Outreach to Underserved Communities in Northern Nigeria, 2012-2013
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 underserved communities within the context of the country's polio emergency...
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| Published in: | The Journal of infectious diseases 2014-11, Vol.210 (suppl 1), p.S118-S124 |
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Outreach to Underserved Communities in Northern Nigeria, 2012-2013 |
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Gidado, Saheed O. Ohuabunwo, Chima Nguku, Patrick M. Ogbuanu, Ikechukwu U. Waziri, Ndadilnasiya E. Biya, Oladayo Wiesen, Eric S. Mba-Jonas, Adamma Vertefeuille, John Oyemakinde, Akin Nwanyanwu, Okey Lawal, Namadi Mahmud, Mustapha Nasidi, Abdulsalami Mahoney, Frank J. |
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Adolescent AFRICAN REGION Child Child, Preschool Community-Institutional Relations Disease eradication Disease Transmission, Infectious - prevention & control Epidemiology Female Health Policy Health Services Accessibility Health surveillance Humans Infant Infant, Newborn Male Nigeria - epidemiology Paralysis Poliomyelitis Poliomyelitis - epidemiology Poliomyelitis - prevention & control Poliomyelitis - transmission Poliovirus Poliovirus vaccines Poliovirus Vaccines - administration & dosage Preventive medicine Primary health care Vaccination |
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The Journal of infectious diseases, 2014-11, Vol.210 (suppl 1), p.S118-S124 |
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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 underserved communities within the context of the country's polio emergency action plans. Methods. 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. 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. 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. |
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<record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1612979279</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>43708825</jstor_id><sourcerecordid>43708825</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-74dedf60b5468c0ec528655d862280f4e8f47eb3f1ac221cf3bd8d67352221da3</originalsourceid><addsrcrecordid>eNpVkDtPwzAUhS0EoqUwMoIyMhDqR2I7E4KKl1TRhc6Wa9-0rpoY7KQS_55UKRUs96Hz6dyrg9AlwXcEF2zs6tK6OF67lhTiCA1JzkTKOWHHaIgxpSmRRTFAZzGuMcYZ4-IUDWjOCJc0H6LHWdsE0GaVND6Z1xZChLAFm0x8VbW1axzExNXJuw_NCkI3uCUEp28TiglNu8LO0UmpNxEu9n2E5s9PH5PXdDp7eZs8TFPDBGlSkVmwJceLPOPSYDA5lTzPreSUSlxmIMtMwIKVRBtKiSnZwkrLBctpt1rNRui-9_1sFxVYA3UT9EZ9Blfp8K28duq_UruVWvqtIrg7mQnWOdzsHYL_aiE2qnLRwGaja_BtVIQTWoiCiqJD0x41wccYoDzcIVjtgld98KoPvuOv_z53oH-T7oCrHljHxoeDnjGB5U7_AVnMibM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><isCDI>true</isCDI><recordtype>article</recordtype><pqid>1612979279</pqid></control><display><type>article</type><title>Outreach to Underserved Communities in Northern Nigeria, 2012-2013</title><source>JSTOR Archival Journals and Primary Sources Collection</source><source>Oxford Academic Journals (OUP)</source><source>Alma/SFX Local Collection</source><creator>Gidado, Saheed O. ; Ohuabunwo, Chima ; Nguku, Patrick M. ; Ogbuanu, Ikechukwu U. ; Waziri, Ndadilnasiya E. ; Biya, Oladayo ; Wiesen, Eric S. ; Mba-Jonas, Adamma ; Vertefeuille, John ; Oyemakinde, Akin ; Nwanyanwu, Okey ; Lawal, Namadi ; Mahmud, Mustapha ; Nasidi, Abdulsalami ; Mahoney, Frank J.</creator><creatorcontrib>Gidado, Saheed O. ; Ohuabunwo, Chima ; Nguku, Patrick M. ; Ogbuanu, Ikechukwu U. ; Waziri, Ndadilnasiya E. ; Biya, Oladayo ; Wiesen, Eric S. ; Mba-Jonas, Adamma ; Vertefeuille, John ; Oyemakinde, Akin ; Nwanyanwu, Okey ; Lawal, Namadi ; Mahmud, Mustapha ; Nasidi, Abdulsalami ; Mahoney, Frank J. ; N-STOP Outreach Team ; the N-STOP Outreach Team</creatorcontrib><description>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 underserved communities within the context of the country's polio emergency action plans. Methods. 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. 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. 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.