...Health info at your doorstep

The Battle to Stop Measles

The Battle to Stop MeaslesEne Ngbede rides in the arms of her father all through. The registration at Comprehensive Health Centre in Kaita, Katsina doesn’t take long.

But she cringes when it was time to get her shot. The two-year-old buries her face in her father’s biceps as the syringe comes toward her arm. Her father, Sunday Ngbede, adjusts her for comfort on his lap, helps hold out her arm.

The vaccinator swabs the spot on the girl’s arm with methylated spirit. Then the syringe finds its mark and pushes, emptying a single dose of measles vaccine into Ene.

Her cry is only momentary; she quiets as soon her father rises with her. But now he’s sure his daughter, the last of four children yet, is protected from one more deadly killer of children her age.

Millions of children her age, born after the last vaccination campaign against measles in 2013, have never been vaccinated against measles.

Those who have never taken routine immunisation are even at more risk of contracting the disease. That’s the prompt for a vaccination campaign against the disease across the country—to vaccinate a record 33 million children aged nine months to five years between November and next February.

Teams work in sixes–a vaccinator, supervisor, 2 recorders, crowd controller and town announcer Dankatu, with the bullhorn

Reports and cases

Katsina hopes to have vaccinated 1.8 million like Ene by the time the campaign winds up. A first phase is for 22 local government areas of Katsina; a further 12 council areas make up the second phase.

At the health centre, vaccinators target at least 154 children every year. Similar target is at health centres across Katsina in hopes of stemming possible outbreaks.

The campaign nationwide has had to overcome possible failure after rumours of “forced vaccination” took root in the south east, forcing parents to keep back their children and refuse vaccines.

But the sheer numbers in terms of measles meant the campaign went ahead.

In 39 weeks of reporting entering this year, more than 18,000 cases of measles have been reported; in 105 cases, the children died of the disease, according to the Nigeria Centre for Disease Control which tracks priority diseases

By contrast, some 14,000 cases of measles were recorded in 2010.

The National Primary Health Care Development Agency, which coordinates routine immunisation and is pushing the ongoing measles vaccination campaign, says outbreaks of the disease topped 183 in 2016, up from 166 in 2015.

This year alone, more than 16,343 cases of measles have been recorded, meaning nearly every one of Nigeria’s council areas has had a case.

A vaccinator marks the left thumb of a vaccinated child. Monitors have helped correct wrong finger marking

Political will

It has taken much political will to get the campaign off the ground. Top government officials appeared at the official start of the campaign in Batagarawa to whip up support for measles vaccination.

Women and healthworkers rallied in the streets, carrying banners calling on parents to take their children to health centres to be vaccinated. Young men and boys wrapped themselves in the banners and marched through streets.

At birthdays and naming ceremonies and in mosques, prayers take regular breaks for announcement about the ongoing vaccination, according to Umma Mahatu, head of Kaita’s local government administration.

Vaccinators are meant to work at fixed posts. But expedience calls for exceptions: they move out into communities when parents don’t show up at health centres; the stage a mobile post at schools and centres for Islamic education.

Vaccinators work in teams of six in each centre. One supervises, one injects the children, two people document, one more person controls the crowds and a last person is the town crier speaking through a bullhorn.

Abdul Dankatu is the announcer attached to his six-man team. His voice is firm and carries far over a bullhorn once he begins his broadcast.

“When I enter town, I greet everyone and I have to tell them health workers are starting vaccination for children. The venue is the health centre. Women, gather your children and take them where it is happening,” he says.

The announcement brought out Aisha Danjuma, with her two children. She has no problems with the vaccine, she says over the top of her younger son’s head as the vaccinator jabs the needle in.

The boy cries and she passes him to one of the two women documenting her children’s vaccination. She grabs her older son and clasps him into position, baring his left bicep. A jab and the boy winces.

By routine, the supervisor on the vaccination team “educates” mothers on what to expect after a measles vaccination. After effects range from fever to a rash up to hours or days after vaccination.

Danjuma has to wait at least 15 minutes to be sure her children aren’t immediately reacting to the vaccine before she leaves the centre.

The 15-minute wait is “just to observe,” says Ibrahim Galadima, who supervises the team that injected Danjuma’s two sons.

“But when they see something else after going home, they come back here. That’s what we tell them, but none has.”

Each vaccination team doesn’t have just syringe and vaccine doses. They also carry a special kit to deal with after effects following immunisation.

