Umeå University's logo

umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
An epidemiological analysis of Acute Flaccid Paralysis (AFP) surveillance in Kenya, 2016 to 2018
World Health Organization, Kenya Country Office, United Nations Office in Nairobi (UNON), Gigiri Complex, Block U, Nairobi, Kenya.ORCID-id: 0000-0001-8426-3788
World Health Organization, Kenya Country Office, United Nations Office in Nairobi (UNON), Gigiri Complex, Block U, Nairobi, Kenya.ORCID-id: 0000-0003-3786-3021
World Health Organization, Kenya Country Office, United Nations Office in Nairobi (UNON), Gigiri Complex, Block U, Nairobi, Kenya.
World Health Organization, Kenya Country Office, United Nations Office in Nairobi (UNON), Gigiri Complex, Block U, Nairobi, Kenya.
Vise andre og tillknytning
2020 (engelsk)Inngår i: BMC Infectious Diseases, E-ISSN 1471-2334, Vol. 20, nr 1, artikkel-id 611Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The poliovirus has been targeted for eradication since 1988. Kenya reported its last case of indigenous Wild Poliovirus (WPV) in 1984 but suffered from an outbreak of circulating Vaccine-derived Poliovirus type 2 (cVDPV2) in 2018. We aimed to describe Kenya's polio surveillance performance 2016-2018 using WHO recommended polio surveillance standards.

Methods: Retrospective secondary data analysis was conducted using Kenyan AFP surveillance case-based database from 2016 to 2018. Analyses were carried out using Epi-Info statistical software (version 7) and mapping was done using Quantum Geographic Information System (GIS) (version 3.4.1).

Results: Kenya reported 1706 cases of AFP from 2016 to 2018. None of the cases were confirmed as poliomyelitis. However, 23 (1.35%) were classified as polio compatible. Children under 5 years accounted for 1085 (63.6%) cases, 937 (55.0%) cases were boys, and 1503 (88.1%) cases had received three or more doses of Oral Polio Vaccine (OPV). AFP detection rate substantially increased over the years; however, the prolonged health workers strike in 2017 negatively affected key surveillance activities. The mean Non-Polio (NP-AFP) rate during the study period was 2.87/ 100,000 children under 15 years, and two adequate specimens were collected for 1512 (88.6%) AFP cases. Cumulatively, 31 (66.0%) counties surpassed target for both WHO recommended AFP quality indicators.

Conclusions: The performance of Kenya's AFP surveillance system surpassed the minimum WHO recommended targets for both non-polio AFP rate and stool adequacy during the period studied. In order to strengthen the country's polio free status, health worker's awareness on AFP surveillance and active case search should be strengthened in least performing counties to improve case detection. Similar analyses should be done at the sub-county level to uncover underperformance that might have been hidden by county level analysis.

sted, utgiver, år, opplag, sider
BioMed Central, 2020. Vol. 20, nr 1, artikkel-id 611
Emneord [en]
Infectious Diseases
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-189915DOI: 10.1186/s12879-020-05319-6ISI: 000564272100005PubMedID: 32811467Scopus ID: 2-s2.0-85089646867OAI: oai:DiVA.org:umu-189915DiVA, id: diva2:1614378
Tilgjengelig fra: 2021-11-25 Laget: 2021-11-25 Sist oppdatert: 2024-01-17bibliografisk kontrollert

Open Access i DiVA

fulltext(2112 kB)163 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 2112 kBChecksum SHA-512
4faaa8680727148ba63e895e2d22c0857170fba0be4cc34b1d13a163974c1a678482d5580573c229fd96c2865805a984fe48b2e85d0e47a8ed5951f4593858f8
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Person

Sowe, Alieu

Søk i DiVA

Av forfatter/redaktør
Tesfaye, BrookSowe, Alieu
I samme tidsskrift
BMC Infectious Diseases

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 163 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 121 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf