Using the polio programme to deliver primary health care in Nigeria: implementation research.

Autor: Bawa S; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., McNab C; Independent Public Health Consultant, Toronto, Canada., Nkwogu L; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., Braka F; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., Obinya E; United Nations Children's Fund, Nigeria Country Office, Abuja, Nigeria., Galway M; Bill & Melinda Gates Foundation, Seattle, United States of America., Mirelman AJ; Centre for Health Economics, University of York, York, England., Hammanyero KI; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., Safiyanu G; United Nations Children's Fund, Nigeria Country Office, Abuja, Nigeria., Chukwuji M; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., Ongwae K; United Nations Children's Fund, Islamabad, Pakistan., Mkanda P; World Health Organization, Regional Office for Africa, Brazzaville, Congo., Corkum M; United Nations Children's Fund, Kabul, Afghanistan., Hegg L; Bill & Melinda Gates Foundation, Seattle, United States of America., Tollefson D; Bill & Melinda Gates Foundation, Seattle, United States of America., Umar S; World Health Organization, Kano Office, Kano, Nigeria., Audu S; World Health Organization, Borno Office, Maiduguri, Nigeria., Gunda H; World Health Organization, Bauchi Office, Bauchi, Nigeria., Chinta M; World Health Organization, Yobe Office, Damaturu, Nigeria., Jean Baptiste AE; World Health Organization, Nigeria Country Office, UN House, 617/618 Diplomatic Drive, Central Area District, Abuja. 900001, Nigeria., Bagana M; National Primary Health Care Development Agency, Ministry of Health, Abuja, Nigeria., Shuaib F; National Primary Health Care Development Agency, Ministry of Health, Abuja, Nigeria.
Jazyk: angličtina
Zdroj: Bulletin of the World Health Organization [Bull World Health Organ] 2019 Jan 01; Vol. 97 (1), pp. 24-32. Date of Electronic Publication: 2018 Nov 06.
DOI: 10.2471/BLT.18.211565
Abstrakt: Objective: To evaluate a project that integrated essential primary health-care services into the oral polio vaccine programme in hard-to-reach, 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 than 5 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 interventions.
Databáze: MEDLINE
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