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. 2016 May 1;213 Suppl 3(Suppl 3):S79-85.
doi: 10.1093/infdis/jiv511. Epub 2016 Feb 3.

Demand Creation for Polio Vaccine in Persistently Poor-Performing Communities of Northern Nigeria: 2013-2014

Charity Warigon  1 , Pascal Mkanda  2 , Ado Muhammed  3 , Andrew Etsano  3 , Charles Korir  1 , Samuel Bawa  1 , Emmanuel Gali  1 , Peter Nsubuga  4 , Tesfaya B Erbeto  1 , George Gerlong  1 , Richard Banda  1 , Yared G Yehualashet  1 , Rui G Vaz  1
Affiliations

Demand Creation for Polio Vaccine in Persistently Poor-Performing Communities of Northern Nigeria: 2013-2014

Charity Warigon et al. J Infect Dis. .

Abstract

Introduction: Poliomyelitis remains a global threat despite availability of oral polio vaccine (OPV), proven to reduce the burden of the paralyzing disease. In Nigeria, children continue to miss the opportunity to be fully vaccinated, owing to factors such as unmet health needs and low uptake in security-compromised and underserved communities. We describe the implementation and evaluation of several activities to create demand for polio vaccination in persistently poor-performing local government areas (LGAs).

Methods: We assessed the impact of various polio-related interventions, to measure the contribution of demand creation activities in 77 LGAs at very high risk for polio, located across 10 states in northern Nigeria. Interventions included provision of commodities along with the polio vaccine.

Results: There was an increasing trend in the number of children reached by different demand creation interventions. A total of 4 819 847 children were vaccinated at health camps alone. There was a reduction in the number of wards in which >10% of children were missed by supplementary immunization activities due to noncompliance with vaccination recommendations, a rise in the proportion of children who received ≥4 OPV doses, and a decrease in the proportion of children who were underimmunized or unimmunized.

Conclusions: Demand creation interventions increased the uptake of polio vaccines in persistently poor-performing high-risk communities in northern Nigeria during September 2013-November 2014.

Keywords: Northern Nigeria; demand creation; noncompliance; persistently poor performing LGAs; persistently poor performing high risk communities; underserved communities; unmet health needs.

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Figures

Figure 1.
Figure 1.
Geographical location of states for demand creation interventions—Northern Nigeria, 2013–2014.
Figure 2.
Figure 2.
Reduction in the number of wards in poor-performing local government areas with >10% of children missed by supplementary immunization activities due to noncompliance—northern Nigeria, July and September 2013.
See this image and copyright information in PMC

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