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Delea MG, Browne L, Kaji S, Weiss AJ, Tchindebet O. Factors Influencing Community Engagement during Guinea Worm and Polio Eradication Endgames in Chad: Recommendations for "Last Mile" Programming. Am J Trop Med Hyg 2024; 111:36-48. [PMID: 38981498 PMCID: PMC11376110 DOI: 10.4269/ajtmh.23-0635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 04/03/2024] [Indexed: 07/11/2024] Open
Abstract
Community engagement is a strategy commonly used in health and development programming. Many disease eradication programs engage with communities through different structures and mechanisms to detect, report, contain, and respond to the diseases they target. Qualitative operational research was conducted in a district of Chad co-endemic for both dracunculiasis (i.e., Guinea worm disease) and circulating vaccine-derived poliovirus to reveal factors influencing community engagement behavior in the context of eradication-related programming. Women and men from six communities and stakeholders from the local, district, and central levels were recruited to participate in focus group discussions and semi-structured in-depth interviews. A thematic analysis was performed to identify barriers and facilitators of community engagement. Barriers to community engagement included mistrust in exogenously established health program initiatives (i.e., initiatives designed by partners external to targeted program communities) resulting from negative past experiences with external entities and community groups and the lure of profit-motivating community engagement. Subgroup and intersectionality analyses revealed that gender and other identities influence whether and to what extent certain members of the community engage in a meaningful way. Facilitators of community engagement included leadership and the influence of authorities and leaders in community participation, perceived benefits of being engaged with community-based initiatives, and use of incentives to enhance community participation. Study findings may be used to inform the refinement of community engagement approaches in Chad and learning agendas for other "last mile" disease eradication programs.
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Affiliation(s)
- Maryann G Delea
- The Carter Center, Guinea Worm Eradication Program, Atlanta, Georgia
| | - Lalique Browne
- The Carter Center, National Guinea Worm Eradication Program - Chad, N'Djamena, Chad
| | - Severin Kaji
- The Carter Center, National Guinea Worm Eradication Program - Chad, N'Djamena, Chad
| | - Adam J Weiss
- The Carter Center, Guinea Worm Eradication Program, Atlanta, Georgia
| | - Ouakou Tchindebet
- Ministère de la Sante Publique, Programme National d'Eradication de Ver du Guinée - Tchad, N'Djamena, Chad
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Mathenge VW, Sambaiga R, Bitebo A, Komba M, Mushashu A, Sang'anya M, Shaweji F, Mbwilo G, Mayao V, Mlembwa J, Rangi J, Onuekwe C, Kileo N, Mwengee W, Sagoe-Moses C. The development of a digital NGO mapping platform in Tanzania, as a tool to strengthen civil society engagement, in pursuit of universal health coverage. Pan Afr Med J 2023; 46:115. [PMID: 38465003 PMCID: PMC10924604 DOI: 10.11604/pamj.2023.46.115.42333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 12/12/2023] [Indexed: 03/12/2024] Open
Abstract
The role of civil society in economic development, improving livelihoods and in providing pathways towards achieving health for all has become increasingly evident. By mapping these organizations, the scope and scale as well as existing capacities, gaps, and opportunities are brought to light. This paper describes the implementation of a digital mapping platform for NGOs; an interactive site which collects, analyses, and visualizes data from a variety of sources about NGOs in Tanzania, through a series of interactive maps, graphs, and charts. We describe the approach and the technology used to develop the platform and its potential contribution towards improving health outcomes. A situation analysis and needs assessment exercise was conducted in February 2023. The developed system requirement specification document served as the guiding document in the design and development of new modules. Participatory techniques and agile iterative methodologies comprising regular stakeholder engagement were employed. A distributed revision control system was used to keep track of system revisions. The modules were deployed to the production server at the National Internet Data Center (NIDC) server room, followed by a system commissioning activity in October 2023. The NGO Information System, NGO Digital Mapping tool, NGO Analytic tool, NGO Search tool and NGO Opportunities module were designed, developed, and commissioned to support NGO operations in Tanzania. The platform was launched during the annual NGO Forum in Dodoma, Tanzania, on October 5, 2023. The modules are publicly accessible and are housed within the NGO Information System (NIS) platform. Investment in whole-of-society engagement to build health systems resilience for universal health coverage is crucial. Leveraging the unique positioning of NGOs draws us a step closer to the ambitious goal of achieving health for all. Through this one-stop web application system, information on the near real-time status, existing gaps, and opportunities for collaboration to serve communities is readily available for all stakeholders. Wide dissemination and enhancement of utilization of the platform across all sectors is now needed, for data to truly inform action.
