Global Immunization Division, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
International Organization for Migration, Geneva, Switzerland.
Ethn Health. 2022 May;27(4):817-832. doi: 10.1080/13557858.2020.1838455. Epub 2020 Oct 30.
Supporting the global eradication of wildpoliovrisu (WPV), this project aimed to provide polio and measles vaccines to a population frequenty missed by immunization services and campaigns, ethnic Somali children living among mobile populations within Kenya's Northeastern Region. Additionally, nutritional support, albendazole (for treatment of intestinal parasites) and vitamin A were provided to improve children's health and in accordance with regional vaccination campaign practices. To better understand movement patterns and healthcare-seeking behaviors within this population, we trained community-based data collectors in qualitative and geospatial data collection methods. Data collectors conducted focus group and participatory mapping discussions with ethnic Somalis living in the region. Qualitative and geospatial data indicated movement patterns that followed partially definable routes and temporary settlement patterns with an influx of ethnic Somali migrants into Kenya at the start of the long rainy season (April-June). Community members also reported concerns about receiving healthcare services in regional health facilities. Using these data, an 8-week vaccination campaign was planned and implemented: 2196 children aged 0-59 months received polio vaccine (9% had not previously received polio vaccine), 2524 children aged 9-59 months received measles vaccine (27% had not previously received measles vaccine), 113 were referred for the treatment of severe acute malnourishment, 150 were referred to a supplementary feeding program due to moderate acute malnourishment, 1636 children aged 12-59 months were provided albendazole and 2008 children aged 6-59 months were provided with vitamin A. This project serves as an example for how community-based data collectors and local knowledge can help adapt public health programming to the local context and could aid disease eradication in at-risk populations.
支持全球消灭野生脊灰病毒（WPV），本项目旨在为免疫服务和运动经常遗漏的人群，即居住在肯尼亚东北部地区流动人口中的索马里族儿童，提供脊灰和麻疹疫苗。此外，还提供营养支持、阿苯达唑（用于治疗肠道寄生虫）和维生素 A，以改善儿童健康，并符合区域免疫运动实践。为了更好地了解该人群的流动模式和寻求医疗保健的行为，我们培训了社区为基础的数据收集员，以掌握定性和地理空间数据收集方法。数据收集员与居住在该地区的索马里族进行了焦点小组和参与式绘图讨论。定性和地理空间数据表明，流动模式遵循部分可定义的路线和临时定居模式，随着长期雨季（4 月至 6 月）的开始，索马里族移民大量涌入肯尼亚。社区成员还报告了对在区域保健设施获得保健服务的担忧。利用这些数据，规划和实施了一项为期 8 周的免疫运动：为 0-59 月龄的 2196 名儿童接种了脊灰疫苗（9%的儿童以前未接种过脊灰疫苗），为 9-59 月龄的 2524 名儿童接种了麻疹疫苗（27%的儿童以前未接种过麻疹疫苗），有 113 人因严重急性营养不良被转介治疗，有 150 人因中度急性营养不良被转介到补充喂养方案，为 12-59 月龄的 1636 名儿童提供了阿苯达唑，为 6-59 月龄的 2008 名儿童提供了维生素 A。本项目为社区为基础的数据收集员和当地知识如何帮助调整公共卫生规划以适应当地情况提供了范例，并可帮助高危人群消灭疾病。
