Outreach to Underserved Communities in Northern Nigeria, 2012-2013
Outreach to Underserved Communities in Northern Nigeria, 2012-2013
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DOI：
10.1093/infdis/jiu197
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发表时间：
2014-11-01
影响因子：
6.4
通讯作者：
Mahoney, Frank J.
中科院分区：
文献类型：
--
作者：
Gidado, Saheed O.;Ohuabunwo, Chima;Mahoney, Frank J.
背景野生脊髓灰质炎病毒在尼日利亚的持续传播是全球根除脊髓灰质炎的主要障碍。2012年8月，尼日利亚国家脊髓灰质炎方案实施了一项战略，在该国脊髓灰质炎应急行动计划的背景下向服务不足的社区开展外联活动。SOP包括以下关键要素：（1）社区参与会议，（2）现场小组培训，（3）现场工作，（4）急性弛缓性麻痹监测。结果：a在外联活动期间访问和清点的46437个定居点中，8607个（19%）报告说，疫苗接种小组在以前的SIAs期间没有访问他们的定居点，5112人（11.0%）报告从未接受过脊髓灰质炎疫苗接种工作队的访问。百分之五十二的枚举定居点（23 944）没有发现在现有的微型计划用于最近过去的SIAs.Conclusions.aEuro integral在一年的推广到> 45 000分散，游牧和边境定居点，大约1/5确定的是错过了在最近之前的SIAs。这些遗漏的定居点居住着大量以前未接种疫苗的儿童，并可能成为尼日利亚持续野生脊髓灰质炎病毒传播的水库。
Background. Persistent wild poliovirus transmission in Nigeria constitutes a major obstacle to global polio eradication. In August 2012, the Nigerian national polio program implemented a strategy to conduct outreach to under-served communities within the context of the country's polio emergency action plans.Methods.aEuro integral A standard operating procedure (SOP) for outreach to underserved communities was developed and included in the national guidelines for management of supplemental immunization activities (SIAs). The SOP included the following key elements: (1) community engagement meetings, (2) training of field teams, (3) field work, and (4) acute flaccid paralysis surveillance.Results.aEuro integral Of the 46 437 settlements visited and enumerated during the outreach activities, 8607 (19%) reported that vaccination teams did not visit their settlements during prior SIAs, and 5112 (11.0%) reported never having been visited by polio vaccination teams. Fifty-two percent of enumerated settlements (23 944) were not found in the existing microplan used for the immediate past SIAs.Conclusions.aEuro integral During a year of outreach to > 45 000 scattered, nomadic, and border settlements, approximately 1 in 5 identified were missed in the immediately preceding SIAs. These missed settlements housed a large number of previously unvaccinated children and potentially served as reservoirs for persistent wild poliovirus transmission in Nigeria.