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Affiliation(s)
| | | | - Ally Bitebo
- The University of Dar es Salaam, Dar es Salaam, Tanzania
| | - Modesta Komba
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Abraham Mushashu
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Mussa Sang'anya
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Faki Shaweji
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Grace Mbwilo
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Vickness Mayao
- Ministry of Community Development, Gender, Women and Special Groups, Dodoma, Tanzania
| | - Jerry Mlembwa
- World Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania
| | - Jaliath Rangi
- World Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania
| | - Chima Onuekwe
- World Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania
- World Health Organization, Inter-Country Support Team - East and Southern Africa, Harare, Zimbabwe
| | - Neema Kileo
- World Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania
| | - William Mwengee
- World Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania
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Turner PJ, Larson H, Dubé È, Fisher A. Vaccine Hesitancy: Drivers and How the Allergy Community Can Help. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2021; 9:3568-3574. [PMID: 34242848 PMCID: PMC8416028 DOI: 10.1016/j.jaip.2021.06.035] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 06/16/2021] [Accepted: 06/19/2021] [Indexed: 02/07/2023]
Abstract
Vaccine hesitancy-defined by the World Health Organization (WHO) as a "delay in acceptance or refusal of vaccines despite availability of vaccination services"-is not a recent phenomenon. Historical records indicate that vaccine hesitancy existed by the 18th century in Europe and even resulted in violent riots. The drivers of vaccine hesitancy have evolved over the last 200 years but not, perhaps, as much as one might expect. More problematic are the means by which concerns over vaccine hesitancy are communicated by a new landscape of digital communication, generating what has been described as an "infodemic" in which an overabundance of information-both factual and misinformation-contributes to hesitancy. In this review, we discuss the background and current drivers of vaccine hesitancy and the evidence base for strategies to combat this. We highlight the important role the allergy/immunology community could have in working to mitigate vaccine hesitancy, particularly with respect to the current coronavirus disease 2019 (COVID-19) pandemic.
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Affiliation(s)
- Paul J Turner
- National Heart and Lung Institute, Imperial College London, London, UK.
| | - Heidi Larson
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| | - Ève Dubé
- Institut National de Santé Publique du Québec, Quebec City, Quebec, Canada; Université Laval, Faculty of Social Sciences, Quebec City, Quebec, Canada
| | - Allison Fisher
- National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga
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Akinyemi OO, Adebayo A, Bassey C, Nwaiwu C, Kalbarczyk A, Fatiregun AA, Alonge OO, Owoaje E. Assessing community engagement in Nigeria polio eradication initiative: application of the Consolidated Framework for Implementation Research. BMJ Open 2021; 11:e048694. [PMID: 34373306 PMCID: PMC8354285 DOI: 10.1136/bmjopen-2021-048694] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE This study employed the Consolidated Framework for Implementation Research (CFIR) to assess factors that enhanced or impeded the implementation of community engagement strategies using the Nigerian polio programme as a point of reference. DESIGN This study was a part of a larger descriptive cross-sectional survey. The CFIR was used to design the instrument which was administered through face-to-face and phone interviews as well as a web-based data collection platform, Qualtrics. SETTING The study took place in at least one State from each of the six geopolitical zones in Nigeria (Nasarawa, Borno, Kano, Sokoto, Anambra, Bayelsa, Lagos, Ondo and Oyo States as well as the Federal Capital Territory). PARTICIPANTS The respondents included programme managers, policy-makers, researchers and frontline field implementers affiliated with the Global Polio Eradication Initiative (PEI) core partner organisations, the three tiers of the government health parastatals (local, state and federal levels) and academic/research institutions. RESULTS Data for this study were obtained from 364 respondents who reported participation in community engagement activities in Nigeria's PEI. Majority (68.4%) had less than 10 years' experience in PEI, 57.4% were involved at the local government level and 46.9% were team supervisors. Almost half (45.0%) of the participants identified the process of conducting the PEI program and social environment (56.0%) as the most important internal and external contributor to implementing community engagement activities in the community, respectively. The economic environment (35.7%) was the most frequently reported challenge among the external challenges to implementing community engagement activities. CONCLUSION Community engagement strategies were largely affected by the factors relating to the process of conducting the polio programme, the economic environment and the social context. Therefore, community engagement implementers should focus on these key areas and channel resources to reduce obstacles to achieve community engagement goals.
