Evaluation of Acute Flaccid Paralysis (AFP) surveillance system, Kebbi State, Nigeria, 2013- 2018 Hashim Abdulmumin Bala (
[email protected] ) African Field Epidemiology Network https://orcid.org/0000-0002-6434-6698 Yahaya Mohammed Usmanu Danfodiyo University College of Health Sciences Nyampa Barau African Field Epidemiology Network Lukman Surajudeen World Health Organization, Birnin Kebbi, Kebbi State, Nigeria Polycarp Uche Ori African Field Epidemiology Network Research article Keywords: Acute Flaccid Paralysis, public health surveillance systems, Kebbi State, laboratory feedback Posted Date: October 16th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-23557/v2 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/19 Abstract Background: Since 1988, the incidence of polio has reduced by more than 99 percent, worldwide, according to the WHO. Each year, more than 350,000 children were paralyzed, in more than 125 endemic countries. Today, only two countries are still having transmission of polio: Pakistan and Afghanistan. No wild poliovirus has been reported anywhere in Africa since 2016. A good and effective Acute Flaccid Paralysis (AFP) surveillance system is necessary to detect any suspected case of polio to interrupt the transmission of polio within any country. We evaluated the AFP surveillance system to identify gaps in its operations. Methods: We used the updated CDC guidelines for evaluating public health surveillance systems and the WHO performance standards to assess the system. We also interviewed stakeholders using an adapted questionnaire, and a key informant interview. We also reviewed AFP surveillance data from 2013-2018. We summarized data using means, frequencies, and proportion.