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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Expansion of vaccination services and strengthening vaccine-preventable diseases surveillance in Haiti, 2010-2016
American Journal of Tropical Medicine and Hygiene, Volume 97, Year 2017
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Description
Following the 2010 earthquake, Haiti was at heightened risk for vaccine-preventable diseases (VPDs) outbreaks due to the exacerbation of long-standing gaps in the vaccination program and subsequent risk of VPD importation from other countries. Therefore, partners supported the Haitian Ministry of Health and Population to improve vaccination services and VPD surveillance. During 2010-2016, three polio, measles, and rubella vaccination campaigns were implemented, achieving a coverage > 90% among children and maintaining Haiti free of those VPDs. Furthermore, Haiti is on course to eliminate maternal and neonatal tetanus, with70%of communesachieving tetanus vaccine two-dose coverage > 80% among women of childbearing age. In addition, the vaccine cold chain storage capacity increased by 91% at the central level and 285% at the department level, enabling the introduction of three new vaccines (pentavalent, rotavirus, and pneumococcal conjugate vaccines) that could prevent an estimated 5,227 deaths annually. Haiti moved from the fourth worst performing country in the Americas in 2012 to the sixth best performing country in 2015 for adequate investigation of suspected measles/rubella cases. Sentinel surveillance sites for rotavirus diarrhea and meningococcal meningitis were established to estimate baseline rates of those diseases prior to vaccine introduction and to evaluate the impact of vaccination in the future. In conclusion, Haiti significantly improved vaccination services and VPD surveillance. However, high dependence on external funding and competing vaccination program priorities are potential threats to sustaining the improvements achieved thus far. Political commitment and favorable economic and legal environments are needed to maintain these gains. Copyright © 2017 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Tohme, Rania A.
United States, Atlanta
Centers for Disease Control and Prevention
Cavallaro, Kathleen F.
United States, Atlanta
Centers for Disease Control and Prevention
Paluku, Gilson Kipese
United States, Atlanta
Centers for Disease Control and Prevention
Haiti, Port-au-prince
Pan American Health Organization
Yalcouyé, Idrissa
Haiti, Port-au-prince
Pan American Health Organization
Adrien, Paul
Haiti, Port-au-prince
Ministry of Public Health and Population
Katz, Mark A.
United States, Atlanta
Centers for Disease Control and Prevention
Hyde, Terri B.
United States, Atlanta
Centers for Disease Control and Prevention
Faye, Papa Moctar
Haiti, Port-au-prince
Pan American Health Organization
Kimanuka, Francine
Haiti, Port-au-prince
United Nations Children's Fund
Vertefeuille, John F.
United States, Atlanta
Centers for Disease Control and Prevention
Lowrance, David W.
United States, Atlanta
Centers for Disease Control and Prevention
Dahl, Benjamin A.
United States, Atlanta
Centers for Disease Control and Prevention
Patel, Roopal
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 7
Authors: 13
Affiliations: 4
Identifiers
Doi:
10.4269/ajtmh.16-0802
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Participants Gender
Female