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Affiliation(s)
| | - Adedamola Adebayo
- Department of Community Medicine, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria
| | - Christopher Bassey
- Department of Community Medicine, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria
| | - Chioma Nwaiwu
- Department of Community Medicine, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria
| | - Anna Kalbarczyk
- International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Akinola A Fatiregun
- Ondo State Field Office, World Health Organization Country Office for Nigeria, Ondo, Nigeria
| | - Olakunle O Alonge
- International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Eme Owoaje
- Department of Community Medicine, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria
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Muhammad A, Ahmad D, Tariq E, Shafiq Y. Rebuilding Trust on Routine Immunization in Era of COVID-19 Fear-Role that Civil Society Organizations can Play Hands-in-Hand with Immunization Program. Public Health Rev 2021; 42:1603989. [PMID: 34168898 PMCID: PMC8207195 DOI: 10.3389/phrs.2021.1603989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 05/12/2021] [Indexed: 12/01/2022] Open
Affiliation(s)
| | | | - Eleze Tariq
- Medical College, Aga Khan University, Karachi, Pakistan
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Choudhary M, Solomon R, Awale J, Dey R, Singh JP, Weiss W. Significance of a social mobilization intervention for engaging communities in polio vaccination campaigns: Evidence from CORE Group Polio Project, Uttar Pradesh, India. J Glob Health 2021; 11:07011. [PMID: 33763225 PMCID: PMC7956133 DOI: 10.7189/jogh.11.07011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND Globally, community engagement is an integral part of most public health programs and the social mobilization (SM) intervention of India's polio eradication program is one such example that contributed to eliminating polio from the country. CORE Group Polio Project (CGPP), a partner of Uttar Pradesh (U.P.) SM Network executed its activities through a network of social mobilizers called Community Mobilization Coordinators (CMCs). These were deployed in polio high risk areas to perform awareness generation and trust-building activities with communities and achieved high coverage of polio vaccination during Supplementary Immunization Activity campaigns (SIAs). This paper measures the extent and outcomes of CMC community engagement in SM interventions and polio SIAs. METHODS This study used secondary, cluster-level data from Management Information System of CGPP India, including 52 SIAs held between January 2008 to September 2017 in 56 blocks/polio planning units, covering 12 districts of U.P. We used five indicators that reflected community engagement in polio SIAs and constructed a Community Engagement Index (CEI). Further, we estimated the difference in the CEI between CMC and non-CMC areas, using Generalized Estimating Equations (GEE) and also estimated treatment effects through Difference-in-Differences (DID) method using STATA. RESULTS Overall, 78.6% (95% confidence interval (CI) = 78.3, 78.8) of families from the study area were engaged in the polio SIAs and the extent of community engagement increased over time. The mean CEI of entire study period in CMC areas (85.8%; 95% CI = 85.6, 86.0) was significantly higher (P < 0.001) than that of non-CMC areas (71.3%; 95% CI = 71.1, 71.5). Over time, the SM intervention led to at least 11 percentage points increase in the CEI of CMC areas with about 17% of this achievement attributable to CGPP India's SM efforts. CONCLUSIONS The study findings suggest that intensive social mobilization efforts can significantly increase the extent of community engagement. The community engagement learnings of polio SM Network may be useful to achieve the desired outcomes of public health programs such as the National Health Mission (NHM) of India, that serves communities for multiple health issues.