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/jiu197</identifier><identifier>PMID: 25316825</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; AFRICAN REGION ; Child ; Child, Preschool ; Community-Institutional Relations ; Disease eradication ; Disease Transmission, Infectious - prevention & control ; Epidemiology ; Female ; Health Policy ; Health Services Accessibility ; Health surveillance ; Humans ; Infant ; Infant, Newborn ; Male ; Nigeria - epidemiology ; Paralysis ; Poliomyelitis ; Poliomyelitis - epidemiology ; Poliomyelitis - prevention & control ; Poliomyelitis - transmission ; Poliovirus ; Poliovirus vaccines ; Poliovirus Vaccines - administration & dosage ; Preventive medicine ; Primary health care ; Vaccination</subject><ispartof>The Journal of infectious diseases, 2014-11, Vol.210 (suppl 1), p.S118-S124</ispartof><rights>Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-74dedf60b5468c0ec528655d862280f4e8f47eb3f1ac221cf3bd8d67352221da3</citedby><cites>FETCH-LOGICAL-c371t-74dedf60b5468c0ec528655d862280f4e8f47eb3f1ac221cf3bd8d67352221da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/43708825$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/43708825$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,787,791,892,27992,27993,58952,59185</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25316825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gidado, Saheed O.</creatorcontrib><creatorcontrib>Ohuabunwo, Chima</creatorcontrib><creatorcontrib>Nguku, Patrick M.</creatorcontrib><creatorcontrib>Ogbuanu, Ikechukwu U.</creatorcontrib><creatorcontrib>Waziri, Ndadilnasiya E.</creatorcontrib><creatorcontrib>Biya, Oladayo</creatorcontrib><creatorcontrib>Wiesen, Eric S.</creatorcontrib><creatorcontrib>Mba-Jonas, Adamma</creatorcontrib><creatorcontrib>Vertefeuille, John</creatorcontrib><creatorcontrib>Oyemakinde, Akin</creatorcontrib><creatorcontrib>Nwanyanwu, Okey</creatorcontrib><creatorcontrib>Lawal, Namadi</creatorcontrib><creatorcontrib>Mahmud, Mustapha</creatorcontrib><creatorcontrib>Nasidi, Abdulsalami</creatorcontrib><creatorcontrib>Mahoney, Frank J.</creatorcontrib><creatorcontrib>N-STOP Outreach Team</creatorcontrib><creatorcontrib>the N-STOP Outreach Team</creatorcontrib><title>Outreach to Underserved Communities in Northern Nigeria, 2012-2013</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>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 underserved communities within the context of the country's polio emergency action plans. Methods. 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. 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. 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.</description><subject>Adolescent</subject><subject>AFRICAN REGION</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Community-Institutional Relations</subject><subject>Disease eradication</subject><subject>Disease Transmission, Infectious - prevention & control</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Policy</subject><subject>Health Services Accessibility</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Nigeria - epidemiology</subject><subject>Paralysis</subject><subject>Poliomyelitis</subject><subject>Poliomyelitis - epidemiology</subject><subject>Poliomyelitis - prevention & control</subject><subject>Poliomyelitis - transmission</subject><subject>Poliovirus</subject><subject>Poliovirus vaccines</subject><subject>Poliovirus Vaccines - administration & dosage</subject><subject>Preventive medicine</subject><subject>Primary health care</subject><subject>Vaccination</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpVkDtPwzAUhS0EoqUwMoIyMhDqR2I7E4KKl1TRhc6Wa9-0rpoY7KQS_55UKRUs96Hz6dyrg9AlwXcEF2zs6tK6OF67lhTiCA1JzkTKOWHHaIgxpSmRRTFAZzGuMcYZ4-IUDWjOCJc0H6LHWdsE0GaVND6Z1xZChLAFm0x8VbW1axzExNXJuw_NCkI3uCUEp28TiglNu8LO0UmpNxEu9n2E5s9PH5PXdDp7eZs8TFPDBGlSkVmwJceLPOPSYDA5lTzPreSUSlxmIMtMwIKVRBtKiSnZwkrLBctpt1rNRui-9_1sFxVYA3UT9EZ9Blfp8K28duq_UruVWvqtIrg7mQnWOdzsHYL_aiE2qnLRwGaja_BtVIQTWoiCiqJD0x41wccYoDzcIVjtgld98KoPvuOv_z53oH-T7oCrHljHxoeDnjGB5U7_AVnMibM</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Gidado, Saheed O.