Impact of an Intervention to Use a Measles, Rubella, and Polio Mass Vaccination Campaign to Strengthen Routine Immunization Services in Nepal

Wallace, Aaron S.; Bohara, Rajendra; Stewart, Steven; Subedi, Giri Raj; Anand, Abhijeet; Burnett, Eleanor; Giri, Jagat Narain; Shrestha, Jagat Kumar; Gurau, Suraj; Dixit, Sameer; Rajbhandari, Rajesh Man; Schluter, W. William

doi:10.1093/infdis/jix164

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…The concept of complementary health campaigns was explored by some documents in our review ( Doherty et al. , 2010 ; Suwantika et al , 2020 ; Wallace et al. , 2017 ; Velleman et al.…”

Section: Resultsmentioning

confidence: 99%

A scoping review on integrated health campaigns for immunization in low- and middle-income countries

Ahmed,

Haider,

Hanif

et al. 2023

Health Policy and Planning

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Health campaign integration is a key implementation strategy outlined by the World Health Organization to achieve universal health coverage. This scoping review synthesizes the evidence on Integrated Health Campaigns (IHC) in the field of immunization in low- and middle-income countries (LMICs) regarding the most common strategies, facilitators and barriers. Four reviewers followed a systematic approach to identify, screen and analyse relevant articles. The team used three search engines (PubMed, Scopus and Google Scholar) to identify peer-reviewed journal articles as well as select institutional websites for grey literature publications. Full-text articles using any study design and across any time frame were included. Data were extracted following a predefined matrix, analysed deductively and presented in a narrative synthesis. Thirty articles (20 academic and 10 grey) were included in the final review. All studies included identified IHCs as effective when planning or implementation is integrated. The common strategies were: using resources efficiently in remote locations; using national immunization days to maximize impact; targeting specific age groups by selecting intervention sites that are frequented by that age group; building community ownership over the integrated program; and integrating programs that already share common elements. The key facilitators were: closing the gap between services and communities; planning, coordination and resource management both before and during integration; cost-effectiveness; and utilization of pre-existing infrastructure. The common barriers included seemingly optimized initial cost to appear feasible only in the short term and additional responsibilities on the field staff. This review finds IHCs a common practice in immunization and identifies gaps in evidence on evaluation; indicating the need for additional research. Strong evidence accounts IHCs to increase coverage, improve community acceptance of health services and strengthen the community models of health service delivery.

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“…The concept of complementary health campaigns was explored by some documents in our review ( Doherty et al. , 2010 ; Suwantika et al , 2020 ; Wallace et al. , 2017 ; Velleman et al.…”

Section: Resultsmentioning

confidence: 99%

A scoping review on integrated health campaigns for immunization in low- and middle-income countries

Ahmed,

Haider,

Hanif

et al. 2023

Health Policy and Planning

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“…Therefore, micro planning is process where major stakeholders who are key players in net campaigns come together to provide suggestions on how best to implement LLINs campaign. Micro planning provided opportunity for bringing together these various actors, each with different capabilities to collaborate synergically for effective implementing of mass LLIN campaign as noted in malaria consortium study in Nampula and Niassa provinces in Mozambique [24]; a similar improvement in outcome of routine immunization services through better microplanning was reported in Nigeria and Nepal [26,29]. This agrees with the findings of this study since many stakeholders who were brought together performed different roles and responsibilities at different micro-planning stages in meetings where the implementation plans were developed.…”