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Affiliation(s)
- Manojkumar Choudhary
- CORE Group Polio Project, Gurgaon, Haryana, India
- Indian Institute of Health Management Research (IIHMR) University, Jaipur, Rajasthan, India
| | - Roma Solomon
- CORE Group Polio Project, Gurgaon, Haryana, India
| | | | - Rina Dey
- CORE Group Polio Project, Gurgaon, Haryana, India
| | - Jagajeet Prasad Singh
- Indian Institute of Health Management Research (IIHMR) University, Jaipur, Rajasthan, India
| | - William Weiss
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
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Bologna L, Stamidis KV, Paige S, Solomon R, Bisrat F, Kisanga A, Usman S, Arale A. Why Communities Should Be the Focus to Reduce Stigma Attached to COVID-19. Am J Trop Med Hyg 2021; 104:39-44. [PMID: 33258438 PMCID: PMC7790080 DOI: 10.4269/ajtmh.20-1329] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Since 1999, the CORE Group Polio Project (CGPP) has developed, refined, and deployed effective strategies to mobilize communities to improve vaccine uptake for polio (and other vaccine-preventable diseases such as measles) and conduct surveillance for infectious disease threats in high-risk, border, and hard-to-reach locations. CORE Group Polio Project teams have been called upon to address the COVID-19 pandemic, and, like with polio, the pandemic response is impacted by stigma in all areas of response, from health education, testing, contact tracing, and even treatment for infected individuals. The CGPP has reached back into its polio experience and is redeploying successful community engagement activities to address stigma as part of the COVID-19 response. Across country programs, community health volunteers communicate risk and behavior change at the household level by integrating health education and promotion activities with a focus on practical measures of COVID-19 prevention. Moreover, leveraging established and trusted partnerships with community networks and community leaders are providing lessons that can be adopted by the global community. The CGPP offers three overarching recommendations to curb stigma: 1) facilitating inclusive community engagement, 2) leveraging existing community networks and 3) cocreating with community leaders.
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Affiliation(s)
- Lydia Bologna
- 1CORE Group Polio Project, Washington, District of Columbia
| | | | - Sarah Paige
- 2Global Health Security Agenda, CORE Group, Washington, District of Columbia
| | | | | | | | - Samuel Usman
- 6CORE Group Partners Project/Nigeria, Abuja, Nigeria
| | - Ahmed Arale
- 7CORE Group Polio Project/Kenya and Somalia, Nairobi, Kenya
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Sarriot E, Shaar AN. Community Ownership in Primary Health Care-Managing the Intangible. GLOBAL HEALTH: SCIENCE AND PRACTICE 2020; 8:327-331. [PMID: 33008849 PMCID: PMC7541110 DOI: 10.9745/ghsp-d-20-00427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 09/02/2020] [Indexed: 11/15/2022]
Abstract
Although enduringly intangible, community ownership is foundational to primary health care. This intangibility is a reminder of what programs can and should do (create space for dialogue, question their own choices, expand diversity in stakeholder voices making sense of program-induced changes, including through evaluation) and what they cannot do (manage someone else’s ownership).
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Affiliation(s)
| | - Ali Nashat Shaar
- Palestinian Child Institute, An-Najah National University, Nablus, Palestine
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Lewis J, LeBan K, Solomon R, Bisrat F, Usman S, Arale A. The Critical Role and Evaluation of Community Mobilizers in Polio Eradication in Remote Settings in Africa and Asia. GLOBAL HEALTH, SCIENCE AND PRACTICE 2020; 8:396-412. [PMID: 33008854 PMCID: PMC7541117 DOI: 10.9745/ghsp-d-20-00024] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Accepted: 06/12/2020] [Indexed: 01/05/2023]
Abstract
This article assesses the CORE Group Polio Project (CGPP) experience over a 20-year period in 5 countries. It examines how a program designed to provide social mobilization to eradicate one disease, and which did so effectively, functioned within the general framework of community health workers (CHWs). Vertical health programs often have limited impact on broader community health. CGPP has a 20-year history of social mobilization and effective program interventions. This history provided an opportunity to assess how CGPP community mobilizers (CMs) functioned in polio and maternal and child health. The Updated Program Functionality Matrix for Optimizing Community Health Programs tool of the CHW Assessment and Improvement Matrix (AIM) was used to examine CGPP CM roles across different contexts. The analysis determined that CGPP CMs met the basic level of functioning (level 3) for 6 of the 10 components of the AIM tool. This cross-country descriptive analysis of the CGPP demonstrates the importance of embracing the full range of CHW AIM components, even in a vertical program. Use of data, community involvement, local adaptation, and linkage with the health system are especially critical for success. This general lesson could be applied to other community mobilization and disease/epidemic control initiatives, especially as we face the issues of the COVID-19 pandemic.
