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. 2021 Nov 12;6(11):e006568. doi: 10.1136/bmjgh-2021-006568

Table 1.

Descriptive characteristics of included studies investigating the impact of polio supplementary immunisation activities (SIAs), 1994–2020

First author, Publication year WHO region
Country/ies
Setting and population Main objective Study design Study period Goal of SIA Author identified study limitations Funding source and affiliations
Bawa 201837 WHO AFRO
Nigeria
Nomadic populations in Northern states of Nigeria Engagement and immunisation coverage Cross sectional 2016 To boost coverage in nomadic populations None reported WHO
42.8% of authors are affiliated with WHO
Bawa 201932 WHO AFRO
Nigeria
Hard to access communities in Bauchi, Borno, Kaduna, Kano, Katsina and Yobe Effectiveness of mobile outreach strategy Cross sectional cluster survey
Pre–post intervention study
June 2014–September 2015 To boost coverage in hard to reach communities Data collection were not uniform across sites Bill and Melinda Gates Foundation
68.2% of authors are affiliated with WHO and Unicef
Bedford 201738 WHO AFRO
Liberia
four counties Montserrado, Nimba, Bong, and Margibi Barriers and drivers for immunisation Qualitative focus group May 2015 To boost coverage following disruption in polio vaccine coverage during Ebola virus disease outbreaks Limited timeframe of data collection
Potential language issues during focus groups
No funding declared
57.1% of authors are affiliated with Unicef
Bonu 200311 WHO SEARO
India
Rural areas of 4 North Indian states—Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh Impact of polio immunisation campaign Pre–post intervention study
Cluster survey
1992–1999
(intervention in 1995)
To boost coverage The Family Health Survey used was not explicitly designed to evaluate the campaign and unable to discern specific campaign components No funding declared
No affiliations with UN agencies
Bonu, 200412 WHO AFRO
WHO SEARO
Sub-Saharan Africa
Central Africa:
Cameroon
Western Africa
Burkina Faso
Cote d’Ivoire
Ghana
Kenya
Niger
Nigeria
Southern Africa
Malawi
Zimbabwe
Eastern Africa
Rwanda
Tanzania
Uganda
South Asia
Bangladesh
India
Nepal
3 South Asian and 12 sub-Saharan African countries with comparable pre–post data, mid-to-lower levels of health system performance Immunisation coverage and equity Pre–post intervention study
Identified cluster survey
Study draws on immunisation data of all the 12–23 months old surviving children at the time of the survey. Hence, crude immunisation coverage was estimated, administered ‘by time of survey’, and based on evidence from card/history.
1990–2001 To boost coverage No uniformity in preintervention and postintervention surveys between countries
Surveys were conducted at different time points
Changes cannot be attributed to specific components of the polio eradication initiative
No funding declared
No affiliations with UN agencies
Closser, 201439 WHO AFRO
WHO SEARO
Ethiopia, Nigeria, Rwanda, Angola, India, Nepal, Pakistan
eight districts within seven countries in South Asia and sub-Saharan Africa Relationship between SIA, routine immunisation and primary healthcare Quantitative component: Cross-national time series analysis
Qualitative component: Case studies including document review, semistructured interview and participant observation
Quantitative: 1990–2010
Qualitative: 2011
Scale up of immunisation activities as part of polio eradication initiative activities The effects observed in the study were highly context specific and cannot be generalised. Bill & Melinda Gates Foundation
No affiliations with UN agencies
Helleringer, 201640 WHO SEARO
Bangladesh
National data Causal effects of SIA on routine immunisation Quasi-experimental 2011 To boost coverage Sample size too small to estimate effect of SIA on routine immunisation
Potential reporting error
Unicef
33.3% of authors affiliated with Unicef
Koop, 200141 WHO EURO
North Macedonia
Albanian Kosovar refugees in Macedonia
Refugee camps in Skopje, Tetovo, and Gostivar regions
Results of extended programme on immunisation Cross-sectional May 2011 To boost coverage particularly among refugee populations No quality control for data collection No funding declared
