advanced search

<< Back To Home

Strengthening Routine Immunization in Areas of Northern Nigeria at High Risk for Polio Transmission During 2012–2014

Tuesday, 7th of June 2016

J Infect Dis. (2016) doi: 10.1093/infdis/jiv580 First published online: February 24, 2016

The most recent version of this article [jiv580] was published on 2016-04-02

Strengthening Routine Immunization in Areas of Northern Nigeria at High Risk for Polio Transmission During 2012–2014

Daniel Ali1,

Richard Banda1,

Abdulaziz Mohammed1,

Julie Adagadzu1,

Bolatito Murele1,

Rachel Seruyange1,

Jeevan Makam1,

Pascal Mkanda3,

Bassey Okpessen2,

Sisay G. Tegegne1,

Adeboye S. Folorunsho1,

Tesfaye B. Erbeto1,

Yared G. Yehualashet1 and

Rui G. Vaz1

+ Author Affiliations

1World Health Organization, Country Representative Office

2National Primary Health Care Development Agency, Abuja, Nigeria

3World Health Organization, Regional Office for Africa, Brazzaville, Congo

Correspondence: D. Ali, Health Organization, Nigeria Country Office, Abuja, Nigeria (alid@who.int).

Abstract below; full text is at http://jid.oxfordjournals.org/content/early/2016/02/24/infdis.jiv580.full

Background. Following the 2012 declaration by World Health Organization (WHO) Regional Director for Africa and the WHO Executive Board to ramp up routine immunization (RI) activities, began to intensify activities to strengthen RI. This study assessed how the intensification of RI helped strengthen service delivery in local government areas (LGAs) of northern Nigeria at high risk for polio transmission.

Methods. A retrospective study was performed by analyzing RI administrative data and findings from supportive supervisory visits in 107 high-risk LGAs.

Results. Our study revealed that administrative coverage with 3rd dose of diphtheria-pertussis-tetanus vaccine in the 107 high-risk LGAs improved from a maximum average coverage of 33% during the preintensification period of 2009–2011 to 74% during the postintensification period of 2012–2014.

Conclusions. Routine immunization could be strengthened in areas where coverage is low, and RI has been identified to be weak when certain key routine activities are intensified.

Key words

routine immunization, intensification

polio, high risk, local government areas

supportive supervisory visits

© 2016 World Health Organization; licensee Oxford Journals.

This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organisation or products. The use of the WHO logo is not permitted. This notice should be preserved along with the articles original URL.

View this article with LENS

CORRECTED PROOF

This Article

J Infect Dis. (2016) doi: 10.1093/infdis/jiv580 First published online: February 24, 2016

This article is Open AccessOA