The impact of polio eradication on routine immunization and primary health care: a mixed-methods study.
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ABSTRACT: Background
After 2 decades of focused efforts to eradicate polio, the impact of eradication activities on health systems continues to be controversial. This study evaluated the impact of polio eradication activities on routine immunization (RI) and primary healthcare (PHC).Methods
Quantitative analysis assessed the effects of polio eradication campaigns on RI and maternal healthcare coverage. A systematic qualitative analysis in 7 countries in South Asia and sub-Saharan Africa assessed impacts of polio eradication activities on key health system functions, using data from interviews, participant observation, and document review.Results
Our quantitative analysis did not find compelling evidence of widespread and significant effects of polio eradication campaigns, either positive or negative, on measures of RI and maternal healthcare. Our qualitative analysis revealed context-specific positive impacts of polio eradication activities in many of our case studies, particularly disease surveillance and cold chain strengthening. These impacts were dependent on the initiative of policy makers. Negative impacts, including service interruption and public dissatisfaction, were observed primarily in districts with many campaigns per year.Conclusions
Polio eradication activities can provide support for RI and PHC, but many opportunities to do so remain missed. Increased commitment to scaling up best practices could lead to significant positive impacts.
SUBMITTER: Closser S
PROVIDER: S-EPMC4197907 | biostudies-literature | 2014 Nov
REPOSITORIES: biostudies-literature
Publications
The impact of polio eradication on routine immunization and primary health care: a mixed-methods study.
Closser Svea S Cox Kelly K Parris Thomas M TM Landis R Matthew RM Justice Judith J Gopinath Ranjani R Maes Kenneth K Banteyerga Amaha Hailom H Mohammed Ismaila Zango IZ Dukku Aminu Mohammed AM Omidian Patricia A PA Varley Emma E Tedoff Pauley P Koon Adam D AD Nyirazinyoye Laetitia L Luck Matthew A MA Pont W Frank WF Neergheen Vanessa V Rosenthal Anat A Nsubuga Peter P Thacker Naveen N Jooma Rashid R Nuttall Elizabeth E
The Journal of infectious diseases 20140401
<h4>Background</h4>After 2 decades of focused efforts to eradicate polio, the impact of eradication activities on health systems continues to be controversial. This study evaluated the impact of polio eradication activities on routine immunization (RI) and primary healthcare (PHC).<h4>Methods</h4>Quantitative analysis assessed the effects of polio eradication campaigns on RI and maternal healthcare coverage. A systematic qualitative analysis in 7 countries in South Asia and sub-Saharan Africa as ...[more]
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