No affiliations with UN agencies
Levin, 200213 WHO AFRO
WHO SEARO
Bangladesh
Cote d’Ivoire
Morocco
Whole countries Impact of SIA on financing of routine immunisations Cross sectional 1993–1998 To boost coverage Non representative countries
Did not determine if funding decisions of international agencies were made a t regional or headquarter levels
United States Agency for International Development
No affiliations with UN agencies
Mangrio, 200867 WHO EMRO
Pakistan
three rural districts and one town—Nawabshah, Sanghar and Mirpurkhas and Malir Town in
Karachi city
Healthcare worker views, barriers and driers of routine immunisation Key informant interviews and focus groups July–September 2005 To increase routine coverage for polio as part of polio eradication efforts generally Small scale study No funding declared
No affiliations with UN agencies
Mello, 201042 PAHO/WHO
Brazil
27 Brazilian capital cities (including the Federal District) SIA contribution to routine immunisation coverage Cross-sectional (household cluster survey) 2007–2008 To boost coverage Not generalisable results for whole country
Inconsistent reasons for non-participation
No funding declared
No affiliations with UN agencies
Nsubuga, 201843 WHO AFRO
43 of the 47 countries in the African WHO region (quantitative aspect)
Cameroon, Democratic Republic of Congo, Nigeria and Uganda (qualitative aspect)
Entire country Benefits of polio eradication initiative Mixed methods 2017 Polio eradication campaigns generally Recall bias No funding declared
No affiliations with UN agencies
Onyeka, 201444 WHO AFRO
Nigeria
Anambra state (South Eastern state) Lessons from SIAs Cross sectional Jan-Nov 2010 To boost coverage Potential errors in denominator data No funding declared
25% of authors affiliated with WHO and Unicef
Poy, 201645 WHO AFRO
Africa
Case studies of integrated polio SIAs in Cameroon and DR Congo Impact of polio data management investment on routine immunisation Descriptive 2001–2014 To boost coverage Some data management support may have come from non-polio funds No funding declared
100% of authors affiliated with WHO
Tafesse, 201746 WHO AFRO
Ethiopia
Somali region Effects of SIA on routine immunisation Descriptive Jun 2013- Jun 2015 To boost coverage in response to wild-type polio virus outbreak Data incompleteness No funding declared
60% of authors affiliated with WHO
van den Ent, 201747 WHO AFRO
WHO EMRO
WHO SEARO
Angola, Chad, DRC, Ethiopia, Nigeria, South Sudan, Afghanistan, Pakistan, Somalia, India
Whole country Personnel related impact of SIA on routine immunisation Cross sectional 2013–2014 To boost coverage Self-reported data has potential for bias Bill and Melinda Gates Foundation
33.3% of authors are affiliated with WHO
van Turennout, 200368 WHO AFRO
South Africa
Dikgale-Soekmekaar district (small rural district) Routine and mass immunisation coverage Cross sectional
Cluster survey
2000 To boost coverage Not generalisable to other South African regions Vlaamse Inter Universitaire Raad
No affiliations with UN agencies
Verguet, 201369 WHO AFRO
South Africa
52 South African districts Impact of SIA on routine child and maternal health services Interrupted time series 2001–2010 To boost coverage Data quality, non-standardised health records Bill and Melinda Gates Foundation
No affiliations with UN agencies
Wallace, 201748 WHO SEARO
Nepal
Central region Impact of intervention package on routine immunisation Pre–post intervention January 2012–September 2013 To boost coverage No control group
Observed practices may not have been representative
Centres for Disease Control and Prevention (CDC)
33.3% of authors are affiliated with CDC and 25% of authors are affiliated with WHO
Zuber, 200370 WHO AFRO
Burkina Faso
53 health districts Compare administrative coverage estimates with cluster survey data coverage Pre–post intervention
Cluster survey
1999 Assessing accuracy of administrative coverage data collected as part of SIAs Limited sampling No funding declared
25% of authors are affiliated with CDC
25% of authors are affiliated with WHO