WEBVTT

00:00:00.000 --> 00:00:00.500 align:middle line:90%


00:00:00.500 --> 00:00:03.824 align:middle line:90%
[MUSIC PLAYING]

00:00:03.824 --> 00:00:07.650 align:middle line:90%


00:00:07.650 --> 00:00:11.220 align:middle line:84%
ERIC MAFUTA: Today, we will
explore some custom relating

00:00:11.220 --> 00:00:13.200 align:middle line:84%
to the polio
program surveillance

00:00:13.200 --> 00:00:17.400 align:middle line:84%
challenges and to understand
how this challenge was addressed

00:00:17.400 --> 00:00:19.800 align:middle line:84%
for the example of the
Democratic Republic

00:00:19.800 --> 00:00:22.990 align:middle line:90%
of the Congo and Nigeria.

00:00:22.990 --> 00:00:25.420 align:middle line:84%
The surveillance can
encounter challenges

00:00:25.420 --> 00:00:28.360 align:middle line:84%
in certain parts
of the country that

00:00:28.360 --> 00:00:31.570 align:middle line:84%
were mostly inaccessible
for health care

00:00:31.570 --> 00:00:35.950 align:middle line:84%
workers due to several
contextual factors.

00:00:35.950 --> 00:00:39.520 align:middle line:84%
New strategies are needed
to complement the existing

00:00:39.520 --> 00:00:42.300 align:middle line:84%
intervention to
detect and report

00:00:42.300 --> 00:00:48.700 align:middle line:84%
[INAUDIBLE] of the poliovirus
early enough for prompt action.

00:00:48.700 --> 00:00:51.630 align:middle line:84%
Firstly, we will talk
about the Nigeria.

00:00:51.630 --> 00:00:55.300 align:middle line:84%
And Nigeria is a
Western African country

00:00:55.300 --> 00:01:00.700 align:middle line:84%
bordering the Gulf of Guinea
between Benin and Cameroon.

00:01:00.700 --> 00:01:05.170 align:middle line:84%
It has challenging
contextual factors because

00:01:05.170 --> 00:01:06.920 align:middle line:90%
of the difficult terrain.

00:01:06.920 --> 00:01:10.690 align:middle line:84%
The southern lowland merge
into central hills, plateau

00:01:10.690 --> 00:01:13.090 align:middle line:90%
and mountain in the southwest.

00:01:13.090 --> 00:01:18.460 align:middle line:84%
It has the largest population
of any African nation

00:01:18.460 --> 00:01:23.170 align:middle line:84%
with a cluster, and they are
scattered through the country.

00:01:23.170 --> 00:01:26.320 align:middle line:84%
There is also a
challenge in the security

00:01:26.320 --> 00:01:31.540 align:middle line:84%
because of the resurgence of
Boko Haram in the north part.

00:01:31.540 --> 00:01:37.480 align:middle line:84%
And Nigeria are allocated
low budgetary to health.

00:01:37.480 --> 00:01:43.330 align:middle line:84%
And this conducts to inequality
in the health service provision

00:01:43.330 --> 00:01:48.530 align:middle line:84%
with some regions having low
coverage of health services.

00:01:48.530 --> 00:01:51.400 align:middle line:84%
The second country is
the Democratic Republic

00:01:51.400 --> 00:01:53.200 align:middle line:90%
of the Congo.

00:01:53.200 --> 00:01:56.590 align:middle line:84%
It is the second largest
country in Africa.

00:01:56.590 --> 00:01:58.360 align:middle line:84%
Situated in the
center of Africa,

00:01:58.360 --> 00:02:02.470 align:middle line:84%
DRC contain a
variety of topography

00:02:02.470 --> 00:02:05.920 align:middle line:84%
and is divided by
several rivers, which

00:02:05.920 --> 00:02:09.280 align:middle line:84%
cause frequent flooding
in the rural lowlands.

00:02:09.280 --> 00:02:14.440 align:middle line:84%
And it's served only by a weak
transportation infrastructure.

00:02:14.440 --> 00:02:17.170 align:middle line:84%
There is some
governance [INAUDIBLE]

00:02:17.170 --> 00:02:21.490 align:middle line:84%
with poverty and security,
mainly in the eastern part

00:02:21.490 --> 00:02:22.910 align:middle line:90%
of the country.

00:02:22.910 --> 00:02:25.540 align:middle line:84%
And this creates a
migration population

00:02:25.540 --> 00:02:28.000 align:middle line:84%
with a lot of internal
displacement--

00:02:28.000 --> 00:02:30.310 align:middle line:90%
person and the refugee.

00:02:30.310 --> 00:02:32.953 align:middle line:84%
With this information
that I provide you,

00:02:32.953 --> 00:02:35.650 align:middle line:84%
could you think
a few on what can

00:02:35.650 --> 00:02:40.290 align:middle line:84%
be the challenge for the
polio surveillance system?

00:02:40.290 --> 00:02:47.000 align:middle line:90%