Disease Surveillance Investments and Administration: Limits to Information Value in Pakistan Polio Eradication.

ABSTRACT: In Pakistan, annual poliovirus investment decisions drive quantities of supplemental immunization campaigns districts receive. In this article, we assess whether increased spending on poliovirus surveillance is associated with greater likelihood of correctly identifying districts at high risk of polio with assignment of an elevated "risk ranking." We reviewed programmatic documents from Pakistan for the period from 2012-2017, recording whether districts had been classified as "high risk" or "low risk" in each year. Through document review, we developed a decision tree to describe the ranking decisions. Then, integrating data from the World Health Organization and Global Polio Eradication Initiative, we constructed a Bayesian decision network reflecting investments in polio surveillance and

SUBMITTER: Scott RP 

PROVIDER: S-EPMC7984073 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature