Dataset Information

Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017.

ABSTRACT:

Background

The OPV 3 coverage for Kaduna State, 12-23?months old children was 34.4%. The low OPV 3 coverage, due mainly to weak demand for routine antigens and the need to rapidly boost population immunity against the disabling Wild Polio Virus (WPV), led the Global Polio Eradication Initiatives (GPEI) to increase supplemental OPV campaigns in Kaduna State, despite the huge cost and great burden on personnel. The OPV campaigns, especially in high risk (low vaccine uptake, <80% OPV 3 coverage and high vaccines refusal rate) states of northern Nigeria with poliovirus transmission has resulted in overestimated denominators or target population, as the highest ever vaccinated is used to set OPV campaign targets.

Methods

We utilized a cross-sectional study that assessed the impacts and possible solutions to the challenges of overestimated denominators in immunization services planning, delivery and performance evaluation in Kaduna State, Nigeria. We used both descriptive and quantitative approaches. We enumerated households and obtained the target populations for routine immunization (<1?year), polio campaign (<5?years) and acute flaccid paralysis surveillance (<15?years).

Results

We found a significant difference in mean scores between the micro-planning and supplemental vaccination data on a number of <5?years (M?=?102967, SD?=?62405, micro-planning compared to M?=?157716, SD?=?72212, supplemental vaccination, p?ConclusionPeriodic household-based micro-planning, aided with the use of technology for validation remains a useful tool in addressing gaps in immunization planning, delivery and performance evaluation in developing countries, such as Nigeria with overestimated denominators.

SUBMITTER: Umeh GC

PROVIDER: S-EPMC6238078 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Publications

Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017.

Umeh Gregory C GC Madubu Dauda M DM Korir Charles C Loveday Nkwogu N Ishaku Sambo S Iyal Hadiza H Omoleke Semeeh A SA I Nomhwange Terna T Aliyu Atiku A Musa Audu A Dankoli Raymond R Mi Ningi Adamu A Braka Fiona F Dogo Paul M PM Soba Haliru H Iliyasu Neyu N

Vaccine 20181023 48

<h4>Background</h4>The OPV 3 coverage for Kaduna State, 12-23 months old children was 34.4%. The low OPV 3 coverage, due mainly to weak demand for routine antigens and the need to rapidly boost population immunity against the disabling Wild Polio Virus (WPV), led the Global Polio Eradication Initiatives (GPEI) to increase supplemental OPV campaigns in Kaduna State, despite the huge cost and great burden on personnel. The OPV campaigns, especially in high risk (low vaccine uptake, <80% OPV 3 cove ...[more]

PMID: 30366806

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Project description:BackgroundGlobally, women with disabilities are less likely to have access to family planning services compared to their peers without disabilities. However, evidence of effective interventions for promoting their sexual and reproductive health and rights remains limited, particularly in low- and middle-income settings. To help address disparities, an inclusive sexual and reproductive health project was developed to increase access to modern contraceptive methods and reduce unmet need for family planning for women of reproductive age with disabilities in Kaduna city, Nigeria. The project uses demand-side, supply-side and contextual interventions, with an adaptive management approach. This protocol presents a study to evaluate the project's impact.MethodsA pragmatic cluster-randomized controlled trial design with surveys at baseline and endline will be used to evaluate interventions delivered for at least 1 year at health facility and community levels in comparison to 'standard' state provision of family planning services, in the context of state-wide and national broadcast media and advocacy. Randomization will be conducted based on the health facility catchment area, with 19 clusters in the intervention arm and 18 in the control arm. The primary outcome measure will be access to family planning. It was calculated that at least 950 women aged 18 to 49 years with disabilities (475 in each arm) will be recruited to detect a 50% increase in access compared to the control arm. For each woman with disabilities enrolled, a neighbouring woman without disabilities in the same cluster and age group will be recruited to assess whether the intervention has a specific effect amongst women with disabilities. The trial will be complemented by an integrated process evaluation. Ethical approval for the study has been given by the National Health Research Ethics Committee of Nigeria and London School of Hygiene & Tropical Medicine.DiscussionDefining access to services is complex, as it is not a single variable that can be measured directly and need for family planning is subjectively defined. Consequently, we have conceptualized 'access to family planning' based on a composite of beliefs about using services if needed.Trial registrationISRCTN registry ISRCTN12671153. Retrospectively registered on 17/04/2023.

Dataset Information

Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017.

Background

Methods

Results

Publications

Micro-planning for immunization in Kaduna State, Nigeria: Lessons learnt, 2017.

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