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Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013–2014

Monday, 7th of March 2016

 

Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013–2014

1. 1.        Emmanuel Gali1, 
2. 2.        Pascal Mkanda2, 
3. 3.        Richard Banda1, 
4. 4.        Charles Korir1, 
5. 5.        Samuel Bawa1,
6. 6.        Charity Warigon1, 
7. 7.        Suleiman Abdullahi1, 
8. 8.        Bashir Abba1, 
9. 9.        Ayodeji Isiaka1,
10. 10.     Yared G. Yahualashet1, 
11. 11.     Kebba Touray1, 
12. 12.     Ana Chevez1, 
13. 13.     Sisay G. Tegegne1, 
14. 14.     Peter Nsubuga3,
15. 15.     Andrew Etsano4, 
16. 16.     Faisal Shuaib4 and 
17. 17.     Rui G. Vaz1

+Author Affiliations

1.        ¹World Health Organization, Country Representative Office, Abuja, Nigeria

2.        ²World Health Organization, Regional Office for Africa, Brazzaville, Congo

3.        ³Global Public Health Solutions, Atlanta, Georgia

4.        ⁴National Primary Health Care Development Agency, Abuja, Nigeria

1. Correspondence: E. Gali, Field Support Unit, World Health Organization, Nigeria Country Office, Abuja (galie@who.int).

Background. Remarkable progress had been made since the launch of the Global Polio Eradication Initiative in 1988. However endemic wild poliovirus transmission in Nigeria, Pakistan, and Afghanistan remains an issue of international concern. Poor microplanning has been identified as a major contributor to the high numbers of chronically missed children.

 

Methods. We assessed the contribution of the revised household-based microplanning process implemented in Kano State from September 2013 to April 2014 to the outcomes of subsequent polio supplemental immunization activities using used preselected planning and outcome indicators.

 

Results. There was a 38% increase in the number of settlements enumerated, a 30% reduction in the number of target households, and a 54% reduction in target children. The reported number of children vaccinated and the doses of oral polio vaccine used during subsequent polio supplemental immunization activities showed a decline. Postvaccination lot quality assurance sampling and chronically missed settlement reports also showed a progressive reduction in the number of children and settlements missed.

 

Conclusions. We observed improvement in Kano State´s performance based on the selected postcampaign performance evaluation indicators and reliability of baseline demographic estimates after the revised household-based microplanning exercise.

 

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