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The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial

Poliomyelitis is a condition of great concern and is endemic in only two countries of the world: Pakistan and Afghanistan. Community mobilization plays a vital role in raising awareness and can help reduce polio vaccine refusals. The objective of this study will be to decrease polio vaccine refusals...

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Autores principales: Das, Jai K., Khan, Amira, Tabassum, Farhana, Padhani, Zahra Ali, Habib, Atif, Mirani, Mushtaq, Rahman, Abdu R., Khan, Zahid Ali, Rizvi, Arjumand, Ahmed, Imran, Bhutta, Zulfiqar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514870/
https://www.ncbi.nlm.nih.gov/pubmed/37736966
http://dx.doi.org/10.3390/mps6050083
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author Das, Jai K.
Khan, Amira
Tabassum, Farhana
Padhani, Zahra Ali
Habib, Atif
Mirani, Mushtaq
Rahman, Abdu R.
Khan, Zahid Ali
Rizvi, Arjumand
Ahmed, Imran
Bhutta, Zulfiqar
author_facet Das, Jai K.
Khan, Amira
Tabassum, Farhana
Padhani, Zahra Ali
Habib, Atif
Mirani, Mushtaq
Rahman, Abdu R.
Khan, Zahid Ali
Rizvi, Arjumand
Ahmed, Imran
Bhutta, Zulfiqar
author_sort Das, Jai K.
collection PubMed
description Poliomyelitis is a condition of great concern and is endemic in only two countries of the world: Pakistan and Afghanistan. Community mobilization plays a vital role in raising awareness and can help reduce polio vaccine refusals. The objective of this study will be to decrease polio vaccine refusals and zero-dose vaccines by motivating behavior change through the provision of conditional–collective–community-based incentives (C3Is) based on a reduction in polio vaccine refusals. The project will adopt a pretest/post-test quasi-experimental design with two intervention high-risk union councils (HRUCs) and two control union councils (UCs) of peri-urban (Karachi) and rural (Bannu) settings in Pakistan. A participatory community engagement and demand creation strategy with trust-building community mobilization with C3Is, to reduce vaccine refusals and improve polio immunization coverage in two HRUCs, will be used. These UCs will be divided into clusters based on the polio program framework and community groups will be formed in each cluster. These community groups will carry out awareness activities and will be given serial targets to reduce vaccine refusals and those who qualify will be provided C3Is. The project intends to create a replicable model that the government can integrate within health systems for long-term sustainability until the goal of eradication of poliovirus is achieved. The evaluation will be carried out by an independent data collection and analysis team at baseline and endline (after 12 months of intervention). The trial is registered with linicalTrials.gov with number NCT05721274.
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spelling pubmed-105148702023-09-23 The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial Das, Jai K. Khan, Amira Tabassum, Farhana Padhani, Zahra Ali Habib, Atif Mirani, Mushtaq Rahman, Abdu R. Khan, Zahid Ali Rizvi, Arjumand Ahmed, Imran Bhutta, Zulfiqar Methods Protoc Study Protocol Poliomyelitis is a condition of great concern and is endemic in only two countries of the world: Pakistan and Afghanistan. Community mobilization plays a vital role in raising awareness and can help reduce polio vaccine refusals. The objective of this study will be to decrease polio vaccine refusals and zero-dose vaccines by motivating behavior change through the provision of conditional–collective–community-based incentives (C3Is) based on a reduction in polio vaccine refusals. The project will adopt a pretest/post-test quasi-experimental design with two intervention high-risk union councils (HRUCs) and two control union councils (UCs) of peri-urban (Karachi) and rural (Bannu) settings in Pakistan. A participatory community engagement and demand creation strategy with trust-building community mobilization with C3Is, to reduce vaccine refusals and improve polio immunization coverage in two HRUCs, will be used. These UCs will be divided into clusters based on the polio program framework and community groups will be formed in each cluster. These community groups will carry out awareness activities and will be given serial targets to reduce vaccine refusals and those who qualify will be provided C3Is. The project intends to create a replicable model that the government can integrate within health systems for long-term sustainability until the goal of eradication of poliovirus is achieved. The evaluation will be carried out by an independent data collection and analysis team at baseline and endline (after 12 months of intervention). The trial is registered with linicalTrials.gov with number NCT05721274. MDPI 2023-09-08 /pmc/articles/PMC10514870/ /pubmed/37736966 http://dx.doi.org/10.3390/mps6050083 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Study Protocol
Das, Jai K.
Khan, Amira
Tabassum, Farhana
Padhani, Zahra Ali
Habib, Atif
Mirani, Mushtaq
Rahman, Abdu R.
Khan, Zahid Ali
Rizvi, Arjumand
Ahmed, Imran
Bhutta, Zulfiqar
The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title_full The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title_fullStr The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title_full_unstemmed The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title_short The Last Mile—Community Engagement and Conditional Incentives to Accelerate Polio Eradication in Pakistan: Study Protocol for a Quasi-Experimental Trial
title_sort last mile—community engagement and conditional incentives to accelerate polio eradication in pakistan: study protocol for a quasi-experimental trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514870/
https://www.ncbi.nlm.nih.gov/pubmed/37736966
http://dx.doi.org/10.3390/mps6050083
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