30 Years of Polio Campaigns in Ethiopia, India and Nigeria: The Impacts of Campaign Design on Vaccine Hesitancy and Health Worker Motivation comminit.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from comminit.com Daily Mail and Mail on Sunday newspapers.
30 years of polio campaigns in Ethiopia, India and Nigeria: the impacts of campaign design on vaccine hesitancy and health worker motivation
Format
Abstract
Introduction The debate over the impact of vertical programmes, including mass vaccination, on health systems is long-standing and often polarised. Studies have assessed the effects of a given vertical health programme on a health system separatelyfrom the goals of the vertical programme itself. Further, these health system effects are often categorised as either positive or negative. Yet health systems are in fact complex, dynamic and tightly linked. Relationships between elements of the system determine programme and system-level outcomes over time.
"[G]lobal health programs can continue to learn from each other s implementation experiences more effectively when this experience is captured and made available in user-friendly formats." Two global eradication efforts, the Smallpox Eradication Program (SEP), which was launched in 1959, and the Global Polio Eradication Initiative (GPEI), which was
Kayembe, Mafuta); Johns Hopkins Bloomberg School of Public Health (
Neel, Alonge) Strategies to strengthen planning, promote accountability and learning, adapt programmatic activities, and engage with local communities were crucial in mitigating.barriers. This paper focuses on implementation of polio eradication activities in the Democratic Republic of Congo (DRC) and Ethiopia, which are classified by the Global Polio Eradication Initiative (GPEI) as outbreak countries: They have halted indigenous wild poliovirus (WPV) but are experiencing reinfection as a result of circulating vaccine-derived poliovirus (cVDPV). With the hope of illuminating key lessons learned that can inform ongoing polio eradication strategy and future health programmes, the paper describes and compares barriers to implementation, implementation strategies, and intended and unintended impacts of the GPEI within and across the 2 countries. This summary focuses on the communication elements highlighted in t