The kit contains adrenalin, hydrocortisone, intravenous fluids, paracetamol, all of which are critical to managing children reacting to the vaccine.

The setup for the vaccination is to send serious cases to a referral unit where doctors can take charge.

Each vaccination team’s supervisor must take part in a review meeting at the end of the day’s work. The report goes to a ward level with a district head present, where ward reports are collated for a council-level meeting. To show political will, heads of local government administration like Mahatu are required to attend the review meeting—and help sort through the day’s challenges and prepare for the next day of vaccination.

Officials pore over statewide vaccination progress in a command-central styled review

Data, data and more data

On first day of vaccination, only three administrators in Matazu, Musawa and Batagarawa attended. It came as the reports from 22 local government areas flowed by mail to a command centre in the capital Katsina.

The emergency operations centre for polio doubles as a command centre for measles vaccination. Its grounds are stacked with large consignments of auto-disposable syringes shipped in via Apapa Quays and bearing the logo of the United Nations Children Fund.

Workers from UNICEF, the World Health Organisation and e-Health share the space, poring over close to real-time data and running reports.

Data flow is crucial to the success of the campaign. It isn’t live, but close to real time as it can get.

Campaign vaccinators, monitors—just about anyone involved—can use an app, Open Data Kit, to track and report findings. Monitors sampling children vaccinated use it to report missed children, discrepancies in documentation or attitude of vaccination teams. They also share findings in photos and text at the swipe of a mobile phone touchscreen on a WhatsApp group.

Open data flow has helped the emergency operations centre correct vaccinators marking the left middle finger of children vaccinated, instead of their thumb in Ingawa council area and the tallying of 223 doses of measles vaccine from 16 vials of 10 doses each.

In Rogogo ward, Zangi council area, monitors found 19 of 27 children were unvaccinated after a sample.

Eight of 12 teams in Mani did not get an AEFI on their first day of work.

Katsina is the second biggest user of the app after Kaduna. ODK uses GPS coordinate to locate the position in question.

Charts alter with each new data is plugged in; reasons for the changes are debated. Decisions are reached. Appropriate response is communicated.

Ngbede is about the only man at the centre to bring his daughter to be vaccinated.

“Her mother is off to the market, so I felt the need to bring her myself,” he says.

“I saw the message, and I knew this is one of the vaccination points. It is just to prevent measles, and you know measles is a deadly disease.”

 

 

The Daily Trust News

Comment Here

133 Comments

  • Hi, i think that i saw you visited my web site so i came to go back the choose?.I
    am trying to to find issues to enhance my web site!I guess its ok to make use of a
    few of your ideas!!

  • Hi there! I just wanted to ask if you ever have any issues with
    hackers? My last blog (wordpress) was hacked and
    I ended up losing several weeks of hard work due to no data backup.

    Do you have any solutions to stop hackers?

  • I was suggested this blog through my cousin. I’m not
    certain whether or not this publish is written by means
    of him as no one else recognise such special approximately
    my problem. You are wonderful! Thanks!

  • Greate post. Keep writing such kind of information on your site.
    Im really impressed by your site.
    Hey there, You have performed an incredible job. I will definitely digg it and
    in my opinion suggest to my friends. I am confident they will be benefited from this site.

  • We’re a bunch of volunteers and starting a new scheme in our community.
    Your web site provided us with helpful information to work on. You’ve done a formidable process and
    our entire community will likely be thankful to you.

  • Aw, this was a really good post. Taking a few minutes and actual effort
    to create a top notch article… but what can I say… I put things off a lot and don’t manage
    to get anything done.

  • It is not my first time to pay a quick visit
    this website, i am browsing this web site dailly and obtain good data
    from here all the time.

  • It’s actually a cool and helpful piece of information. I’m happy that you shared this useful
    info with us. Please keep us informed like this.
    Thanks for sharing.

  • Hey there! I just wanted to ask if you ever have any trouble with hackers?
    My last blog (wordpress) was hacked and I ended up losing
    months of hard work due to no backup. Do you have any solutions to
    protect against hackers?

  • This is really interesting, You’re a very skilled blogger.
    I’ve joined your feed and look forward to seeking more of your wonderful post.
    Also, I have shared your site in my social networks!

