Forewarning of Poliovirus Outbreaks in the Horn of Africa: An Assessment of Acute Flaccid Paralysis Surveillance and Routine Immunization Systems in Kenya
Forewarning of Poliovirus Outbreaks in the Horn of Africa: An Assessment of Acute Flaccid Paralysis Surveillance and Routine Immunization Systems in Kenya
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DOI：
10.1093/infdis/jiu149
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发表时间：
2014-11-01
影响因子：
6.4
通讯作者：
Okiror, Samuel O.
中科院分区：
文献类型：
--
作者：
Walker, Allison Taylor;Sodha, Samir;Okiror, Samuel O.
背景虽然非洲之角区域已成功消除了地方性脊髓灰质炎病毒的传播，但仍有重新传入的风险。国际合作伙伴协助肯尼亚在确定脊髓灰质炎监测和常规免疫接种计划的差距，并提供建议，以改善监测和常规免疫接种在卫生系统的权力下放process.Methods。aEuro积分结构化问卷收集有关急性弛缓性麻痹（AFP）监测资源，培训，数据监测，并在省，区，卫生设施水平的监督。收集的常规免疫规划信息包括有关疫苗和资源的可用性，冷链，物流，卫生保健服务和访问，外展覆盖率数据，微观规划，管理和监测AFP surveillance.Results.aEuro积分的问题虽然AFP监测符合国家性能标准，广泛的缺陷和有限的资源，观察和报告在各级。缺陷有关的提供者的知识，资金，培训和监督，并特别明显，在卫生设施水平。结论。aEuro积分差距分析有助于最大限度地提高资源和能力建设的国家，监测和常规免疫落后于其他卫生优先事项。该区域用于监测和常规免疫系统的资源有限，这表明有可能爆发更多的野生脊髓灰质炎病毒和其他疫苗可预防疾病。需要监测和评价方案加强活动。
Background. Although the Horn of Africa region has successfully eliminated endemic poliovirus circulation, it remains at risk for reintroduction. International partners assisted Kenya in identifying gaps in the polio surveillance and routine immunization programs, and provided recommendations for improved surveillance and routine immunization during the health system decentralization process.Methods.aEuro integral Structured questionnaires collected information about acute flaccid paralysis (AFP) surveillance resources, training, data monitoring, and supervision at provincial, district, and health facility levels. The routine immunization program information collected included questions about vaccine and resource availability, cold chain, logistics, health-care services and access, outreach coverage data, microplanning, and management and monitoring of AFP surveillance.Results.aEuro integral Although AFP surveillance met national performance standards, widespread deficiencies and limited resources were observed and reported at all levels. Deficiencies were related to provider knowledge, funding, training, and supervision, and were particularly evident at the health facility level.Conclusions.aEuro integral Gap analysis assists in maximizing resources and capacity building in countries where surveillance and routine immunization lag behind other health priorities. Limited resources for surveillance and routine immunization systems in the region indicate a risk for additional outbreaks of wild poliovirus and other vaccine-preventable illnesses. Monitoring and evaluation of program strengthening activities are needed.