The CORE Group Polio Project: An Overview of Its History and Its Contributions to the Global Polio Eradication Initiative

The CORE Group Polio Project: An Overview of Its History and Its Contributions to the Global Polio Eradication Initiative
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DOI:
10.4269/ajtmh.18-0916
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发表时间:
2019-01-01
影响因子:
3.3
通讯作者:
Perry, Henry B.
Perry, Henry B.
中科院分区:
医学4区
文献类型:
--
作者:
Losey, Lee;Ogden, Ellyn;Perry, Henry B.

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CORE 小组脊髓灰质炎项目 (CGPP) 通过成功地吸引民间社会,特别是非政府组织 (NGO) 社区的参与,为根除脊髓灰质炎做出了贡献。这项合作始于 1999 年美国国际开发署的资助,为改善常规免疫计划、脊髓灰质炎运动质量以及许多具有挑战性的地理区域的急性弛缓性麻痹监测做出了贡献。 CGPP 与根除脊髓灰质炎合作伙伴密切合作,发挥协作和支持作用。 CGPP 主要关注边缘化或难以接触人群的高风险地区,这些地区的卫生系统和免疫规划也很薄弱,脊髓灰质炎病毒的传播尚未得到阻止。 CGPP 吸引了当地民间领袖和社区参与,以补充卫生部和全球根除脊髓灰质炎行动中其他合作伙伴自上而下的垂直努力。 CGPP 制定了创新战略,利用基于社区的监测来发现案件,促进独立运动监测,制定跨境举措,并培养了一支强大且富有创造力的社区动员干部队伍,以追踪失踪儿童并提供行为改变教育。 CGPP 帮助开发的许多创新和方法现在正在被各国政府和国际机构复制,以解决世界各地服务不足和边缘化社区的其他公共卫生优先事项。本文是描述 CGPP 工作的系列文章中的第一篇。由于本文描述了 11 个国家的 40 多个非政府组织在 20 年来的工作,因此仅提供了概述,而 CGPP 工作的许多重要细节和变化将在其他地方进行描述,包括本系列中的其他文章。
The CORE Group Polio Project (CGPP) has contributed to polio eradication by successfully engaging civil society, particularly the non-governmental organization (NGO) community. This engagement, which began with a grant from the U.S. Agency for International Development in 1999, has contributed to improvements in routine immunization programs, polio campaign quality, and surveillance for acute flaccid paralysis in many challenging geographic areas. The CGPP has worked closely with polio eradication partners in a collaborative and supportive role. The CGPP has focused largely on high-risk areas with marginalized or hard-to-reach populations where health systems and immunization programs have also been weak and where transmission of poliovirus had not been stopped. The CGPP has engaged local civic leaders and communities in ways to complement top-down vertical efforts of ministries of health and other partners in the Global Polio Eradication Initiative. The CGPP has developed innovative strategies to detect cases using community-based surveillance, promoted independent campaign monitoring, established cross-border initiatives, and developed a strong and creative cadre of community mobilizers to track missed children and deliver behavior change education. Many of the innovations and approaches that the CGPP helped to develop are now being replicated by governments and international agencies to tackle other public health priorities in underserved and marginalized communities around the world. This article is the first in a series of articles describing the work of the CGPP. Because the article describes the work of more than 40 NGOs in 11 countries over 20 years, it provides only an overview, leaving many important details and variations of the CGPP's work to be described elsewhere, including in other articles included in this series.