Federal Ministry of Health, Abuja, Nigeria.
Pathog Glob Health. 2012 Jul;106(3):166-71. doi: 10.1179/2047773212Y.0000000018.
This paper examines the impact of a community-based intervention on the trends in the uptake of polio vaccination following a community mobilization campaign for polio eradication in northern Nigeria. Uptake of polio vaccination in high-risk communities in this region has been considerably low despite routine and supplemental vaccination activities. Large numbers of children are left unvaccinated because of community misconceptions and distrust regarding the cause of the disease and the safety of the polio vaccine. The Majigi polio campaign was initiated in 2008 as a pilot trial in Gezawa, a local council with very low uptake of polio vaccination. The average monthly increase in the number of vaccinated children over the subsequent six months after the pilot trial was 1,047 [95% confidence interval (CI): 647-2045, P = 0·001]. An increasing trend in uptake of polio vaccination was also evident (P = 0·001). The outcome was consistent with a decrease or no trend in the detection of children with zero doses. The average monthly decrease in the number of children with zero doses was 6·2 (95% CI: -21 to 24, P = 0·353). Overall, there was a relative increase of approximately 310% in the polio vaccination uptake and a net reduction of 29% of never vaccinated children. The findings of this pilot test show that polio vaccination uptake can be enhanced by programs like Majigi that promote effective communication with the community.
本文探讨了尼日利亚北部开展消灭脊灰炎社区动员活动后，基于社区的干预措施对脊灰炎疫苗接种趋势的影响。尽管常规和补充疫苗接种活动一直在进行，但该地区高危社区的脊灰炎疫苗接种率仍然相当低。由于社区对疾病原因和脊灰炎疫苗安全性存在误解和不信任，大量儿童未接种疫苗。Majigi 脊灰炎运动于 2008 年在接种率极低的 Gezawa 地方议会作为试点试验发起。试点试验后的六个月内，每月接种疫苗的儿童人数平均增加了 1047 人（95%置信区间：647-2045，P=0·001）。脊灰炎疫苗接种率呈上升趋势（P=0·001）。结果与检测到零剂量儿童数量减少或无趋势一致。每月零剂量儿童人数平均减少 6·2 人（95%置信区间：-21 至 24，P=0·353）。总体而言，脊灰炎疫苗接种率相对增加了约 310%，从未接种疫苗的儿童减少了 29%。这项试点测试的结果表明，像 Majigi 这样的项目可以通过促进与社区的有效沟通来提高脊灰炎疫苗接种率。
