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. 2020 Jan-Dec:11:2150132720932698.
doi: 10.1177/2150132720932698.

The Potential Contribution of Supplementary Immunization Activities to Routine Immunization in Kebbi State, Nigeria

Semeeh A Omoleke  1   2 , Biniam Getachew  1   2 , Catherine S Igoh  2 , Taofik A Yusuf  2 , Surajudeen A Lukman  2 , Nkwogu Loveday  1
Affiliations

The Potential Contribution of Supplementary Immunization Activities to Routine Immunization in Kebbi State, Nigeria

Semeeh A Omoleke et al. J Prim Care Community Health. 2020 Jan-Dec.

Abstract

Background: Among the strategies of the Polio Eradication Initiative, the landmark interventions are routine immunization (RI) and supplementary immunization activities (SIAs). RI is the provision of vaccination service at the health facility and conducted year-round. SIAs are a community-based intervention targeting large numbers of an eligible population within a short period. Hence, the study aimed to assess the contributions of SIAs on access and utilization of RI services. Methods: We conducted the study in 10 local government areas in Kebbi State, northwestern Nigeria. We analyzed RI data from January to September 2019 and included the 4 SIAs conducted in January, April, August, and September in the same years. The number of children vaccinated, the trend of BCG, pentavalent vaccine at 6 and 10 weeks, and measles coverage and dropout rates (DORs) were analyzed. Results: For all the selected vaccines, the highest contributions to RI were recorded during the August 2019 fractional Inactivated Polio Vaccine (fIPV) campaign. On the other hand, the least contributions were noted during January SIAs. The BCG coverage showed an erratic trend with the lowest in February and highest in July 2019. The coverage for the pentavalent vaccine at 6 and 10 weeks was lowest in February and September. The pentavalent vaccine DOR pattern showed the lowest in February with value of 0% and the highest in June with 12%. Except for May and June, the Pentavalent vaccine DORs for all other months were <10%. February 2019 had the lowest measles coverage. Conclusion: Our study demonstrated that the integration of RI into SIAs could improve RI coverage. and potentially reduce DOR, especially when the integration is of good quality and conducted at short and regular intervals. Although SIAs are instrumental at increasing RI coverage, the disruption of RI services may occur due to overlapping resources and poor planning. Therefore, SIAs should be adequately planned by program managers to strengthen RI service delivery during the SIAs implementation.

Keywords: children; community health; prevention; primary care; routine immunization; supplemental immunization activities; underserved communities; vaccines.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Nine months’ trend of BCG (Bacille Calmette Guerin) vaccine coverage in 10 local government areas (LGAs) of Kebbi State, Northwest Nigeria, 2019.
Figure 2.
Figure 2.
Nine months’ trend of Penta 1 and Penta 3 vaccine coverage in 10 local government areas (LGAs) of Kebbi State, Northwest Nigeria, 2019.
Figure 3.
Figure 3.
Nine months’ trend of drop-out for Penta 1 and Penta 3 vaccine coverage in 10 local government areas (LGAs) of Kebbi State, Northwest Nigeria, 2019.
Figure 4.
Figure 4.
Nine months’ trend of measles vaccine coverage in 10 local government areas (LGAs) of Kebbi State, Northwest Nigeria, 2019.
See this image and copyright information in PMC

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