Evaluation of the CORE Group Polio Project_ 5.15.11_Perry

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Evaluation of the CORE Group Polio Project_ 5.15.11_Perry

  1. 1. Evaluation of the CORE Group Polio Project<br />Presentation to the Global Health Council Annual Meeting<br />Henry Perry, MD, PhD, MPH<br />Department of International Health<br />Johns Hopkins Bloomberg School of Public Health<br />15 June 2011<br />
  2. 2. Global Polio Eradication Initiative<br />Began in 1988<br />
  3. 3. Project Background<br />Donors: <br />1999 – September 2012<br />December 2008 - December 2013<br />Current USAID project cycle: October 2007 – September 2012<br />
  4. 4. Structure of the CGPP<br />
  5. 5. CGPP Angola<br />
  6. 6. CGPP Ethiopia<br />
  7. 7. CGPP Uttar Pradesh, India<br />
  8. 8. Southern Sudan<br />Work has just commenced there with Gates Foundation support<br />
  9. 9. Project Background<br />
  10. 10. OUTCOMES<br />PROJECT ACTIVITIES<br />Community-based Social Mobilization<br />Door-to-door counseling + child tracking<br />Group education sessions<br />Influencer involvement<br />Key surveillance informants<br />Other Country-specific activities<br />Increased routine vaccination rates<br />Increased/sustained participation in quality SIAs<br />Capacity-building for Local Health Systems<br />Training opportunities<br />Technical assistance for microplanning<br />Child tracking<br />Increased/sustained reporting of suspected AFP cases<br />Country-specific high-level contributions<br />Campaign quality monitoring – Angola<br />Regional advocacy workshops – Ethiopia<br />SMNetpartner - India<br />
  11. 11. Community-based Human Resources<br />Community-based workers are the basic “building blocks” of the CGPP <br />In India they are paid full-time workers<br />In Angola and Ethiopia, they are volunteer part-time workers<br />
  12. 12. CORE Group Polio Project Expenses by Country, October 2007 – September 2010(Headquarters and In-country Expenses Combined, US dollars)<br />
  13. 13. CGPP Volunteer/Worker Contact<br />DOOR-TO-DOOR COUNSELING<br />*<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  14. 14. CGPP Volunteer/Worker Contact<br />GROUP EDUCATION SESSIONS<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  15. 15. Immunization Coverage<br />Levels of OPV coverage and coverage of routine immunizations are similar in the CGPP catchment areas to levels of coverage in lower-risk areas, and this is a major achievement considering that these areas contain the hardest-to-reach/hardly reached populations (because of their geographic isolation, mobility, or social resistance to polio immunization)<br />These levels have remained the same or increased modestly since baseline<br />There are still “hard core” pockets 5-10% of unreached children not participating in polio Supplemental Immunization Activities (SIAs)<br />
  16. 16. Routine Immunization - Angola<br />*<br />*<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  17. 17. Routine Immunization - Ethiopia<br />(based on card review only)<br />*<br />*<br />*<br />*<br />*<br />*<br />*<br />*<br />*<br />OPV0<br />OPV0<br />OPV0<br />OPV3<br />OPV3<br />OPV3<br />Penta1<br />Penta1<br />Penta1<br />Penta3<br />Penta3<br />Penta3<br />Baseline n=883<br />Midterm n=286<br />Baseline n=602<br />Midterm n=281<br />Baseline n=593<br />Midterm n=263<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  18. 18. Routine Immunization - India<br />*<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
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  21. 21. Supplementary Immunization Activities<br />*<br />*<br />*<br />*<br />*<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  22. 22. Acute Flaccid Paralysis Surveillance<br />*<br />*<br />*Represents statistically significant difference (at alpha = 5%) between baseline and midterm figures.<br />
  23. 23. Complementary Activities Beginning in India (with Gates Foundation Support)<br />Health camps<br />Attended by physicians, nurses and auxiliary nurse midwives,<br />Provide immunizations, malaria prevention, vitamin A supplementation, de-worming treatment .<br />Demand is more for ‘routine’ primary health care, rather than such incentivized piecemeal services<br />
  24. 24. Status in CORE Group Polio Project Countries<br />Angola – 4 polio cases confirmed in 2011 so far (and 5 by this date in 2010, and 33 cases identified in the entire year of 2010)<br />Ethiopia – No cases identified so far in 2011, in 2010, or 2009 (last case in the spring of 2008)<br />India – No cases identified in Uttar Pradesh so far in 2011 (but 1 case from West Bengal), and 21 identified by this date in 2010 and 42 cases identified in the entire year of 2010<br />
  25. 25. Conclusion<br /> The CORE Group Polio Project is well-positioned to play an increasingly greater role in the Global Polio Eradication Initiative<br />

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