IMMUNIZATION IN CONFLICT-AFFECTED AREA: THE CASE OF SIERRA LEONE AND NIGERIA
DOI:
https://doi.org/10.24193/subbeuropaea.2020.1.08Keywords:
Vaccination, Conflict, Sierra Leone, Nigeria, Health challenges.Abstract
Conflict affects the institutions of health that help vaccination programs. This article addresses the complexity of immunization in the matrix of two African contexts: Sierra Leone and Nigeria. After introducing the subject, I will expose the factors that would explain the success or the failure of implementing vaccination measures. Then I will briefly synthesize the context of these two African countries by putting an emphasis on the vulnerability induced by the conflicts. Finally, I will make a case study of health challenges and responses in relation to the factors exposed in the first section of the article.References
Adeloye, Davies (2017), “Coverage and determinants of childhood immunization in Nigeria: A systematic review and meta-analysis,” in Vaccine, issue 22, Volume 35, 2871-2881.
Azevedo, Mario J. (2017), Historical Perspectives on the State of Health and Health Systems in Africa, Jackson, USA, Springer, p.10.
Beigbeder, Yves (2010), "Les Partenariats De L’organisation Mondiale De La Santé," in Études internationales, no.2, Volume 41, 233-251.
Chacin, Bonilla (2010), “Improving primary health care delivery in Nigeria: evidence from four states”, in World Bank working paper, no. 187.
Connolly, Máire A., Gayer et. Al (2004), “Communicable diseases in complex emergencies: impact and challenges,”in the Lancet, Issue 9449, Volume 364, 1974-1983.
Crisis Group, Boko Haram is losing ground – but will not be defeated by weapons alone, [https://www.crisisgroup.org/africa/west-africa/boko-haram-losing-ground-will-not-be-defeated-weapons-alone], 29 June, 2020.
Europe 1, Comment le Nigeria a vaincu le virus Ebola,”2014, [https://www.europe1.fr/international/Comment-le-Nigeria-a-vaincu-le-virus-Ebola-685692], 29 June, 2020.
Gavi, Santé : renforcer les chaînes d'approvisionnement pour mieux protéger les populations, [https://www.gavi.org/fr/sante-renforcer-les-chaines-d-approvisionnement-pour-mieux-proteger-les-populations], 29 June, 2020.
Holmberg, Christine (2017), “The Politics of Vaccination: A Global History” in Stuart Blume and Paul Greenough (eds.), Issue 4, Volume 50, Manchester: Manchester University Press, 741-743
Institut Pasteur Lille, Vaccination et Recommandations pour : Nigeria, [https://www.pasteur-lille.fr/vaccinations-voyages/?pays=Nigeria], 29 June, 2020.
— — — — —, Vaccination et Recommandations pour : Sierra Leone, [https://www.pasteur-lille.fr/vaccinations-voyages/?pays=Sierra%20Leone], 29 June, 2020.
Iwu, Chinwe, et al. (2019), “A scoping review of interventions for vaccine stock management in primary health-care facilities,”in Human Vaccines and Immunotherapeutics,no. 11, Volume 15, 2666-2672.
Kamadjeu, Raoul (2015), “Immunizing nomadic children and livestock Experience in North East Zone of Somalia,” in Human Vaccines and Immunotherapeutics, 11, 11, 2637-2639
Kaufmann, Judith R. (2009), “Diplomacy and The Polio Immunization Boycott in Northern Nigeria,” in Health Affairs, no.4, volume 28, 1091-101.
Lee, Kelley (1998), Historical Dictionary of the World Health Organization, Lanham, Md.; London: Scarecrow, 25-26.
Leyendecker, Mathilde and Mişcoiu, Sergiu (2020), “”The Flag Still Stands!” The Political Reconversion of the Internally Exiled Independentists of Casamance” in Studia Europaea, Volume 64, 193-210.
McArthur-Lloyd, Anne, Community Engagement, Routine Immunization, and the Polio Legacy in Northern Nigeria, in Global Health Communication, no.1, volume 2, 2016: 1-10
Ngowu, Rufus (2008), “Reducing child mortality in Nigeria: A case study of immunization and systemic factors,” in Social Science and Medicine, Volume 67, 161-164
Opal, Steven M (2010), “A Brief History of Microbiology and Immunology” in Vaccines: a Biography, ed. Artenstein A., New York: Springer, 31-56.
Ophori, Endurance A.,” Current Trends of Immunization in Nigeria: Prospect and Challenges,” in Tropical Medicine and Health, no. 2, Volume 42, 2014: 67-75.
Peters, K., & Richards, “‘Why we fight’: Voices of youth combatants in Sierra Leone,” in Africa, no.2 Volume 68, 1998, p.183-210.
Rebuild Consortium, Country Situation analysis: Sierra Leone, [https://assets.publishing.service.gov.uk/media/598af21840f0b619c913108f/country-situation-analysis-sierra-leone.pdf], 29 June, 2020.
ReliefWeb, Nigeria – Boko Haram Crisis – ECHO Daily Map | 01/04/2016, [https://reliefweb.int/map/nigeria/nigeria-boko-haram-crisis-echo-daily-map-01042016], 29 June, 2020.
Reuters, Trump's halt to WHO funding prompts condemnation as coronavirus cases pass 2 million, [https://www.reuters.com/article/us-health-coronavirus/trump-cuts-who-funding-over-coronavirus-global-death-toll-mounts-idUSKCN21X0AL?il=0], 29 June, 2020.
Richards, Paul, “Sur la nouvelle violence politique en Afrique : le sectarisme séculier au Sierra Leone” in Politique Africaine, Volume 70, 1998, 85-104.