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Affiliation(s)
- Judy Lewis
- University of Connecticut School of Medicine, Farmington, CT, USA.
| | - Karen LeBan
- Global health consultant, Washington, DC, USA
| | | | | | - Samuel Usman
- CORE Group Polio Project Nigeria, Abuja, Nigeria
| | - Ahmed Arale
- CORE Group Polio Project Horn of Africa, Nairobi, Kenya
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Alonge O, Neel AH, Kalbarczyk A, Peters MA, Mahendradhata Y, Sarker M, Owoaje E, Deressa W, Kayembe P, Salehi AS, Gupta SD. Synthesis and translation of research and innovations from polio eradication (STRIPE): initial findings from a global mixed methods study. BMC Public Health 2020; 20:1176. [PMID: 32787949 PMCID: PMC7421832 DOI: 10.1186/s12889-020-09156-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 06/19/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Lessons from polio eradication efforts and the Global Polio Eradication Initiative (GPEI) are useful for improving health service delivery and outcomes globally. The Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) is a multi-phase project which aims to map, package and disseminate knowledge from polio eradication initiatives as academic and training programs. This paper discusses initial findings from the knowledge mapping around polio eradication activities across a multi-country context. METHODS The knowledge mapping phase (January 2018 - December 2019) encompassed four research activities (scoping review, survey, key informant interviews (KIIs), health system analyses). This paper utilized a sequential mixed method design combining data from the survey and KIIs. The survey included individuals involved in polio eradication between 1988 and 2019, and described the contexts, implementation strategies, intended and unintended outcomes of polio eradication activities across levels. KIIs were conducted among a nested sample in seven countries (Afghanistan, Bangladesh, the Democratic Republic of Congo, Ethiopia, India, Indonesia, Nigeria) and at the global level to further explore these domains. RESULTS The survey generated 3955 unique responses, mainly sub-national actors representing experience in over 74 countries; 194 KIIs were conducted. External factors including social, political, and economic factors were the most frequently cited barriers to eradication, followed by the process of implementing activities, including program execution, planning, monitoring, and stakeholder engagement. Key informants described common strategies for addressing these barriers, e.g. generating political will, engaging communities, capacity-building in planning and measurement, and adapting delivery strategies. The polio program positively affected health systems by investing in system structures and governance, however, long-term effects have been mixed as some countries have struggled to institutionalize program assets. CONCLUSION Understanding the implementing context is critical for identifying threats and opportunities to global health programs. Common implementation strategies emerged across countries; however, these strategies were only effective where organizational and individual capacity were sufficient, and where strategies were appropriately tailored to the sociopolitical context. To maximize gains, readiness assessments at different levels should predate future global health programs and initiatives should consider system integration earlier to ensure program institutionalization and minimize system distortions.
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Affiliation(s)
- Olakunle Alonge
- Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21205, USA.
| | - Abigail H Neel
- Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21205, USA
| | - Anna Kalbarczyk
- Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21205, USA
| | - Michael A Peters
- Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD, 21205, USA
| | - Yodi Mahendradhata
- Universitas Gadjah Mada, Faculty of Medicine, Public Health and Nursing, Yogyakarta, Indonesia
| | - Malabika Sarker
- BRAC James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh
- Heidelberg Global Institute of Health (HIGH), Heidelberg University, Heidelberg, Germany
| | - Eme Owoaje
- University of Ibadan College of Medicine, Ibadan, Nigeria
| | - Wakgari Deressa
- Addis Ababa University School of Public Health, Addis Ababa, Ethiopia
| | - Patrick Kayembe
- University of Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo
| | | | - S D Gupta
- Indian Institute of Health Management Research, Jaipur, India
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11
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Asghar RJ. Why is polio still here? A perspective from Pakistan. LANCET GLOBAL HEALTH 2020; 8:e177-e178. [PMID: 31981552 DOI: 10.1016/s2214-109x(19)30524-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 11/08/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Rana Jawad Asghar
- Global Health Strategists and Implementers, Emirates Tower, Islamabad 44210, Pakistan; University of Nebraska Medical Center, Omaha, NE, USA.
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