The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study

Background The Global Polio Eradication Initiative (GPEI) helped develop the standard acute flaccid paralysis surveillance (AFP) system worldwide, including, knowledge, expertise, technical assistance, and trained personnel. AFP surveillance can complement any disease surveillance system. Objective...

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Main Authors: Humayra Binte Anwar, Yameen Mazumder, Sanjana Nujhat, Bushra Zarin Islam, Anna Kalbarczyk, Olakunle Alonge, Malabika Sarker
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2370096
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author Humayra Binte Anwar
Yameen Mazumder
Sanjana Nujhat
Bushra Zarin Islam
Anna Kalbarczyk
Olakunle Alonge
Malabika Sarker
author_facet Humayra Binte Anwar
Yameen Mazumder
Sanjana Nujhat
Bushra Zarin Islam
Anna Kalbarczyk
Olakunle Alonge
Malabika Sarker
author_sort Humayra Binte Anwar
collection DOAJ
description Background The Global Polio Eradication Initiative (GPEI) helped develop the standard acute flaccid paralysis surveillance (AFP) system worldwide, including, knowledge, expertise, technical assistance, and trained personnel. AFP surveillance can complement any disease surveillance system. Objective This study outlines AFP surveillance evolution in Bangladesh, its success and challenging factors, and its potential to facilitate other health goals. Methods This mixed-method study includes a grey literature review, survey, and key informant interviews (KIIs). We collected grey literature from online websites and paper documentation from GPEI stakeholders. Online and in-person surveys were conducted in six divisions of Bangladesh, including Dhaka, Rajshahi, Rangpur, Chittagong, Sylhet, and Khulna, to map tacit knowledge ideas, approaches, and experiences. We also conducted KIIs, and Data were then combined on focused emerging themes, including the history, challenges, and successes of AFP surveillance programme. Results According to the grey literature review, survey, and KII, AFP surveillance successfully contributed to decreasing polio in Bangladesh. The major facilitating factors were multi-sectoral collaboration, Surveillance Immunization Medical Officer (SIMO) network activities, social environment, community-based surveillance, and promising political commitment. On the other hand, high population growth, hard-to-reach areas, people residing in risky zones, and polio transition planning were significant challenges. Bangladesh is also utilizing these polio surveillance assets for other vaccine-preventable diseases. Conclusion As the world is so close to eradicating polio, the knowledge, and other assets of the AFP surveillance, could be used for other health programmes. In addition, its strengths can be leveraged for combating new and emerging diseases.
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spelling doaj-art-7fbc07795ccb470fb53fe4ceb5bb247c2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23700962370096The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method studyHumayra Binte Anwar0Yameen Mazumder1Sanjana Nujhat2Bushra Zarin Islam3Anna Kalbarczyk4Olakunle Alonge5Malabika Sarker6BRAC UniversityBRAC UniversityBRAC UniversityBRAC University615 N. Wolfe StreetUniversity of Alabama at Birmingham (UAB)BRAC UniversityBackground The Global Polio Eradication Initiative (GPEI) helped develop the standard acute flaccid paralysis surveillance (AFP) system worldwide, including, knowledge, expertise, technical assistance, and trained personnel. AFP surveillance can complement any disease surveillance system. Objective This study outlines AFP surveillance evolution in Bangladesh, its success and challenging factors, and its potential to facilitate other health goals. Methods This mixed-method study includes a grey literature review, survey, and key informant interviews (KIIs). We collected grey literature from online websites and paper documentation from GPEI stakeholders. Online and in-person surveys were conducted in six divisions of Bangladesh, including Dhaka, Rajshahi, Rangpur, Chittagong, Sylhet, and Khulna, to map tacit knowledge ideas, approaches, and experiences. We also conducted KIIs, and Data were then combined on focused emerging themes, including the history, challenges, and successes of AFP surveillance programme. Results According to the grey literature review, survey, and KII, AFP surveillance successfully contributed to decreasing polio in Bangladesh. The major facilitating factors were multi-sectoral collaboration, Surveillance Immunization Medical Officer (SIMO) network activities, social environment, community-based surveillance, and promising political commitment. On the other hand, high population growth, hard-to-reach areas, people residing in risky zones, and polio transition planning were significant challenges. Bangladesh is also utilizing these polio surveillance assets for other vaccine-preventable diseases. Conclusion As the world is so close to eradicating polio, the knowledge, and other assets of the AFP surveillance, could be used for other health programmes. In addition, its strengths can be leveraged for combating new and emerging diseases.http://dx.doi.org/10.1080/16549716.2024.2370096acute flaccid paralysis (afp) surveillancepolio eradicationvaccine-preventable diseasepartnershipbangladesh
spellingShingle Humayra Binte Anwar
Yameen Mazumder
Sanjana Nujhat
Bushra Zarin Islam
Anna Kalbarczyk
Olakunle Alonge
Malabika Sarker
The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
Global Health Action
acute flaccid paralysis (afp) surveillance
polio eradication
vaccine-preventable disease
partnership
bangladesh
title The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
title_full The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
title_fullStr The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
title_full_unstemmed The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
title_short The evolution, facilitators, barriers, and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme Bangladesh: a mixed-method study
title_sort evolution facilitators barriers and additional activities of acute flaccid paralysis surveillance platform in polio eradication programme bangladesh a mixed method study
topic acute flaccid paralysis (afp) surveillance
polio eradication
vaccine-preventable disease
partnership
bangladesh
url http://dx.doi.org/10.1080/16549716.2024.2370096
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