TY - JOUR
T1 - Synthesis and translation of research and innovations from polio eradication (STRIPE)
T2 - Initial findings from a global mixed methods study
AU - Alonge, Olakunle
AU - Neel, Abigail H.
AU - Kalbarczyk, Anna
AU - Peters, Michael A.
AU - Mahendradhata, Yodi
AU - Sarker, Malabika
AU - Owoaje, Eme
AU - Deressa, Wakgari
AU - Kayembe, Patrick
AU - Salehi, Ahmad Shah
AU - Gupta, S. D.
N1 - Funding Information:
The authors would also like to acknowledge other team members of the academic institutions included under the STRIPE academic consortium: Drs. Piyusha Majumdar, D.K. Magnal, and Neeraj Sharma of the IIHMR University India, Dr. Riris Andono Ahmad of Universitas Gadjah Mada Indonesia, Dr. Assefa Seme of Addis Ababa University Ethiopia, Dr. Oluwaseun Akinyemi of the University of Ibadan Nigeria, Drs. Tawab Saljuqi and Ahmad Omid Rahimi of Global Innovation Consultancy Services Afghanistan, Dr. Yameen Mazumder and Ms. Humyra Binte Anwar of BRAC University Bangladesh, and Dr. Eric Mafuta of the Kinshasa School of Public Health for their support of data collection and project activities. The authors would also like to acknowledge the support Dr. Sue Gerber on the project activities and Bill Melinda Gates Foundation for the funding support to the project. Finally, we would like to thank the data collectors and study participants for their time and contributions to the study.
Publisher Copyright:
© 2020 The Author(s).
PY - 2020/8/12
Y1 - 2020/8/12
N2 - Background: Lessons from polio eradication efforts and the Global Polio Eradication Initiative (GPEI) are useful for improving health service delivery and outcomes globally. The Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) is a multi-phase project which aims to map, package and disseminate knowledge from polio eradication initiatives as academic and training programs. This paper discusses initial findings from the knowledge mapping around polio eradication activities across a multi-country context. Methods: The knowledge mapping phase (January 2018 - December 2019) encompassed four research activities (scoping review, survey, key informant interviews (KIIs), health system analyses). This paper utilized a sequential mixed method design combining data from the survey and KIIs. The survey included individuals involved in polio eradication between 1988 and 2019, and described the contexts, implementation strategies, intended and unintended outcomes of polio eradication activities across levels. KIIs were conducted among a nested sample in seven countries (Afghanistan, Bangladesh, the Democratic Republic of Congo, Ethiopia, India, Indonesia, Nigeria) and at the global level to further explore these domains. Results: The survey generated 3955 unique responses, mainly sub-national actors representing experience in over 74 countries; 194 KIIs were conducted. External factors including social, political, and economic factors were the most frequently cited barriers to eradication, followed by the process of implementing activities, including program execution, planning, monitoring, and stakeholder engagement. Key informants described common strategies for addressing these barriers, e.g. generating political will, engaging communities, capacity-building in planning and measurement, and adapting delivery strategies. The polio program positively affected health systems by investing in system structures and governance, however, long-term effects have been mixed as some countries have struggled to institutionalize program assets. Conclusion: Understanding the implementing context is critical for identifying threats and opportunities to global health programs. Common implementation strategies emerged across countries; however, these strategies were only effective where organizational and individual capacity were sufficient, and where strategies were appropriately tailored to the sociopolitical context. To maximize gains, readiness assessments at different levels should predate future global health programs and initiatives should consider system integration earlier to ensure program institutionalization and minimize system distortions.
AB - Background: Lessons from polio eradication efforts and the Global Polio Eradication Initiative (GPEI) are useful for improving health service delivery and outcomes globally. The Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) is a multi-phase project which aims to map, package and disseminate knowledge from polio eradication initiatives as academic and training programs. This paper discusses initial findings from the knowledge mapping around polio eradication activities across a multi-country context. Methods: The knowledge mapping phase (January 2018 - December 2019) encompassed four research activities (scoping review, survey, key informant interviews (KIIs), health system analyses). This paper utilized a sequential mixed method design combining data from the survey and KIIs. The survey included individuals involved in polio eradication between 1988 and 2019, and described the contexts, implementation strategies, intended and unintended outcomes of polio eradication activities across levels. KIIs were conducted among a nested sample in seven countries (Afghanistan, Bangladesh, the Democratic Republic of Congo, Ethiopia, India, Indonesia, Nigeria) and at the global level to further explore these domains. Results: The survey generated 3955 unique responses, mainly sub-national actors representing experience in over 74 countries; 194 KIIs were conducted. External factors including social, political, and economic factors were the most frequently cited barriers to eradication, followed by the process of implementing activities, including program execution, planning, monitoring, and stakeholder engagement. Key informants described common strategies for addressing these barriers, e.g. generating political will, engaging communities, capacity-building in planning and measurement, and adapting delivery strategies. The polio program positively affected health systems by investing in system structures and governance, however, long-term effects have been mixed as some countries have struggled to institutionalize program assets. Conclusion: Understanding the implementing context is critical for identifying threats and opportunities to global health programs. Common implementation strategies emerged across countries; however, these strategies were only effective where organizational and individual capacity were sufficient, and where strategies were appropriately tailored to the sociopolitical context. To maximize gains, readiness assessments at different levels should predate future global health programs and initiatives should consider system integration earlier to ensure program institutionalization and minimize system distortions.
KW - GPEI
KW - Global Polio Eradication Initiative
KW - Implementation
KW - Knowledge translation
KW - Polio
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UR - http://www.scopus.com/inward/citedby.url?scp=85089610267&partnerID=8YFLogxK
U2 - 10.1186/s12889-020-09156-9
DO - 10.1186/s12889-020-09156-9
M3 - Article
C2 - 32787949
AN - SCOPUS:85089610267
SN - 1471-2458
VL - 20
JO - BMC public health
JF - BMC public health
M1 - 1176
ER -