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.
Background. The security-challenged states of Adamawa, Borno, and Yobe bear most of the brunt of the Boko Haram insurgency in Nigeria. The security challenge has led to the killing of health workers, destruction of health facilities, and displacement of huge populations. To identify areas of polio transmission and promptly detect possible cases of importation in these states, polio surveillance must be very sensitive.Methods. We conducted a retrospective review of acute flaccid paralysis surveillance in the security-compromised states between 2009 and 2014, using the acute flaccid paralysis database at the World Health Organization Nigeria Country Office. We also reviewed the reports of surveillance activities conducted in these security-challenged states, to identify strategies that were implemented to improve polio surveillance.Results. Environmental surveillance was implemented in Borno in 2013 and in Yobe in 2014. All disease surveillance and notification officers in the 3 security-challenged states now receive annual training, and the number of community informants in these states has dramatically increased. Media-based messaging (via radio and television) is now used to sensitize the public to the importance of surveillance, and contact samples have been regularly collected in both states since 2014.Conclusions. The strategies implemented in the security-challenged states improved the quality of polio surveillance during the review period.
The study assessed the use of ICTs among extension agents in Kano State Nigeria. Two hundred and twenty-one (221) extension agents were randomly selected from the 44 local government areas. Data for the study were obtained with the aid of structured questionnaire administered to extension agents. Majority of extension agents were in the age range of 41-50 years. Majority (87.3%) of them were males and married (100%), with family sizes of 5-14 (53.95%). The entire extension agents had formal education including HND (35.8%), OND (33.3%) and secondary school certificate (27.2%). Most of the extension agents had an annual income of N100,000-N300,000, with N376,984 as mean. They were aware and had access to radio, television, telephone, DVD, video, camera, computer, satellite and printer. They however recorded a low usage of the Web, satellite, e-mail, CD-ROM, search engines, scanner, fax and Web publishing. The result also indicates a positive correlation between ICT use and socioeconomic characteristics of the agents; including age, work experience, membership of agricultural associations (p<0.05). It was concluded that the benefits of the ICTs were not fully utilized by extension workers in the state due to some factors associated with low income, ICTs training, awareness and access.
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