Section: Discussionmentioning

confidence: 95%

Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria

Uchenna¹,

Etimita²,

Peace³

et al. 2019

EJPM

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Background: Nigeria is one of the two epicenters of malaria transmission across the globe and contributes to 40 percent global malaria burden. The LLINs distribution campaign is one of the significant and nationally acceptable strategic routes of delivering nets to the entire population across the country. Micro planning of the campaign has been completed in the state in readiness for LLINs 2019 distribution campaign. This study therefore tends to highlight the achievements of this concluded micro-planning processes in identifying all the campaigns needs and challenges while plan and proffer solutions to achieve the high quality campaign outcomes. Study design: This is a qualitative study involving the engagement of all RBM stakeholders. It entailed desk reviews, meetings, community engagements, development and adaptation of programme tools, Akubue Augustine Uchenna et al.: Quality Micro-Planning Processes -Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria quantification, estimation of all the campaign needs using the WHO standardized estimates and inauguration of formed campaign work streams required for quality LLINs campaign implementations. Average volume of a bale of 0.14cubic meter, minimum volume of 120% of expected space considering the 20% handling area within the store facility and average access door space of >2.95sq meter) were used as standards for estimation. All variables were analyzed using Microsoft excel package and Health Mappers. Results: Comprehensive Advocacy, logistic and training plans that included and defined the roles and expectations of all the many stakeholders were developed. Micro plan population of 4,251,387 for 2019 with 2,361,882 LLINs, 6.613.3 m 3 and handling areas requirement of 1,322m 3 were estimated. A total of 11,864 personnel with their responsibilities were identified and trained including estimated costs of NGN387,143,880 at unit operational cost of NGN 166.34 for the delivery of 1 LLIN to the household. Advocacy kits with print materials for the campaign were pre-tested by health educator and identified programme challenges were highlighted. Conclusion: This study therefore underscores the importance of good micro-planning process for high quality LLINs campaign as recommended by WHO for the achievement of LLINs universal coverage.

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“…It is comprised of the ultimate empowerment of SIA elements nationwide through training, social mobilization, supervision, and monitoring activities. Post training evolution showed a significant positive change in terms of knowledge of adverse events postimmunization [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Socioecological Challenges of Polio Supplementary Immunization Activities (SIAs) in the Asia-Pacific Region: A Systematic Review

Ahmad

Sanef

Shahabudin

et al. 2023

Journal of Environmental and Public Health

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Background. Polio supplementary immunization activities (SIAs) are one of the polio eradication pillars in the Global Polio Eradication Initiative (GPEI) that increased the immunization coverage and made progress towards polio eradication. However, socioecological challenges faced during SIAs contribute to suboptimal campaign quality. The aim of this review is to identify the reported challenges during polio supplementary immunization activities (SIAs) and associated improvement strategies based on the socioecological model (SEM). Methods. Articles were searched from three databases which were WOS, Scopus, and PubMed. The systemic review identified the primary articles related to SIA that focused on the impact of immunization coverage, challenges, and improvement strategies. The inclusion criteria were open access English articles that were published between 2012 and 2021 and conducted in the Asia region. Results. There are nine articles described and explained regarding some form of supplementary immunization activities (SIAs) in their findings across Asia region. The majority of studies selected reported on post vaccination coverage and revealed a multifaceted challenge faced during SIAs which are widely diverse range from the microlevel of interpersonal aspects up to the macrolevel of government policy. Upon further analysis, the intervention at community level was the most dominant strategies reported during the SIA program. Conclusions. An effective SIAs program provides the opportunity to increase the national capacity of the polio immunization program, reducing inequities in service delivery and offering additional public health benefits in controlling polio outbreaks in both endemic and nonendemic countries. Strengthening routine immunization (RI) programmes is also important for the sustainability of SIA’s programs. Despite the challenges and hurdles, many Asian countries exhibited great political willingness to boost polio immunization coverage through SIA efforts.

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Impact of an Intervention to Use a Measles, Rubella, and Polio Mass Vaccination Campaign to Strengthen Routine Immunization Services in Nepal

Cited by 11 publications

References 20 publications

A scoping review on integrated health campaigns for immunization in low- and middle-income countries

A scoping review on integrated health campaigns for immunization in low- and middle-income countries

Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria

Socioecological Challenges of Polio Supplementary Immunization Activities (SIAs) in the Asia-Pacific Region: A Systematic Review

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