Resistance of polio to its eradication in Pakistan

Masaud Shah · Muhammad Kazim Khan · Saleha Shakeel · Faiza A. Mahmood · Zunaira Sher · Muhammad Bilal Sarwar +1 more

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Vaccine Coverage and Hesitancy Global Maternal and Child Health Viral Infections and Immunology Research

Abstract

BACKGROUND: This study is based on EPI (Expanded Program on Immunization) immunization surveys and surveillance of polio, its challenges in immunization and the way forward to overcome these challenges. METHODS: Several Government documents, survey reports and unpublished program documents were studied and online search was made to find information on EPI Pakistan. SPSS 16 and Microsoft Excel 2007 were used for the statistical analysis. RESULTS: Immunization against polio is higher in urban areas as compared to rural areas. Marked variation in vaccination has been observed in different provinces of Pakistan in the last decade. Secondly 10-20% of the children who have received their first dose of trivalent polio vaccine were deprived of their 2nd and 3rd dose because of poor performance of EPI and Lack of information about immunization. CONCLUSION: In spite of numerous successes, such as the addition of new vaccines and raising immunization to over 100% in some areas, EPI is still struggling to reach its polio eradication goals. Inadequate service delivery, lack of information about immunization and limited number of vaccinators were found to be the key reason for poor performance of immunization and for large number of cases reported each year due to the deficiency of second and third booster dose.

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References

2007Assessment of EPI (expanded program of immunization) vaccine coverage in a peri-urban area.2009Determinants of third dose of diphtheria-tetanus-pertussis (DTP) completion among children who received DTP1 at rural immunization centres in Pakistan: a cohort study 2003Assessment of immunization service in perspective of both the recipients and the providers: a reflection from focus group discussions.1999Immunization coverage in three districts of North West Frontier Province (NWFP).

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2016Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities 2017Polio immunization in Pakistan: ethical issues and challenges 2017Knowledge and perceptions of polio and polio immunization in polio high-risk areas of Pakistan 2015A Cross-Sectional Survey of Healthcare Workers on the Knowledge and Attitudes towards Polio Vaccination in Pakistan 2014Determinant Factors for Implementing Polio Eradication Activities under Security Compromised Settings of Pakistan 2015Youth Group Engagement in Noncompliant Communities During Supplemental Immunization Activities in Kaduna, Nigeria, in 2014

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