The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study.

Autor:	Anwar HB; BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh., Mazumder Y; BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh., Nujhat S; BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh., Islam BZ; BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh., Kalbarczyk A; Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA., Alonge O; Sparkman Center for Global Health, School of Public Health, University of Alabama at Birmingham (UAB), Birmingham, AL, USA., Sarker M; BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Jazyk:	angličtina
Zdroj:	Global health action [Glob Health Action] 2024 Dec 31; Vol. 17 (1), pp. 2370096. Date of Electronic Publication: 2024 Jun 27.
DOI:	10.1080/16549716.2024.2370096
Abstrakt:	Background: The Global Polio Eradication Initiative (GPEI) helped develop the standard acute flaccid paralysis surveillance (AFP) system worldwide, including, knowledge, expertise, technical assistance, and trained personnel. AFP surveillance can complement any disease surveillance system. Objective: This study outlines AFP surveillance evolution in Bangladesh, its success and challenging factors, and its potential to facilitate other health goals. Methods: This mixed-method study includes a grey literature review, survey, and key informant interviews (KIIs). We collected grey literature from online websites and paper documentation from GPEI stakeholders. Online and in-person surveys were conducted in six divisions of Bangladesh, including Dhaka, Rajshahi, Rangpur, Chittagong, Sylhet, and Khulna, to map tacit knowledge ideas, approaches, and experiences. We also conducted KIIs, and Data were then combined on focused emerging themes, including the history, challenges, and successes of AFP surveillance programme. Results: According to the grey literature review, survey, and KII, AFP surveillance successfully contributed to decreasing polio in Bangladesh. The major facilitating factors were multi-sectoral collaboration, Surveillance Immunization Medical Officer (SIMO) network activities, social environment, community-based surveillance, and promising political commitment. On the other hand, high population growth, hard-to-reach areas, people residing in risky zones, and polio transition planning were significant challenges. Bangladesh is also utilizing these polio surveillance assets for other vaccine-preventable diseases. Conclusion: As the world is so close to eradicating polio, the knowledge, and other assets of the AFP surveillance, could be used for other health programmes. In addition, its strengths can be leveraged for combating new and emerging diseases.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu