondents from scattered/nomadic communities (85%). In 1 out of 4 respondents (25%), refusal was the main reason their child was not vaccinated. The majority of respondents reported they would have consented to their children being vaccinated if the vaccine had been offered.

CONCLUSIONS:

Poor vaccination team performance is a major contributor to missed children during IPD campaigns. Addressing such operational deficiencies will help close the polio immunity gap and eradicate polio from Nigeria.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Poliomielitis / Vacunación / Vacunas contra Poliovirus / Investigación sobre Servicios de Salud Tipo de estudio: Qualitative_research Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Infect Dis Año: 2014 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Poliomielitis / Vacunación / Vacunas contra Poliovirus / Investigación sobre Servicios de Salud Tipo de estudio: Qualitative_research Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Infect Dis Año: 2014 Tipo del documento: Article