What Is After Polio? Priorities & Adaptability in Angola, Ethiopia, Kenya, Nigeria, South Sudan & Somalia
نام عام مواد
[Thesis]
نام نخستين پديدآور
Vergara, Katherine C.
نام ساير پديدآوران
Peacock, Nadine
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
University of Illinois at Chicago
تاریخ نشرو بخش و غیره
2019
مشخصات ظاهری
نام خاص و کميت اثر
168
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
Ph.D.
کسي که مدرک را اعطا کرده
University of Illinois at Chicago
امتياز متن
2019
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
The final chapter of polio is not complete. But the task of adapting the polio infrastructure is upon us now. Polio eradication has been a shared global priority. The challenge before us lies in defining the next health priority to share. Actively listening to stakeholders revealed a more complex priority: it was not one specific disease. Based on the use of the Implementation Science conceptual framework to predict implementation success, this dissertation aimed to identify public health priorities to which the built polio infrastructure should be applied, and opportunities to adapt to future health initiatives. Qualitative interviews with polio stakeholders were analyzed for overall trends, by specific socio-ecological level, and by individual country context. "Health Systems & Infrastructure" and "Routine Immunization" were the most frequently occurring priorities that stakeholders identified as the desired focus that should be addressed with the built polio infrastructure. Challenging the historic tactic of targeting one disease for eradication, stakeholders called for a broader bolstering of health systems. The adaptability findings closely reflected and further informed the findings of the shared priorities. Examples and opportunities were associated with the overall identified priorities: Health Systems & Infrastructure and Routine Immunization. Polio stakeholders were aware of and primed for adapting the polio infrastructure to other health priorities. They recognized and even suggested a less siloed approach to public health, harkening to overall health systems bolstering. Recommendations were developed to be in alignment with the prodigiously shared priority of stakeholders interviewed; to improve Health Systems & Infrastructure, explicitly to address improving the capacity of health monitoring and surveillance. More specifically, while focusing on improving overall Health Systems & Infrastructure, a recommendation was made to task-shift the built polio infrastructure to address routine immunization, pivoting away from a one disease focus. Lastly, a recommendation was made to encourage partners to look more broadly at how polio infrastructure legacy planning can affect larger societal needs. The momentum and capacity built through the stalwart organizations and individuals engaged in polio eradication should be harnessed to improve diverse public health outcomes.
موضوع (اسم عام یاعبارت اسمی عام)
موضوع مستند نشده
Epidemiology
موضوع مستند نشده
Health sciences
موضوع مستند نشده
Immunology
موضوع مستند نشده
Public health
موضوع مستند نشده
Public health education
موضوع مستند نشده
Sub Saharan Africa studies
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )