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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Preventing Importation of Poliovirus in the Horn of Africa: The Success of the Cross-Border Health Initiative in Kenya and Somalia
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Preventing Importation of Poliovirus in the Horn of Africa: The Success of the Cross-Border Health Initiative in Kenya and Somalia

机译：防止非洲角脊髓灰质病毒的进口：肯尼亚和索马里跨境健康倡议的成功

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摘要

In 2013, the outbreak of wild poliovirus (WPV) in the Horn of Africa (HOA) triggered an aggressive, coordinated national and regional response to interrupt continued transmission. Kenya, Somalia, Ethiopia, South Sudan, and other HOA countries share a range of complex factors that enabled the outbreak: porous and sparsely populated borders, insecurity due to armed conflicts, and weak health systems with persistently under-resourced health facilities resulting in low-quality care and low levels of immunization coverage in mobile populations. Consequently, the continued risk of WPV importation demanded cross-border and intersectoral collaboration. Assessing and addressing persistent communication gaps at the subnational levels were necessary to gain traction for improved immunization coverage and surveillance activities. This article describes a systematic approach to institutionalizing processes of dialogue and facilitation that can provide for a sustainable and effective joint cross-border health platform between Kenya and Somalia. It examines an operational model called the Cross-Border Health Initiative (CBHI) to support joint intercountry collaboration and coordination efforts. To evaluate progress of the CBHI, the authors used data from population coverage surveys for routine immunization and supplemental immunization activities (for polio), from acute flaccid paralysis (AFP) surveillance, and from plans developed by border districts and border health facilities. The project-trained community health volunteers have been a critical link between the hard-to-reach communities and the health facilities as well as an excellent resource to support understaffed health facilities. The authors conclude that the CBHI has been effective in bolstering immunization coverage, disease surveillance, and rapid outbreak response in border areas. The CBHI has the potential to address other public health threats that transcend borders.
机译：2013年，非洲角爆发（HOA）的野生脊髓灰质炎（WPV）引发了对中断持续传播的积极性，协调的国家和区域响应。肯尼亚，索马里，埃塞俄比亚，南苏丹和其他海亚国家分享了一系列复杂因素，使得爆发的爆发：多孔和稀疏的人口流满的边界，由于武装冲突而不安全的不安全，以及持续资源卫生设施的卫生系统弱势卫生系统 - 移动人群的质量护理和低水平免疫覆盖率。因此，WPV进口的持续风险要求跨境和跨部门合作。评估和解决持续通信差距在水性级别，以获得改善免疫覆盖和监测活动的牵引力。本文介绍了系统化对话和促进程序的系统方法，可以为肯尼亚和索马里之间提供可持续和有效的联合跨境健康平台。它探讨了一个名为跨境健康倡议（CBHI）的运营模式，以支持联合跨国协作和协调努力。为了评估CBHI的进展情况，作者使用来自人口覆盖率的数据，用于常规免疫和补充免疫活动（针对脊髓灰质炎），来自急性松弛瘫痪（AFP）监督，以及边境地区和边境卫生设施开发的计划。项目训练有素的社区健康志愿者一直是难以到达社区和卫生设施之间的关键环节，以及支持人员的卫生设施。作者得出结论，CBHI在边境地区的润稳免疫覆盖率，疾病监测和快速爆发反应方面得到了有效。 CBHI有可能解决超越边界的其他公共卫生威胁。

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