Nigeria experience on the use of polio assets for the 2017/18 measles vaccination campaign follow-up

Oteri, Avuwa Joseph; Adamu, Usman; Dieng, Boubacar; Bawa, Samuel; Nomhwange, Terna; Nsubuga, Peter; Owoaje, Eme T.; Kassogue, Modibo; Baptiste, Anne Eudes Jean; Braka, Fiona; Shuaib, Faisal

doi:10.1016/j.vaccine.2021.04.040

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…In alignment with the GPEI strategy, our assessment demonstrated that the Nigeria polio EOCs´ capacities were successfully re-purposed to support other health emergencies such as outbreaks of Ebola, measles, yellow fever, and meningitis, and towards strengthening the immunization system. Our findings align with previous reports that documented the positive contribution of the polio EOCs in other disease control initiatives [ 5 , 6 , 14 , 15 ]. The Government of Nigeria´s response to the coronavirus disease- 19 (COVID-19) pandemic has also benefited from the polio infrastructure and assets, similarly to other countries with polio-funded staff presence.…”

Section: Discussionsupporting

confidence: 93%

The role of polio emergency operations centers: perspectives for future disease control initiatives in Nigeria

Braka,

Adamu,

Siddique

et al. 2023

Pan Afr Med J

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The Nigeria Polio Emergency Operations Centre (EOC) was established in October 2012 to strengthen coordination, provide strategic direction based on real-time data analysis, and manage all operational aspects of the polio eradication program. The establishment of seven state-level polio EOCs followed. With success achieved in the interruption of wild poliovirus (WPV) transmission as certified in 2020, the future direction of the polio EOC is under consideration. This paper describes the role of the polio EOC in other emergencies and perspectives on future disease control initiatives. A description of the functionality and operations of the polio EOC and a review of documentation of non-polio activities supported by the EOC was done. Key informant insights of national and state-level stakeholders were collected through an electronic questionnaire to determine their perspectives on the polio EOC’s contributions and its future role in other public health interventions. The polio EOC structure is based on an incident management system with clear terms of reference and accountability and with full partner coordination. A decline in WPV1 cases was observed from 122 cases in 2012 to 0 in 2015; previously undetected transmission of WPV1 was confirmed in 2016 and all transmission was interrupted under the coordination of the EOCs at national and state levels. During 2014-2019, the polio EOC infrastructure and staff expertise were used to investigate and respond to outbreaks of Ebola, measles, yellow fever, and meningitis and to oversee maternal and neonatal tetanus elimination campaigns. The EOC structure at the national and state levels has contributed to the positive achievements in the polio eradication program in Nigeria and further in the coordination of other disease control and emergency response activities. The transition of the polio EOCs and their capacities to support other non-polio programs will contribute to harnessing the country’s capacity for effective coordination of public health initiatives and disease outbreaks.

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Section: Discussionsupporting

confidence: 93%

The role of polio emergency operations centers: perspectives for future disease control initiatives in Nigeria

Braka,

Adamu,

Siddique

et al. 2023

Pan Afr Med J

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“…The planning and implementation of the 2019 integrated Measles and Meningitis A vaccination campaign was coordinated by the Non-Polio Supplement Immunization Activities (NPSIA) of the Disease Control and Immunization Department of the National Primary Health Care Development Agency (NPHCDA) with the dedicated staff of WHO, UNICEF, CDC, AFENET, CHAI, NCDC nominated from their various offices to support non-polio supplemental immunization activities. The coordination of the 2019 integrated measles men A campaign used the same coordination platform that implemented the 2017/2018 measles vaccination campaign and operated from the National Polio Emergency Operation Center giving them a more dedicated approach to their work with government leading [23].…”

Section: Study Settingmentioning

confidence: 99%

Journey to Integration of Injectable Antigens in Mass Vaccination Campaign; Benefits and Challenges using 2019 Meningitis A (Men A) and Measles Integrated Campaign in Nigeria

2023

J Community Med Public Health

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Background: Campaign integration, which refers to the co-delivery of all or some of the campaign components has been one of the guiding principles of immunization strategies. Mass vaccination campaigns serve as critical interventions to address deficiencies in routine vaccination coverage, particularly within health systems facing challenges. Nigeria has been involved in many mass vaccination campaigns but mostly standalone though attempts have been made to integrate some with other health interventions. In 2019, Nigeria conducted an integrated measles and Meningitis A vaccination campaign in sixteen states in Northern Nigeria. Notably, this marked Nigeria's most extensive integrated campaign, involving the administration of two injectable antigens. This paper aims to chronicle the nation's progress towards the integration of injectable antigens within its immunization framework, drawing insights from the unique challenges and successes encountered during the implementation of this integrated campaign. Methods:We documented the integration of the measles and Men A campaign from earlier planned standalone campaigns to reviewing decision making steps taken during the planned integration. We reviewed the coordination mechanism involved in the integration as well as the campaign budgets and post-campaign coverage survey report to document best practices, challenges, and recommendations for future integrations. Results: The findings reveal significant time savings, with the integrated approach. Decision-making involved extensive negotiation and collaboration at all levels, with stakeholder engagement crucial for successful integration. Cost-effectiveness analysis indicated remarkable savings in operational costs, attributed to the efficient resource utilization and prudent planning. Conclusion:Through a detailed examination of this historic initiative, the paper contributes to the understanding of the complexities surrounding the integration of injectable antigens. It addresses the challenges associated with a crowded immunization calendar and resource limitations in developing countries. The lessons learned contributed to the understanding of campaign effectiveness and offered valuable considerations for future integrated health interventions.

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“…Together, these groups have contributed to a considerable reduction in illness and deaths from HIV, tuberculosis ( 2 ), malaria ( 3 ), and polio ( 4 ) in Nigeria. The Global Polio Eradication Initiative supported the establishment of a laboratory network, emergency operations center (EOC), 2 molecular laboratories, and enhanced vaccination efforts and provided substantial operational support for Nigeria’s polio response ( 5 ). Similarly, the US President’s Emergency Plan for AIDS Relief program has been the main funder of HIV-related activities in Nigeria, supporting the establishment of testing sites and laboratories, providing treatment to persons living with HIV, and accounting for 67% of the $532.4 million reported HIV spending in 2018 ( 6 ).…”

mentioning

confidence: 99%

“…By focusing resources, priorities, and policies on a single disease, these programs have achieved notable public health improvements for persons in Nigeria. A steady decline in HIV and malaria prevalence across the country has been observed, more persons are presently accessing disease testing and treatments compared with 2001 ( 3 ), and, in June 2020, Nigeria achieved wild polio virus–free status ( 5 ). However, Nigeria has experienced mixed success in using the capacities built through these donor-funded vertical programs to respond to new health threats, such as regional Ebola outbreaks and the global COVID-19 pandemic.…”

mentioning

confidence: 99%

Lessons from Nigeria’s Adaptation of Global Health Initiatives during the COVID-19 Pandemic

Ihekweazu¹

2022

Emerg. Infect. Dis.

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Nigeria receives funds from several global health initiatives that are aimed at addressing elevated risks and overall burden of infectious disease outbreaks. These funds include the Global Fund to Fight AIDS, Tuberculosis and Malaria; US President’s Emergency Plan for AIDS Relief; US President’s Malaria Initiative; and Global Polio Eradication Initiative. These initiatives have contributed to a substantial reduction in illness and death from HIV, tuberculosis, malaria, and polio. However, Nigeria has experienced mixed success with leveraging the capacities built through these donor-funded vertical programs to respond to new health threats. This report describes experiences using resources from vertical disease programs by the Nigeria Centre for Disease Control in response to the 2014–2016 Ebola outbreak in West Africa and the COVID-19 pandemic. Integrating resources from different disease programs with government-led systems and institutions will improve responses to endemic outbreaks and preparedness for future pandemics in Nigeria.

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Nigeria experience on the use of polio assets for the 2017/18 measles vaccination campaign follow-up

Cited by 4 publications

References 17 publications

The role of polio emergency operations centers: perspectives for future disease control initiatives in Nigeria

The role of polio emergency operations centers: perspectives for future disease control initiatives in Nigeria

Journey to Integration of Injectable Antigens in Mass Vaccination Campaign; Benefits and Challenges using 2019 Meningitis A (Men A) and Measles Integrated Campaign in Nigeria

Lessons from Nigeria’s Adaptation of Global Health Initiatives during the COVID-19 Pandemic

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