</creator><creator>Ohuabunwo, Chima</creator><creator>Nguku, Patrick M.</creator><creator>Ogbuanu, Ikechukwu U.</creator><creator>Waziri, Ndadilnasiya E.</creator><creator>Biya, Oladayo</creator><creator>Wiesen, Eric S.</creator><creator>Mba-Jonas, Adamma</creator><creator>Vertefeuille, John</creator><creator>Oyemakinde, Akin</creator><creator>Nwanyanwu, Okey</creator><creator>Lawal, Namadi</creator><creator>Mahmud, Mustapha</creator><creator>Nasidi, Abdulsalami</creator><creator>Mahoney, Frank J.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141101</creationdate><title>Outreach to Underserved Communities in Northern Nigeria, 2012-2013</title><author>Gidado, Saheed O. ; Ohuabunwo, Chima ; Nguku, Patrick M. ; Ogbuanu, Ikechukwu U. ; Waziri, Ndadilnasiya E. ; Biya, Oladayo ; Wiesen, Eric S. ; Mba-Jonas, Adamma ; Vertefeuille, John ; Oyemakinde, Akin ; Nwanyanwu, Okey ; Lawal, Namadi ; Mahmud, Mustapha ; Nasidi, Abdulsalami ; Mahoney, Frank J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-74dedf60b5468c0ec528655d862280f4e8f47eb3f1ac221cf3bd8d67352221da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>AFRICAN REGION</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Community-Institutional Relations</topic><topic>Disease eradication</topic><topic>Disease Transmission, Infectious - prevention & control</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Policy</topic><topic>Health Services Accessibility</topic><topic>Health surveillance</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Nigeria - epidemiology</topic><topic>Paralysis</topic><topic>Poliomyelitis</topic><topic>Poliomyelitis - epidemiology</topic><topic>Poliomyelitis - prevention & control</topic><topic>Poliomyelitis - transmission</topic><topic>Poliovirus</topic><topic>Poliovirus vaccines</topic><topic>Poliovirus Vaccines - administration & dosage</topic><topic>Preventive medicine</topic><topic>Primary health care</topic><topic>Vaccination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gidado, Saheed O.</creatorcontrib><creatorcontrib>Ohuabunwo, Chima</creatorcontrib><creatorcontrib>Nguku, Patrick M.</creatorcontrib><creatorcontrib>Ogbuanu, Ikechukwu U.</creatorcontrib><creatorcontrib>Waziri, Ndadilnasiya E.</creatorcontrib><creatorcontrib>Biya, Oladayo</creatorcontrib><creatorcontrib>Wiesen, Eric S.</creatorcontrib><creatorcontrib>Mba-Jonas, Adamma</creatorcontrib><creatorcontrib>Vertefeuille, John</creatorcontrib><creatorcontrib>Oyemakinde, Akin</creatorcontrib><creatorcontrib>Nwanyanwu, Okey</creatorcontrib><creatorcontrib>Lawal, Namadi</creatorcontrib><creatorcontrib>Mahmud, Mustapha</creatorcontrib><creatorcontrib>Nasidi, Abdulsalami</creatorcontrib><creatorcontrib>Mahoney, Frank J.</creatorcontrib><creatorcontrib>N-STOP Outreach Team</creatorcontrib><creatorcontrib>the N-STOP Outreach Team</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gidado, Saheed O.</au><au>Ohuabunwo, Chima</au><au>Nguku, Patrick M.</au><au>Ogbuanu, Ikechukwu U.</au><au>Waziri, Ndadilnasiya E.</au><au>Biya, Oladayo</au><au>Wiesen, Eric S.</au><au>Mba-Jonas, Adamma</au><au>Vertefeuille, John</au><au>Oyemakinde, Akin</au><au>Nwanyanwu, Okey</au><au>Lawal, Namadi</au><au>Mahmud, Mustapha</au><au>Nasidi, Abdulsalami</au><au>Mahoney, Frank J.</au><aucorp>N-STOP Outreach Team</aucorp><aucorp>the N-STOP Outreach Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outreach to Underserved Communities in Northern Nigeria, 2012-2013</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>210</volume><issue>suppl 1</issue><spage>S118</spage><epage>S124</epage><pages>S118-S124</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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 underserved communities within the context of the country's polio emergency action plans. Methods. 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. 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. 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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>25316825</pmid><doi>10.1093/infdis/jiu197</doi><oa>free_for_read</oa></addata></record> |