Core polio integration in practice lynch
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Core polio integration in practice lynch
- 1. CORE Polio: Integration in practice CORE Group Spring Meeting May 2011
- 3. Global Polio Eradication Initiative THEN NGOs & civil society Communities
- 4. Some Realities Global vaccine supply and policy Health system material infrastructure Health system human resources Economics Culture & Politics Other vaccine preventable diseases Conflict Food insecurity Vitamin A deficiency Malaria HIV/AIDS Sanitation & hygiene
- 5. Global Polio Eradication Initiative NOW Global vaccine supply and policy Health system material infrastructure Health system human resources Economics Culture & Politics Other vaccine preventable diseases Conflict Food insecurity Vitamin A deficiency Malaria HIV/AIDS Sanitation & hygiene
- 8. Growth of CORE Polio as a platform Polio campaigns and Surveillance Measles (health promotion) Integrated campaigns (measles, VitA, nets) Routine Immunization (defaulter tracing, health worker skills) Handwashing promtion other sanitation
- 13. ITN use in integrated campaign
Notas do Editor
- Social mobilization for campaigns and community based surveillance for accute flaccid paralysis was to add on to community volunteers activities in other programs (C-IMCI, handwashing, nutrition, etc.)
- Communities demanded additional services, wanted to know why the gov’t only cared about polio Inadequate population immunity despite high vaccination rates suggested that WASH measure to impede transmission might be necessary/helpful. So in keeping with global PEI (WHO/CDC) strategy the SMNet adopted WASH promotion as part of its activities. Also added health camps, with additional healtht services i.e., onther vaccines, prenatal, etc.
- Some of the CGPPs successful integrated activities are indicated because of the logistical simplicity. (Give out VitA and neds while you’re goging house to house with polio drops.) Others work because the content is related. (People know polio transmission is caused by fecal oral transmission due to poor hygiene and sanitation, and they are more strongly motivated by clean-up days, etc. than by endless campaigns alone.)
- Incidentally, an advantage to our collaborative approach is that the entire “secretariat” of PVOs/NGOs have access to any staff with experience in the different areas in any of the other NGOs Serious attention to systems strengthening is hard enough when it’s the same cast of characters. Integration across sharply different areas (malaria and immunization) requires interaction with two or more different sets of individuals
- Within CGPP integration beyond nimmunization involving health system has largely occurred through integrated campaigns, in which MOH was responsible for training, support, supervision of MOH workers. In fact w/I CGPP effort greatest challenge to implementing community based RI such as defaulter tracing has been local gaps in immunization services (encompassing material infrastructure, human skills building, particularly around microplanning and local commitment) In community-level activities expectations of volunteers may already be unreasonable, on the other hand training itself, greater visibility and ability to offer broader range of services all serve as motivating factors