Forewarning of poliovirus outbreaks in the horn of africa: An assessment of acute flaccid paralysis surveillance and routine immunization systems in Kenya

Background: Although the Horn of Africa region has successfully eliminated endemic poliovirus circulation, it remains at risk for reintroduction. International partners assisted Kenya in identifying gaps in the polio surveillance and routine immunization programs, and provided recommendations for improved surveillance and routine immunization during the health system decentralization process.