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. 2016 May 1;213 Suppl 3(Suppl 3):S73-8.
doi: 10.1093/infdis/jiv589. Epub 2016 Feb 4.

Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013-2014

Emmanuel Gali  1 , Pascal Mkanda  2 , Richard Banda  1 , Charles Korir  1 , Samuel Bawa  1 , Charity Warigon  1 , Suleiman Abdullahi  1 , Bashir Abba  1 , Ayodeji Isiaka  1 , Yared G Yahualashet  1 , Kebba Touray  1 , Ana Chevez  1 , Sisay G Tegegne  1 , Peter Nsubuga  3 , Andrew Etsano  4 , Faisal Shuaib  4 , Rui G Vaz  1
Affiliations

Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013-2014

Emmanuel Gali et al. J Infect Dis. .

Abstract

Background: Remarkable progress had been made since the launch of the Global Polio Eradication Initiative in 1988. However endemic wild poliovirus transmission in Nigeria, Pakistan, and Afghanistan remains an issue of international concern. Poor microplanning has been identified as a major contributor to the high numbers of chronically missed children.

Methods: We assessed the contribution of the revised household-based microplanning process implemented in Kano State from September 2013 to April 2014 to the outcomes of subsequent polio supplemental immunization activities using used preselected planning and outcome indicators.

Results: There was a 38% increase in the number of settlements enumerated, a 30% reduction in the number of target households, and a 54% reduction in target children. The reported number of children vaccinated and the doses of oral polio vaccine used during subsequent polio supplemental immunization activities showed a decline. Postvaccination lot quality assurance sampling and chronically missed settlement reports also showed a progressive reduction in the number of children and settlements missed.

Conclusions: We observed improvement in Kano State's performance based on the selected postcampaign performance evaluation indicators and reliability of baseline demographic estimates after the revised household-based microplanning exercise.

Keywords: chronically missed children; household-based microplanning; polio supplemental immunization activities; workload rationalization.

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Figures

Figure 1.
Figure 1.
Comparison between number of households enumerated during the microplanning exercise and during the revalidation exercise in the 15 local government areas selected after the microplanning exercise in Kano State.
Figure 2.
Figure 2.
Trend in absolute number of eligible children immunized during the polio supplemental immunization activities conducted in Kano State from July 2013 to April 2015.
Figure 3.
Figure 3.
Doses of oral polio vaccine (OPV) used to vaccinate eligible children during the polio supplemental immunization activities conducted in Kano State from July 2013 to April 2015.
Figure 4.
Figure 4.
Absolute numbers of chronically missed settlements in Kano State from April 2013 to April 2015.
See this image and copyright information in PMC

References

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