title: Revised Household-Based Microplanning in Polio Supplemental Immunization Activities in Kano State, Nigeria. 2013-2014.
abstract: BACKGROUND
  Remarkable progress had been made since the launch of the Global Polio Eradication Initiative in 1988. However endemic wild poliovirus transmission in Nigeria, Pakistan, and Afghanistan remains an issue of international concern. Poor microplanning has been identified as a major contributor to the high numbers of chronically missed children.
  
  
  METHODS
  We assessed the contribution of the revised household-based microplanning process implemented in Kano State from September 2013 to April 2014 to the outcomes of subsequent polio supplemental immunization activities using used preselected planning and outcome indicators.
  
  
  RESULTS
  There was a 38% increase in the number of settlements enumerated, a 30% reduction in the number of target households, and a 54% reduction in target children. The reported number of children vaccinated and the doses of oral polio vaccine used during subsequent polio supplemental immunization activities showed a decline. Postvaccination lot quality assurance sampling and chronically missed settlement reports also showed a progressive reduction in the number of children and settlements missed.
  
  
  CONCLUSIONS
  We observed improvement in Kano State's performance based on the selected postcampaign performance evaluation indicators and reliability of baseline demographic estimates after the revised household-based microplanning exercise.
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Gali
authors.affiliation: World Health Organization, Regional Office for Africa, Brazzaville, Congo.
authors.forename: Pascal
authors.initials: P
authors.lastname: Mkanda
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Richard
authors.initials: R
authors.lastname: Banda
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Charles
authors.initials: C
authors.lastname: Korir
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Samuel
authors.initials: S
authors.lastname: Bawa
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Charity
authors.initials: C
authors.lastname: Warigon
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Suleiman
authors.initials: S
authors.lastname: Abdullahi
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Bashir
authors.initials: B
authors.lastname: Abba
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Ayodeji
authors.initials: A
authors.lastname: Isiaka
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Yared G
authors.initials: YG
authors.lastname: Yahualashet
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Kebba
authors.initials: K
authors.lastname: Touray
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Ana
authors.initials: A
authors.lastname: Chevez
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Sisay G
authors.initials: SG
authors.lastname: Tegegne
authors.affiliation: Global Public Health Solutions, Atlanta, Georgia.
authors.forename: Peter
authors.initials: P
authors.lastname: Nsubuga
authors.affiliation: National Primary Health Care Development Agency, Abuja, Nigeria.
authors.forename: Andrew
authors.initials: A
authors.lastname: Etsano
authors.affiliation: National Primary Health Care Development Agency, Abuja, Nigeria.
authors.forename: Faisal
authors.initials: F
authors.lastname: Shuaib
authors.affiliation: World Health Organization, Country Representative Office, Abuja, Nigeria.
authors.forename: Rui G
authors.initials: RG
authors.lastname: Vaz
mesh_terms: D005191:Family Characteristics; D049674:History, 21st Century; D006801:Humans; D017589:Immunization Programs; D055810:Lot Quality Assurance Sampling; D009549:Nigeria / Q000453:epidemiology; D011051:Poliomyelitis / Q000453:epidemiology* / Q000266:history / Q000517:prevention & control*; D011055:Poliovirus Vaccine, Oral / Q000008:administration & dosage; D023321:Poliovirus Vaccines / Q000008:administration & dosage; D011159:Population Surveillance; D012040:Regional Health Planning; D014611:Vaccination
chemical_list: D011055:Poliovirus Vaccine, Oral; D023321:Poliovirus Vaccines
keywords: chronically missed children; household-based microplanning; polio supplemental immunization activities; workload rationalization