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Using the polio programme to deliver primary health care in Nigeria: implementation research
Bawa, Samuel; McNab, Christine; Nkwogu, Loveday; Braka, Fiona; Obinya, Esther; Galway, Michael; Mirelman, Andrew J; Hammanyero, Kulchumi Isa; Safiyanu, Garba; Chukwuji, Martin; Ongwae, Kennedy; Mkanda, Pascal; Corkum, Melissa; Hegg, Lea; Tollefson, Deanna; Umar, Sani; Audu, Sunday; Gunda, Hassan; Chinta, Modu; Jean Baptiste, Anne Eudes; Baganam, Murtala; Shuaibm, Faisal.
  • Bawa, Samuel; s.af
  • McNab, Christine; s.af
  • Nkwogu, Loveday; s.af
  • Braka, Fiona; s.af
  • Obinya, Esther; s.af
  • Galway, Michael; s.af
  • Mirelman, Andrew J; s.af
  • Hammanyero, Kulchumi Isa; s.af
  • Safiyanu, Garba; s.af
  • Chukwuji, Martin; s.af
  • Ongwae, Kennedy; s.af
  • Mkanda, Pascal; s.af
  • Corkum, Melissa; s.af
  • Hegg, Lea; s.af
  • Tollefson, Deanna; s.af
  • Umar, Sani; s.af
  • Audu, Sunday; s.af
  • Gunda, Hassan; s.af
  • Chinta, Modu; s.af
  • Jean Baptiste, Anne Eudes; s.af
  • Baganam, Murtala; s.af
  • Shuaibm, Faisal; s.af
Bull. W.H.O. (Online) ; 97(1): 24-32, 2019. ilus
Article in English | AIM | ID: biblio-1259927
ABSTRACT
Objective To evaluate a project that integrated essential primary health-care services into the oral polio vaccine programme in hard-toreach, underserved communities in northern Nigeria.Methods In 2013, Nigeria's polio emergency operation centre adopted a new approach to rapidly raise polio immunity and reduce newborn, child and maternal morbidity and mortality. We identified, trained and equipped eighty-four mobile health teams to provide free vaccination and primary-care services in 3176 hard-to-reach settlements. We conducted cross-sectional surveys of women of childbearing age in households with children younger than 5 years, in 317 randomly selected settlements, pre- and post-intervention (March 2014 and November 2015, respectively). Findings From June 2014 to September 2015 mobile health teams delivered 2 979 408 doses of oral polio vaccine and dewormed 1 562 640 children younger than 5 years old; performed 676 678 antenatal consultations and treated 1 682 671 illnesses in women and children, including pneumonia, diarrhoea and malaria. The baseline survey found that 758 (19.6%) of 3872 children younger than5 years had routine immunization cards and 690/3872 (17.8%) were fully immunized for their age. The endline survey found 1757/3575 children (49.1%) with routine immunization cards and 1750 (49.0%) fully immunized. Children vaccinated with 3 or more doses of oral polio vaccine increased from 2133 (55.1%) to 2666 (74.6%). Households' use of mobile health services in the previous 6 months increased from 509/1472 (34.6%) to 2060/2426(84.9%). Conclusion Integrating routine primary-care services into polio eradication activities in Nigeria resulted in increased coverage for supplemental oral polio vaccine doses and essential maternal, newborn and child health intervention
Subject(s)
Full text: Available Index: AIM (Africa) Main subject: Poliomyelitis / Poliovirus Vaccine, Oral / Nigeria Type of study: Prognostic study / Systematic review of observational studies Country/Region as subject: Africa Language: English Journal: Bull. W.H.O. (Online) Year: 2019 Type: Article

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Full text: Available Index: AIM (Africa) Main subject: Poliomyelitis / Poliovirus Vaccine, Oral / Nigeria Type of study: Prognostic study / Systematic review of observational studies Country/Region as subject: Africa Language: English Journal: Bull. W.H.O. (Online) Year: 2019 Type: Article