Stripe

Synthesis and Translation of Research and Innovation from Polio Eradication

Understanding the role of power and its relationship to the implementation of the polio eradication initiative in India

Piyusha Majumdar, S. D. Gupta, D. K. Mangal, Neeraj Sharma, Anna Kalbarczyk

Journal Article
Published: 09/06/2022
Country: India

Background: Power is exercised everywhere in global health, although its presence may be more apparent in some instances than others. Studying power is thus a core concern of researchers and practitioners working in health policy and systems research (HPSR), an interdisciplinary, problem-driven field focused on understanding and strengthening multilevel systems and policies. This paper aims to conduct a power analysis as mobilized by the actors involved in implementation of the polio program. It...

A light touch intervention with a heavy lift – gender, space and risk in a global vaccination programme

Anna Kalbarczyk, Svea Closser, Selamawit Hirpa, Utsamani Cintyamena, Luthfi Azizatunnisa, Priyanka Agrawal, Ahmad Omid Rahimi, Oluwaseun O Akinyemi, Eric M Mafuta, Wakgari Deressa, Olakunle O Alonge

Journal Article
Published: 07/18/2022
Country: Global

Frontline workers (FLWs) in the Global Polio Eradication Initiative go door-to-door delivering polio vaccine to children. They have played a pivotal role in eliminating wild polio from most countries on earth; at the same time, they face significant bodily risk. STRIPE, an international consortium, conducted a mixed-methods study exploring the knowledge and experiences of polio staff in seven countries (Afghanistan, Bangladesh, Democratic Republic of Congo, Ethiopia, India, Indonesia and Nigeria...

How service delivery implementation strategies can contribute to attaining universal health coverage: lessons from polio eradication using an implementation science approach

Adetoun Olateju, Michael A Peters, Ikponmwosa Osaghae, Olakunle O Alonge

Journal Article
Published: 06/30/2022
Country: Global

Background Improving service delivery is a key strategy for achieving service coverage, one of the two components of universal health coverage (UHC). As one of the largest global public health initiatives, individuals involved with the Global Polio Eradication Initiative (GPEI) have learned many important lessons about service delivery. We identified contributors and challenges to delivering health services at national and subnational levels using experiences from the GPEI. We described strategi...

A qualitative exploration of the contributions of Polio Eradication Initiative to the Nigerian health system: policy implications for polio transition planning

Oluwaseun Akinyemi, Adedamola Adebayo, Christopher Bassey, Chioma Nwaiwu, Anna Kalbarczyk, Terna Nomhwange, Olakunle O Alonge, Eme T Owoaje

Journal Article
Published: 06/06/2022
Country: Nigeria

Background The Nigerian health care system is weak due to lack of coordination, fragmentation of services by donor funding of vertical services, dearth and poor distribution of resources, and inadequate infrastructures. The Global Polio Eradication Initiative has supported the country’s health system and provided strategies and skills which need to be documented for use by other health programs attempting disease control or eradication. This study, therefore, explored the contributions of the Po...

Facilitators and barriers of infectious diseases surveillance activities: lessons from the Global Polio Eradication Initiative, a mixed-methods study

Ikponmwosa Osaghae, Priyanka Agrawal, Adetoun Olateju, Olakunle O Alonge

Journal Article
Published: 05/12/2022
Country: Global

Objectives To document lessons from the Global Polio Eradication Initiative (GPEI) by determining factors associated with successful surveillance programme globally as well as at national and subnational levels. The process of conducting surveillance has been previously recognised in the literature as important for the success of polio surveillance activities. Design A cross-sectional survey with closed and open-ended questions. Settings Survey of persons involved in the implementation of survei...

Ensuring sustainability of polio immunization

Luthfi Azizatunnisa, Utsamani Cintyamena, Yodi Mahendradhata, Riris Andono Ahmad

Journal Article
Published: 09/06/2021
Country: Indonesia

Background Sustaining an effective evidence-based health intervention will maximize its impact on public health. Political and governmental reforms impacted on immunization program sustainability both positively and negatively. This study aims to explore the sustainability of polio immunization in a decentralized health system taking lessons learned from a polio eradication initiative in Indonesia. Methods We collected qualitative data through in-depth interviews with 27 key informants from vari...

Translating Implementation Experiences and Lessons Learned From Polio Eradication Into a Global Health Course: Insights From an International Consortium

Anna Kalbarczyk, Svea Closser, Aditi Rao, Oluwaseun Akinyemi, Humayra Binte Anwar, Eric Mafuta, Piyusha Majumdar, Olakunle O Alonge

Journal Article
Published: 09/01/2021
Country: Global

Lessons learned from one global health program can inform responses to challenges faced by other programs. One way to disseminate these lessons is through courses. However, such courses are often delivered by and taught to people based in high-income countries and thus may not present a truly global perspective. The Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) is a consortium of 8 institutions in Afghanistan, Bangladesh, the Democratic Republic of the Con...

Assessing community engagement in Nigeria polio eradication initiative: application of the Consolidated Framework for Implementation Research

Oluwaseun Akinyemi, Adedamola Adebayo, Christopher Bassey, Chioma Nwaiwu, Anna Kalbarczyk, Akinola A Fatiregun, Olakunle O Alonge, Eme Owoaje

Journal Article
Published: 08/09/2021
Country: Nigeria

Objective This study employed the Consolidated Framework for Implementation Research (CFIR) to assess factors that enhanced or impeded the implementation of community engagement strategies using the Nigerian polio programme as a point of reference. Design This study was a part of a larger descriptive cross-sectional survey. The CFIR was used to design the instrument which was administered through face-to-face and phone interviews as well as a web-based data collection platform, Qualtrics. Settin...

30 years of polio campaigns in Ethiopia, India and Nigeria: the impacts of campaign design on vaccine hesitancy and health worker motivation

Abigal H Neel, Svea Closser, Catherine Villanueva, Piyusha Majumdar, SD Gupta, Daniel Krugman, Oluwaseun O Akinyemi, Wakgari Deressa, Anna Kalbarczyk, Olakunle Alonge

Journal Article
Published: 08/03/2021
Country: Ethopia, India, Nigeria

Introduction The debate over the impact of vertical programmes, including mass vaccination, on health systems is long-standing and often polarised. Studies have assessed the effects of a given vertical health programme on a health system separately from the goals of the vertical programme itself. Further, these health system effects are often categorised as either positive or negative. Yet health systems are in fact complex, dynamic and tightly linked. Relationships between elements of the syste...

The influence of gender dynamics on polio eradication efforts at the community, workplace, and organizational level

Anna Kalbarczyk, Aditi Rao, Adedamola Adebayo, Ellie Decker, Sue Gerber, Rosemary Morgan

Journal Article
Published: 06/29/2021
Country: Global

Background Globally, gender as a barrier or facilitator in achieving health outcomes is increasingly being documented. However, the role of gender in health programming and organization is frequently ignored. The Global Polio Eradication Initiative, one of the largest globally coordinated public health programs in history, has faced and worked to address gender-based challenges as they emerge. This paper seeks to describe the role of gender power relations in the polio program across global, nat...