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The Impact of Polio Eradication on Routine Immunization and Primary Health Care: A Mixed-Methods Study Public Deposited

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  • 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.
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  • Closser, S., Cox, K., Parris, T. M., Landis, R. M., Justice, J., Gopinath, R., ... & Nuttall, E. (2014). The Impact of Polio Eradication on Routine Immunization and Primary Health Care: A Mixed-Methods Study. Journal of Infectious Diseases, 210, S504-S513. doi:10.1093/infdis/jit232
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  • 210
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  • This work was supported by the Bill and Melinda Gates Foundation (contract 20333).
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  • description.provenance : Approved for entry into archive by Erin Clark(erin.clark@oregonstate.edu) on 2015-03-25T20:18:50Z (GMT) No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) MaesKennethAnthropologyImpactPolioEradication.pdf: 825417 bytes, checksum: e2c365466d3c106832d4ae7d697bf359 (MD5) MaesKennethAnthropologyImpactPolioEradication_SupplementaryData.pdf: 2981661 bytes, checksum: 41250d95fc653fcbe9a145db7609e0ec (MD5)
  • description.provenance : Made available in DSpace on 2015-03-25T20:18:50Z (GMT). No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) MaesKennethAnthropologyImpactPolioEradication.pdf: 825417 bytes, checksum: e2c365466d3c106832d4ae7d697bf359 (MD5) MaesKennethAnthropologyImpactPolioEradication_SupplementaryData.pdf: 2981661 bytes, checksum: 41250d95fc653fcbe9a145db7609e0ec (MD5) Previous issue date: 2014-11-01
  • description.provenance : Submitted by Erin Clark (erin.clark@oregonstate.edu) on 2015-03-25T20:18:25Z No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) MaesKennethAnthropologyImpactPolioEradication.pdf: 825417 bytes, checksum: e2c365466d3c106832d4ae7d697bf359 (MD5) MaesKennethAnthropologyImpactPolioEradication_SupplementaryData.pdf: 2981661 bytes, checksum: 41250d95fc653fcbe9a145db7609e0ec (MD5)

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