TY - JOUR
T1 - Significance of a social mobilization intervention for engaging communities in polio vaccination campaigns
T2 - Evidence from CORE Group Polio Project, Uttar Pradesh, India
AU - Choudhary, Manojkumar
AU - Solomon, Roma
AU - Awale, Jitendra
AU - Dey, Rina
AU - Singh, Jagajeet Prasad
AU - Weiss, William
N1 - Funding Information:
Funding: The first four authors received consultancy support from the US Agency for International Development (US-AID) under Cooperative Agreement AID-OAA-A-12-00031. This consultancy support has covered the implementation of the CGPP. USAID was not involved in the following: in study design; in the collection, analysis, and interpretation of data; and in the writing of the manuscript. The first author is also a Ph. D scholar of Indian Institute of Health Management Research (IIHMR) University, Jaipur, India. The last two authors have not received any financial support from and do not have any competing interests in the project described. They are associated with IIHMR University Jaipur and Johns Hopkins University, Baltimore as Associate Professor and Associate Scientist, respectively Competing interests: All authors have completed the ICMJE Unified Competing Interest form (available upon request from the corresponding author) and declare no further conflicts of interest. Additional material Online Supplementary Document
Funding Information:
The first four authors received consultancy support from the US Agency for International Development (USAID)under Cooperative Agreement AID-OAA-A-12-00031. This consultancy support has covered the implementationof the CGPP. USAID was not involved in the following: in study design; in the collection, analysis, and interpretation ofdata; and in the writing of the manuscript. The first author is also a Ph. D scholar of Indian Institute of Health ManagementResearch (IIHMR) University, Jaipur, India. The last two authors have not received any financial support from anddo not have any competing interests in the project described. They are associated with IIHMR University Jaipur and JohnsHopkins University, Baltimore as Associate Professor and Associate Scientist, respectively
Publisher Copyright:
© 2021 The Author(s)
PY - 2021
Y1 - 2021
N2 - health programs and the social mobilization (SM) intervention of India’s polio eradicationprogram is one such example that contributed to eliminating polio from thecountry. CORE Group Polio Project (CGPP), a partner of Uttar Pradesh (U.P.) SMNetwork executed its activities through a network of social mobilizers called CommunityMobilization Coordinators (CMCs). These were deployed in polio high riskareas to perform awareness generation and trust-building activities with communitiesand achieved high coverage of polio vaccination during Supplementary ImmunizationActivity campaigns (SIAs). This paper measures the extent and outcomesof CMC community engagement in SM interventions and polio SIAs.Methods This study used secondary, cluster-level data from Management InformationSystem of CGPP India, including 52 SIAs held between January 2008 toSeptember 2017 in 56 blocks/polio planning units, covering 12 districts of U.P. Weused five indicators that reflected community engagement in polio SIAs and constructeda Community Engagement Index (CEI). Further, we estimated the differencein the CEI between CMC and non-CMC areas, using Generalized EstimatingEquations (GEE) and also estimated treatment effects through Difference-in-Differences(DID) method using STATA.Results Overall, 78.6% (95% confidence interval (CI) = 78.3, 78.8) of families fromthe study area were engaged in the polio SIAs and the extent of community engagementincreased over time. The mean CEI of entire study period in CMC areas(85.8%; 95% CI = 85.6, 86.0) was significantly higher (P < 0.001) than that of non-CMC areas (71.3%; 95% CI = 71.1, 71.5). Over time, the SM intervention led toat least 11 percentage points increase in the CEI of CMC areas with about 17% ofthis achievement attributable to CGPP India’s SM efforts.Conclusions The study findings suggest that intensive social mobilization effortscan significantly increase the extent of community engagement. The communityengagement learnings of polio SM Network may be useful to achieve the desiredoutcomes of public health programs such as the National Health Mission (NHM)of India, that serves communities for multiple health issues.
AB - health programs and the social mobilization (SM) intervention of India’s polio eradicationprogram is one such example that contributed to eliminating polio from thecountry. CORE Group Polio Project (CGPP), a partner of Uttar Pradesh (U.P.) SMNetwork executed its activities through a network of social mobilizers called CommunityMobilization Coordinators (CMCs). These were deployed in polio high riskareas to perform awareness generation and trust-building activities with communitiesand achieved high coverage of polio vaccination during Supplementary ImmunizationActivity campaigns (SIAs). This paper measures the extent and outcomesof CMC community engagement in SM interventions and polio SIAs.Methods This study used secondary, cluster-level data from Management InformationSystem of CGPP India, including 52 SIAs held between January 2008 toSeptember 2017 in 56 blocks/polio planning units, covering 12 districts of U.P. Weused five indicators that reflected community engagement in polio SIAs and constructeda Community Engagement Index (CEI). Further, we estimated the differencein the CEI between CMC and non-CMC areas, using Generalized EstimatingEquations (GEE) and also estimated treatment effects through Difference-in-Differences(DID) method using STATA.Results Overall, 78.6% (95% confidence interval (CI) = 78.3, 78.8) of families fromthe study area were engaged in the polio SIAs and the extent of community engagementincreased over time. The mean CEI of entire study period in CMC areas(85.8%; 95% CI = 85.6, 86.0) was significantly higher (P < 0.001) than that of non-CMC areas (71.3%; 95% CI = 71.1, 71.5). Over time, the SM intervention led toat least 11 percentage points increase in the CEI of CMC areas with about 17% ofthis achievement attributable to CGPP India’s SM efforts.Conclusions The study findings suggest that intensive social mobilization effortscan significantly increase the extent of community engagement. The communityengagement learnings of polio SM Network may be useful to achieve the desiredoutcomes of public health programs such as the National Health Mission (NHM)of India, that serves communities for multiple health issues.
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U2 - 10.7189/jogh.11.07011
DO - 10.7189/jogh.11.07011
M3 - Article
C2 - 33763225
AN - SCOPUS:85103514953
SN - 2047-2978
VL - 11
SP - 1
EP - 12
JO - Journal of global health
JF - Journal of global health
ER -