Factors influencing the implementation of Global Polio Eradication Initiative in low- and middle-income countries: a qualitative evidence synthesis

Abstract

Back Background ground The World Health Organization's Global Polio Eradication Initiative (GPEI) has succeeded in reducing the cases of Polio by 99%. The persistence of the remaining 1% in Pakistan, Afghanistan and Nigeria has continued to pose threats to polio-free neighbouring countries. This systematic review aims to contribute to ongoing efforts to eradicate polio by exploring factors that influence the successful implementation of the GPEI in low-and middle-income countries. Methods Methods We reviewed qualitative research or mixed methods study reports published between 2012-2018 from studies conducted in low-and middle-income countries. We extracted qualitative research data using a standardised data extraction form and assessed study quality using the Critical Appraisal Skills Programme (CASP) qualitative checklist. We then conducted best-fit framework synthesis to organise, and explore patterns in, the data relating to new and existing themes. We report data on factors influencing the implementation of polio eradication efforts organised by theme.

Factors affecting the successful implementation of Global Polio Eradication Initiative (GPEI) in low- and middle-income countries

“…Experts argue that in-depth experiences of participants involved in any intervention are critical for the improvement of the said service [5] and this harnesses the strength of qualitative findings. In view of this, a QES regarding the successful implementation of GPEI in lowand middle-income countries was conducted by Mshelia et al in 2019 [6], and this identified relevant barriers and facilitators regarding polio eradication.…”