  • Its like you read my mind! You appear to know a lot about
    this, like you wrote the book in it or something. I think that you could do with some pics to drive the message home a bit, but other than that, this is fantastic blog.
    A fantastic read. I’ll definitely be back.

  • My partner and I stumbled over here from a different web address and thought I should check things out.
    I like what I see so now i am following you. Look
    forward to going over your web page again.

  • Having read this I thought it was rather enlightening.
    I appreciate you spending some time and effort to put this content
    together. I once again find myself spending a lot of time both
    reading and posting comments. But so what, it was still worth it!

  • Attractive section of content. I just stumbled upon your site and in accession capital to assert that I get actually enjoyed account your blog posts.
    Anyway I will be subscribing to your augment and even I achievement
    you access consistently rapidly.

  • Howdy! This is my 1st comment here so I just wanted to give a quick shout out
    and say I truly enjoy reading your blog posts. Can you suggest any other blogs/websites/forums that
    cover the same topics? Many thanks!

  • My family every time say that I am wasting my time here at web, except
    I know I am getting experience all the time by reading thes pleasant posts.

  • It’s amazing to pay a quick visit this site and reading the views of all mates about this article, while I am also zealous
    of getting know-how.

  • It is appropriate time to make some plans for the future and it’s
    time to be happy. I have read this post and if I could I desire to suggest you some interesting things or tips.
    Maybe you can write next articles referring to this
    article. I want to read more things about it!

  • Hi are using WordPress for your blog platform?
    I’m new to the blog world but I’m trying to get started and set up my own. Do you require any
    coding knowledge to make your own blog? Any help would be really appreciated!

  • Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year
    old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell
    to her ear and screamed. There was a hermit crab inside and it pinched her ear.

    She never wants to go back! LoL I know this is entirely off topic but I had to
    tell someone!

  • An impressive share! I’ve just forwarded this onto a friend who has been doing a little research on this.

    And he in fact ordered me dinner because I stumbled
    upon it for him… lol. So allow me to reword this…. Thank YOU for the
    meal!! But yeah, thanks for spending the time to talk about
    this subject here on your web page.

  • Wow, incredible blog layout! How long have you been blogging for?
    you make blogging look easy. The overall look of your site is
    wonderful, let alone the content!

  • My partner and I stumbled over here by a different page and thought
    I might as well check things out. I like what I
    see so now i am following you. Look forward to
    exploring your web page again.

  • I do not even know how I ended up here, but I thought this post was great.

    I do not know who you are but certainly
    you’re going to a famous blogger if you aren’t already 😉
    Cheers!

  • Does your website have a contact page? I’m having a tough time
    locating it but, I’d like to shoot you an email. I’ve got some
    recommendations for your blog you might be interested in hearing.

    Either way, great website and I look forward to seeing it improve over time.

  • You’re so interesting! I do not believe I’ve read anything like that before.

    So nice to discover another person with original thoughts on this
    subject matter. Really.. thank you for starting this up. This website is something that’s
    needed on the internet, someone with some originality!

  • whoah this blog is great i really like studying your posts.
    Stay up the good work! You already know, a lot of individuals are looking around for this info,
    you can help them greatly.

  • Wonderful website you have here but I was curious about if you
    knew of any discussion boards that cover the same topics discussed
    here? I’d really like to be a part of community where I can get feedback from other knowledgeable people that share the same interest.
    If you have any suggestions, please let me know.
    Bless you!

  • Hey there! Quick question that’s completely off topic.
    Do you know how to make your site mobile
    friendly? My blog looks weird when viewing from my apple iphone.

    I’m trying to find a template or plugin that might be able to correct this issue.
    If you have any recommendations, please share.
    Appreciate it!

  • Hmm is anyone else encountering problems
    with the images on this blog loading? I’m trying
    to figure out if its a problem on my end or if it’s
    the blog. Any feedback would be greatly appreciated.

  • What i don’t realize is in fact how you are now not actually a lot more well-liked than you might be right now.
    You are very intelligent. You recognize therefore significantly relating to this topic, made
    me individually imagine it from a lot of various angles.
    Its like men and women are not involved unless it’s something
    to do with Lady gaga! Your personal stuffs great.
    At all times deal with it up!

  • Hello! This post couldn’t be written any better!

    Reading through this post reminds me of my good
    old room mate! He always kept talking about this. I will forward this write-up to him.

    Pretty sure he will have a good read. Many thanks for sharing!

