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Photo-essay: Community Health Voluntary key to finish polio in Madagascar

March 1, 2018 В· Read 4 min

Since the disease has reappeared in 2014, the community volunteers play a crucial role.

At the end of the 19th and early 20th centuries, polioyelitis or polio was a strongly feared scourge of the industrialized. It would paralyze hundreds of thousands of children every year. As soon as effective vaccines were introduced in the 1950s, the number of cases of Polio fell dramatically and the virus was eliminated in many countries, but in some places it still remains a real threat.

Polio is a viral disease in Infectiou, which is transferred from person to person, and can lead to paralysis, respiratory tract, even death. The polio virus spreads easily in areas with poor hygiene. Vaccination is the most reliable way to prevent polio and protect children under five that are most vulnerable.

The virus was wiped off in Madagascar 2005, but in 2014 again emerged. Since then, Madagascar's government and health partners, including the World Health Organization, the United Nations Children's Fund, and the United States Agency for International Development, and the United States Agency, held several vaccine campaigns throughout the country.

At the top of these vaccination campaigns are volunteers of the Community health or CHVs. These are people who voluntarily volunteer in the time of the Community of Health Care, especially in remote villages where basic health facilities do not exist, and a doctor may be a day or more of travel. These CHVS are managed by the Ministry of Health Representatives for Public Health, and they receive a special training with which they can provide basic information and services. CHVs are important contributions to Madagascar's efforts to finish the polio forever.

Chvs promote and teaches and teaches healthy behaviors in their communities, including how to prevent transferable diseases such as polio. They improve hygiene and hygiene on the village level through door-to-door home visits and group formation. With the support of the villages, CHVS also carries out regular cleaning sessions with local communities to ensure that people live in a sanitary, healthy environment.

trained and monitored by heads of health centers, which CHVS help to achieve isolated populations with primary health services , while we are also communicated to epidemiological surveillance activities by actively involved in cases of acute flaping paralysis (The primary polio symptom). In remote communities, some children do not end a complete series of immunizations, so that CHVs are looking for children who are not fully vaccinated and they refer to the nearest health center to complete their vaccinations.

Two days before a campaign start, CHVs serve as community furniture. In partnership with state health centers, they work parents about the importance of the polio vaccine and the upcoming campaign, and identify the number of children are immunized in target areas.

During a polio campaign, some CHVs also work as vaccines, door-to-door in preselected communities to manage polio immunization to each child. Cases of vaccine facilities are carefully treated with community leaders or the head of the local health center.

Other CHVs contribute to the campaign as a data recorder, as data recorder work in pairs with vaccines and ensure that individual immunization data is properly entered into the ministry of the public health information system.

CHVS plays a crucial role in the efforts to strengthen the health system of Madagascar, as they promote continuously healthy behaviors that perform epidemiological surveillance, the children to determine and point their routine vaccinations, and actively support the immunization campaigns.Due to the efforts of the government and the support of health partners such as the useaid Mikolo project to immunize every child, Madagascar is at the Höcker of Polio Eradication.

Photos and History of Samy Rakotoniaina

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