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. 2019 Oct;101(4_Suppl):45-51.
doi: 10.4269/ajtmh.18-1000.

The CORE Group Polio Project's Community Volunteers and Polio Eradication in Ethiopia: Self-Reports of Their Activities, Knowledge, and Contributions

Bethelehem Asegedew  1 , Fasil Tessema  2 , Henry B Perry  3 , Filimona Bisrat  1
Affiliations

The CORE Group Polio Project's Community Volunteers and Polio Eradication in Ethiopia: Self-Reports of Their Activities, Knowledge, and Contributions

Bethelehem Asegedew et al. Am J Trop Med Hyg. 2019 Oct.

Abstract

In 2001, the CORE Group Polio Project (CGPP) began to support polio eradication initiatives in hard-to-reach pastoralist and semi-pastoralist high-risk border areas of Ethiopia by training and supporting community volunteers (CVs) for immunization promotion and community-based surveillance activities. This article describes the development and current status of the CGPP CV network in Ethiopia. It also reports the results of a 2016 survey of CVs. Community volunteers are selected jointly by the local community, local government officials, and local health facility staff. They work closely with the health extension worker in their area and are responsible for 50-100 households. More than 12,000 CVs have been trained and have reached six million people. They make routine home visits to 1) provide education on vaccine-preventable diseases, 2) promote healthy behaviors, 3) inform parents on how to access immunization services, and 4) report cases of acute flaccid paralysis, neonatal tetanus, and measles as well as births. The 2016 survey of 675 CVs demonstrated that 84.1% had conducted home visits in the previous month to 1) identify and register pregnant mothers and newborns, 2) provide health education, 3) conduct disease surveillance, and 4) search for and register immunization defaulters. Of the CVs, 98.2% reported that their work had led to improvements in the community. Knowledge of CVs about vaccine-preventable diseases was suboptimal. CVs expressed a desire for more training. Community volunteers have made notable contributions to polio eradication efforts in high-risk areas of Ethiopia as well as to immunization promotion and disease control more broadly.

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Figures

Figure 1.
Figure 1.
Percentage of the CGPP/Ethiopia CVs who spontaneously mentioned the diseases can be prevented by vaccination.
Figure 2.
Figure 2.
Opinions of the CGPP/Ethiopia CVs regarding what aspects of the Health Extension Program their work had contributed to.
See this image and copyright information in PMC

References

    1. Leon N, Sanders D, Van Damme W, Besada D, Daviaud E, Oliphant NP, Berzal R, Mason J, Doherty T, 2015. The role of “hidden” community volunteers in community-based health service delivery platforms: examples from sub-Saharan Africa. Glob Health Action 8: 27214. - PMC - PubMed
    1. WHO, UNICEF , 1978. Declaration of Alma-Ata. International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978. Available at: http://www.who.int/publications/almaata_declaration_en.pdf. Accessed April 22, 2019.
    1. Aylward RB, Linkins J, 2005. Polio eradication: mobilizing and managing the human resources. Bull World Health Organ 83: 268–273. - PMC - PubMed
    1. Cochi SL, Freeman A, Guirguis S, Jafari H, Aylward B, 2014. Global polio eradication initiative: lessons learned and legacy. J Infect Dis 210 (Suppl 1): S540–S546. - PMC - PubMed
    1. Tessema F, Bisrat F, Kidane L, Assres M, Tadesse T, Asegedew B, 2019. Improvements in polio vaccination status and knowledge about polio vaccination in the CORE Group Polio Project implementation areas in pastoralist and semi-pastoralist regions in Ethiopia. Am J Trop Med Hyg 101 (Suppl 4): 52–58. - PMC - PubMed

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