  • This is very interesting, You’re a very skilled blogger.

    I’ve joined your rss feed and look forward to seeking more of your great post.
    Also, I’ve shared your web site in my social networks!

  • Does your website have a contact page? I’m having a tough time
    locating it but, I’d like to shoot you an e-mail.
    I’ve got some creative ideas for your blog you might be interested in hearing.
    Either way, great website and I look forward to seeing
    it expand over time.

  • My spouse and I stumbled over here coming from a different website and thought I may as well check things out.
    I like what I see so i am just following you. Look forward to checking out
    your web page repeatedly.

  • Hey There. I found your blog using msn. This is a very well written article.
    I will be sure to bookmark it and come back to read more of your useful information. Thanks for the post.

    I’ll definitely return.

  • Wonderful items from you, man. I have take note your stuff previous to and
    you’re just too magnificent. I actually like what you have received
    here, certainly like what you’re stating and the way in which wherein you are saying it.

    You make it entertaining and you continue to care
    for to keep it smart. I can’t wait to read much more
    from you. This is actually a terrific web site.

  • It’s a pity you don’t have a donate button! I’d certainly donate to
    this brilliant blog! I suppose for now i’ll settle for bookmarking and adding your RSS feed to my Google account.
    I look forward to fresh updates and will share this blog with my Facebook group.
    Chat soon!

  • Fantastic beat ! I wish to apprentice while you amend your site,
    how could i subscribe for a blog website? The account aided me a acceptable deal.
    I had been a little bit acquainted of this your broadcast provided bright
    clear idea

  • A motivating discussion is definitely worth comment.
    There’s no doubt that that you ought to write
    more about this topic, it may not be a taboo subject but usually
    people don’t talk about such issues. To the next! Many thanks!!

  • Greetings I am so grateful I found your webpage, I really
    found you by mistake, while I was looking on Google for something else, Anyways I am here now and would just like to say
    thanks a lot for a tremendous post and a all round thrilling blog (I also love the theme/design), I don’t have time to
    browse it all at the moment but I have saved it and also added your
    RSS feeds, so when I have time I will be back to read much more,
    Please do keep up the great jo.

  • Do you have a spam problem on this site; I also am a blogger, and I was wondering your situation; we have developed some
    nice methods and we are looking to exchange methods with others, be sure to shoot me an email
    if interested.

  • Hey there I am so delighted I found your blog, I really found you by error,
    while I was looking on Bing for something else, Anyhow I am here now and would just like to
    say kudos for a fantastic post and a all round interesting blog (I also love the theme/design),
    I don’t have time to browse it all at the minute but I have book-marked it and also included your RSS feeds, so when I
    have time I will be back to read a lot more, Please do keep up the excellent jo.

  • Heya i’m for the first time here. I found this board and
    I find It truly useful & it helped me out much.
    I hope to give something back and aid others like you aided me.

  • I think what you composed was actually very reasonable.
    However, what about this? what if you were to write a awesome headline?
    I am not saying your information is not solid., however suppose you added a
    post title to maybe get folk’s attention? I mean The Battle to Stop Measles – PharmaTimes is kinda vanilla.
    You ought to peek at Yahoo’s front page and watch how they create article titles to get viewers interested.
    You might add a related video or a picture or two to grab readers excited about what you’ve got to say.

    Just my opinion, it could bring your posts a little livelier.

  • Wow that was unusual. I just wrote an extremely long comment but after I clicked submit my comment didn’t appear.
    Grrrr… well I’m not writing all that over again. Anyways, just wanted to say
    superb blog!

  • Today, while I was at work, my sister stole my iphone and tested to see if it can survive a forty foot drop, just so she can be a youtube sensation. My apple ipad is now broken and she has 83 views.
    I know this is completely off topic but I had to share it with
    someone!

  • Hmm it looks like your site ate my first comment (it was extremely long) so I guess I’ll just sum it up what I wrote and say, I’m
    thoroughly enjoying your blog. I too am an aspiring blog writer but I’m still new to everything.
    Do you have any tips for beginner blog writers?
    I’d certainly appreciate it.

  • Right here is the perfect web site for anyone who wishes to understand
    this topic. You know a whole lot its almost hard to
    argue with you (not that I actually would want to…HaHa).

    You definitely put a brand new spin on a topic that’s been discussed for ages.
    Excellent stuff, just great!

  • Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year old daughter and said
    “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed.
    There was a hermit crab inside and it pinched her ear.

    She never wants to go back! LoL I know this is totally off topic but I
    had to tell someone!

  • I used to be recommended this web site by means of my cousin.
    I am no longer positive whether this post is written by him as nobody
    else recognize such specific approximately my difficulty.

    You’re incredible! Thank you!

  • My coder is trying to persuade me to move to .net from PHP.
    I have always disliked the idea because of the costs.
    But he’s tryiong none the less. I’ve been using WordPress on a number of websites for about a year and am concerned about switching to another
    platform. I have heard good things about blogengine.net. Is there a
    way I can transfer all my wordpress content into it?
    Any kind of help would be really appreciated!

  • If some one wishes expert view about blogging
    and site-building afterward i advise him/her to pay a quick visit this weblog,
    Keep up the pleasant job.

  • I’m truly enjoying the design and layout of your website.
    It’s a very easy on the eyes which makes it much more
    enjoyable for me to come here and visit more often. Did you hire out a developer to create your theme?
    Superb work!

  • of course like your web-site however you have to test the spelling on quite a few
    of your posts. Many of them are rife with spelling problems and I in finding it very bothersome to tell the reality then again I will surely come again again.

  • It’s really a cool and useful piece of information. I am
    satisfied that you just shared this helpful info with us.
    Please stay us up to date like this. Thank you for sharing.

  • I know this if off topic but I’m looking into starting my own weblog and
    was wondering what all is required to get set up? I’m assuming having a blog like yours would
    cost a pretty penny? I’m not very web smart so I’m not 100% sure.
    Any tips or advice would be greatly appreciated. Kudos

  • I was recommended this blog by my cousin. I am
    not sure whether this post is written by him as nobody else know such detailed
    about my trouble. You’re amazing! Thanks!

  • Fantastic items from you, man. I have take note your stuff previous
    to and you are just too wonderful. I actually like what you have got right here, really like what you
    are stating and the way in which you assert it. You’re making it
    entertaining and you still care for to stay it wise. I cant wait to learn much more from you.
    That is really a wonderful site.

  • Whats up very nice blog!! Guy .. Excellent .. Wonderful ..
    I will bookmark your website and take the feeds additionally?
    I’m happy to find numerous useful information here in the submit, we’d like work out more strategies on this regard, thanks for
    sharing. . . . . .

  • I believe what you published made a lot of sense.
    But, what about this? what if you added a little content?
    I ain’t suggesting your content isn’t solid, but what if you added a
    post title that grabbed people’s attention? I mean The Battle to
    Stop Measles – PharmaTimes is a little boring.
    You might glance at Yahoo’s home page and note how they
    create news titles to get viewers interested.
    You might add a related video or a related picture or two
    to get readers interested about everything’ve got to say.
    In my opinion, it might bring your posts a little bit more interesting.

  • That is really interesting, You’re a very professional blogger.
    I’ve joined your feed and look ahead to in search of extra of your
    magnificent post. Additionally, I have shared your site in my social networks

  • I think what you posted made a bunch of sense.
    However, think about this, suppose you added a little
    information? I am not saying your content is not solid., however what
    if you added a title that makes people want
    more? I mean The Battle to Stop Measles – PharmaTimes is kinda boring.
    You might glance at Yahoo’s home page and watch how they create post headlines to grab viewers to open the links.
    You might try adding a video or a related pic or two to grab people interested about
    everything’ve got to say. Just my opinion, it could make your
    posts a little bit more interesting.

  • I’m now not positive where you are getting your information, but good topic.
    I needs to spend a while studying much more or understanding more.
    Thank you for great info I used to be in search of this information for my mission.

  • Hi there, i read your blog occasionally and i own a similar one and i was just
    wondering if you get a lot of spam responses?

    If so how do you protect against it, any plugin or anything you can advise?
    I get so much lately it’s driving me insane so any assistance is very much appreciated.

  • It’s appropriate time to make some plans for the long run and it’s time to be happy.
    I’ve learn this put up and if I may just I wish to counsel you some
    attention-grabbing things or suggestions. Perhaps you could write subsequent articles referring to this article.
    I desire to read more things approximately it!

  • excellent publish, very informative. I wonder why the other specialists of this sector
    don’t realize this. You must proceed your writing. I’m confident, you have a huge readers’ base already!

Leave a Reply

Your email address will not be published.