Abstract
Background: This study was conducted to know the operational strategies of polio surveillance to study the current practices of polio vaccination, to find out practices of key health care staff regarding strategies in polio eradication
 Result: A significant difference between the knowledge of urban and rural area ANMs regarding. IPV is a not a substitute for OPV (p value<0.05). 63% & 75% ANMs of urban & rural resp. were unaware about OPV being phased out. Only 1 out of 16 ANMs knew the correct reason for tOPV to bOPV switch. All (100%) ANMs reported AEFI monthly, always attended meetings & encouraged their ASHAs for community mobilization. 25% ANMs of rural area considered reporting of AFP cases and checking vaccine requirements & stock maintenance only sometimes.
 Conclusion: Vaccines currently in use Indore district are bOPV & fIPV. IPV & fIPV are costly than OPVs. Shortage of bOPV (January to February 2018), IPV & fIPV was suffered due to manufacturing units not working. In this study OPV 3rd dose coverage is low as compared to OPV 1st dose coverage & OPV booster dose coverage has further declined. This practice leads to low population immunity for polio.
 In this study PPI coverage over the years has remained >=100%. However the RI coverage has ranged between 82-95%. It indicates towards possibility of lowering of population immunity and herd immunity because of not maintaining the RI coverage more 90% consistently.
 Keywords: Polio Vaccination, Practice, IPV, tOPV, bOPV.
Highlights
We are heading towards a polio free world and the world is on the verge of eradicating poliovirus for the first time ever
This study was conducted to know the operational strategies of polio surveillance to study the current practices of polio vaccination, to find out practices of key health care staff regarding strategies in polio eradication, Study period: One year July 2010 - June 2011
Pre designed semi structured questionnaire was used for the ANMs and MOs to find out their knowledge, attitude & practices regarding the strategies in polio eradication programme
Summary
We are heading towards a polio free world and the world is on the verge of eradicating poliovirus for the first time ever. Trivalent oral polio vaccine (tOPV) to bivalent oral polio vaccine (bOPV) and inactivated polio vaccine (IPV) use in routine introduction, but added that this would require very accurate, detailed, timely, and global project planning, with regional as well as global consensus. The second objective of the plan is the phased removal of oral polio vaccines (OPVs), starting with vaccine containing poliovirus type 2 (OPV2) and introduction of at least 1 dose of IPV in routine immunization as a risk mitigation measure.[2]. In this study OPV 3rd dose coverage is low as compared to OPV 1st dose coverage & OPV booster dose coverage has further declined This practice leads to low population immunity for polio.
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