Polio eradication in the African Region on course despite public health emergencies

How can health systems be strengthened to control and prevent an Ebola outbreak? A narrative review

“…The exact impact of EVD is still unknown, but it has clearly left a great burden on health systems as well as threatening the sustainability of health programmes, besides which insecurity, civil strife, and political instability might lead to displacement of populations ( 36 , 37 ). Since 2014, Guinea has recorded a significant decline (over 31%) in outpatient visits to hospitals due to the combination of EVD with other diseases ( 38 ).…”

World Health Organization in the African Region: Picking the Gauntlet in the Fight against Poliomyelitis in the African Region

“…Following the World Health Assembly declaration of polio eradication as a public health emergency in 2012, WHO with its partners, as well as other stakeholders and national governments in the African Region made good efforts to reach the goal as quickly as possible [3][4][5][6]. The Global Polio Eradication Initiative (GPEI) strategy, hinged on four pillars of strengthening routine immunization systems to ensure high coverage with polio vaccines, vigorous surveillance for acute flaccid paralysis (AFP), supplementary immunization and "mop up" immunizations, was adopted [3]. This four pillar strategy was faithfully implemented in the African Region which was home to more than half the global polio cases as late as 2012 [7].…”

“…This four pillar strategy was faithfully implemented in the African Region which was home to more than half the global polio cases as late as 2012 [7]. Approximately 12,000 polio cases were reported in the Region before 2008 when the Region embarked on better implementation of the core strategies, increased accountability, and implementation of innovative strategies [3,[8][9][10][11]. Between 2008 and 2012, cases of WPV dropped from 912 reported in 2008 from 12 countries to 128 cases from 3 countries in 2012 [3].…”

Immunization coverage in Ethiopia among 12-23 month children: systematic review and meta-analysis.

“…WHO 2018 reported that That 19.4 million infants are completed DPT3 where 13.5 million didn't received initial dose of vaccine due to lack of access to immunization services, while Ethiopia and other nine countries hold 11.7 million of 19.4 under and unimmunized children which accounts 60% [9] Over 6 million under five children died worldwide in 2013, which several deaths are attributed by VPD. and affordable interventions to decrease under-five mortality there is alarming of VPD like: diarrhea, measles and pneumonia which annually cause 3, 370 00 cases of measles, pneumonia, and diarrhea [5,[10][11][12][13][14][15] There are contributing factors that significantly associate with vaccine coverage in Ethiopia, those are rural residence, employer, female household head, primary and secondary school, antenatal care follow up, delivering health facility, Level of maternal education, good knowledge on immunization, short distance to health facility, having four or more family size can increase vaccine coverage in contrary fear of side effect, low wealth status, being too busy, hearing rumor about vaccination were predictors and barrier of fully vaccination [6,[16][17][18][19] Although private for profit and not for profit health facilities accounts for about 11% of health service coverage in Ethiopia all most all of them are not providing routine immunization if they provide routine immunization with free cost may contribute a lot to the coverage [20] Understanding the extent of vaccine coverage and its associated factors is important for designing strategies that can reduce the burden of vaccine preventable diseases. There is no review and metaanalysis conducted in Ethiopia on immunization coverage among 12-23 month old.…”