Impact of engaging security personnel on access and polio immunization outcomes in security-inaccessible areas in Borno state, Nigeria
| Autor: | Pascal Mkanda, Usman Adamu, Mahmud Saidu, Richard Banda, Rui G. Vaz, Loveday Nkwogu, Alemu Wondimagegnehu, Sule Mele, Yared G. Yehualashet, Hyelni Mshelia, Faisal Shuaib, Samuel Bawa, Peter Nsubuga, Sisay G. Tegegne, Aliyu Shettima, Fiona Braka, Charles Korir |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Nigeria Supplemental immunization activities Security inaccessible areas Health Services Accessibility Security Measures 03 medical and health sciences 0302 clinical medicine Civilian joint task force Human settlement medicine Humans 030212 general & internal medicine Child Socioeconomics Outbreak response Immunization Programs business.industry Research Public health Lot quality assurance sampling lcsh:Public aspects of medicine Zero-dose children Public Health Environmental and Occupational Health Missed children lcsh:RA1-1270 medicine.disease Poliomyelitis Poliovirus Vaccines Vaccination 030104 developmental biology Local government Cohort Immunization Biostatistics business Program Evaluation |
| Zdroj: | BMC Public Health, Vol 18, Iss S4, Pp 67-73 (2018) BMC Public Health |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-018-6188-9 |
| Popis: | Background Nigeria was polio free for almost 2 years but, with the recent liberation of areas under the captivity of insurgents, there has been a resurgence of polio cases. For several years, these inaccessible areas did not have access to vaccination due to activities of Bokoharam, resulting in a concentration of a cohort of unvaccinated children that served as a polio sanctuary. This article describes the processes of engagement of security personnel to access security-compromised areas and the impact on immunization outcomes. Methods We assessed routine program data from January 2016 to July 2016 in security-inaccessible areas and we evaluated the effectiveness of engaging security personnel to improve access to settlements in security-compromised Local Government Areas (LGAs) of Borno state. We thereafter evaluated the effects of this engagement on postcampaign evaluation indicators. Results From 15 LGAs accessible to vaccination teams in January 2016, there was a 47% increase in July 2016. The number of wards increased from 131 in January to 162 in July 2016, while the settlement numbers increased from 6050 in January to 6548 in July 2016. The average percentage of missed children decreased from 8% in January to 3% in July 2016, while the number of LGAs with ≥ 80% coverage increased from 85% in January to 100% in July 2016. Conclusion The engagement of security personnel in immunization activities led to an improved access and improvement in postcampaign evaluation indicators in security-compromised areas of a Nigerian state. This approach promises to be an impactful innovation in reaching settlements in security-compromised areas. |
| Databáze: | OpenAIRE |
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