Ross, Michael, “A Closer Look at Oil, Diamonds, and Civil War,” in Annual Review of Political Science, Volume 9, 2008, 265-300.
Schlipköter, Ursula and Flahault, Antoine, “Communicable Diseases: Achievements and Challenges for Public Health,” in Public Health Reviews, no.1, Volume 32, 2010, 90-119.
Senessie, Charles, “Delays in childhood immunization in a conflict area: a study from Sierra Leone during civil war,” in Conflict and Health, volume 1, 2007, 1-14.
Stein, R.A., “Political will and international collaborative frameworks in infectious diseases,” in International Journal of Clinical Practice, no. 1, volume 69, 1, 2015, 41-48.
The conversation, Au Nigeria, sous les conflits « ethniques », une crise environnementale sans precedent [https://theconversation.com/au-nigeria-sous-les-conflits-ethniques-une-crise-environnementale-sans-precedent-95454], 29 June, 2020.
UN, Conseil de Sécurité, [https://peacemaker.un.org/sites/peacemaker.un.org/files/SL_961130_PeaceAgreementSierraLeone-RUFSL%28fr%29.pdf], 29 June, 2020.
— —, La lutte contre Ebola au Sierra Leone : Memuna Mansaray à Mabella, [https://ebolaresponse.un.org/fr/sierra-leone], 29 June, 2020.
UN News, Major humanitarian hub in northeast Nigeria burned in attack, [https://news.un.org/en/story/2020/01/1055641], 29 June, 2020.
UNDP, Nigeria, [http://hdr.undp.org/en/countries/profiles/NGA], 29 June, 2020.
UNDP, Sierra Leone, [http://hdr.undp.org/en/countries/profiles/SLE], 29 June, 2020.
UNICEF, Eau, assainissement et Hygiène, [https://www.unicef.org/french/wash/3942_3952.html], 29 June, 2020.
UNICEF, Immunization program, [https://www.unicef.org/immunization], 29 June, 2020.
Universalis, 5 février - 10 mars 1998 : Sierra Leone. La junte chassée du pouvoir par l'Ecomog [https://www.universalis.fr/evenement/5-fevrier-10-mars-1998-la-junte-chassee-du-pouvoir-par-l-ecomog/], 29 June, 2020.
— —, 2-17 mai 2000: Sierra Leone. Enlèvement de casques bleus et reprise des combats, [https://www.universalis.fr/evenement/2-17-mai-2000-enlevement-de-casques-bleus-et-reprise-des-combats/], 29 June, 2020.
— —, 2-21 Février 2015 : Nigeria. Régionalisation de la lutte contre Boko Haram, [https://www.universalis.fr/evenement/2-21-fevrier-2015-regionalisation-de-la-lutte-contre-boko-haram/], 29 June, 2020.
— —, 7 juillet: Sierra Leone. Signature d’un accord de paix, [https://www.universalis.fr/evenement/7-juillet-1999-signature-d-un-accord-de-paix/], 29 June, 2020.
— —, 10-22 Mai 2009: Nigeria. Guerre du pétrole dans le delta du Niger, [https://www.universalis.fr/evenement/10-22-mai-2009-guerre-du-petrole-dans-le-delta-du-niger/], 29 June, 2020.
— —, 14 mai 2002: Sierra Leone. Victoire du président sortant aux élections générales,” [https://www.universalis.fr/evenement/14-mai-2002-victoire-du-president-sortant-aux-elections-generales/], 29 June, 2020.
— —, 24 Juin 2018: Nigeria. Violences entre éleveurs et agriculteurs, [https://www.universalis.fr/evenement/24-juin-2018-violences-entre-eleveurs-et-agriculteurs/], 29 June, 2020.
Universalis, 26 Aout 2011: Nigeria. Attentat contre le siège de l’ONU à Abuja, [https://www.universalis.fr/evenement/26-aout-2011-attentat-contre-le-siege-de-l-o-n-u-a-abuja/], 29 June, 2020.
— —, Sierra Leone, chronologie contemporaine, [https://www.universalis.fr/chronologie/sierra-leone/], 29 June, 2020.
Vaccination-info.be, L’histoire de la vaccination, [https://www.vaccination-info.be/histoire-de-la-vaccination/], 29 June, 2020.
Vandal, Julie, RFI, Dans le grenier du Nigeria, un interminable conflit pour l'accès aux ressources, 2019, [http://www.rfi.fr/fr/afrique/20190214-middle-belt-nigeria-interminable-conflit-acces-ressources], 29 June, 2020.
Walker, Andrew, United States Institute of peace, What is Boko Haram? [https://permanent.access.gpo.gov/gpo30794/SR308.pdf], 29 June, 2020.
WHO, EPI logistics, [https://www.who.int/countries/eth/areas/immunization/epi_logistics/en/index1.html], 29 June, 2020.
— —, Module 5: Vaccine Safety institutions and mechanisms, WHO [https://vaccine-safety-training.org/national-immunization-programmes.html], 29 June, 2020.
— —, Qu’est-ce que la couverture universelle en matière de santé, [https://www.who.int/features/qa/universal_health_coverage/fr/], 29 June, 2020.
— —, Sierra Leone's long recovery from the scars of war, [https://www.who.int/bulletin/volumes/88/10/10-031010/en/], 29 June, 2020.
WHO, The Nigerian health system, [https://www.who.int/pmnch/countries/nigeria-plan-chapter-3.pdf], 29 June, 2020.
— —, Yemen, Update on the Expanded Program on Immunization, December 2019, [https://reliefweb.int/report/yemen/update-expanded-programme-immunization-december-2019], 29 June, 2020.
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