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Conflict, Community, and Collaboration: Shared Implementation Barriers and Strategies in Two Polio Endemic Countries

Owoaje, Akinyemi); Global Innovations Consultancy Services ( Rahimi); Johns Hopkins Bloomberg School of Public Health ( Kalbarczyk, Peters, Alonge) The power of community engagement at all levels (from leadership to membership) cannot be overstated, particularly in countries facing civil unrest and insecurity. Despite efforts over decades by the Global Polio Eradication Initiative (GPEI), transmission of wild poliovirus (WPV) is ongoing in Afghanistan, and circulating vaccine-derived poliovirus (cVDPV) is still occurring in Nigeria. Despite their unique sociocultural characteristics, these countries share risk factors for the spread of polio, including civil unrest and conflict; vaccine refusals, mistrust, and fatigue; and competing political agendas. This paper shares research conducted by the Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) consortium (

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