I have faced one question regarding NIDs, which is: if one of the governorates or provinces in any country achieves a routine immunization coverage rate of more than 95%, is there need to proceed with NIDs? This question was raised in Iraq.
My first response: I reminded him (of our experience) with the Polio Eradication Strategy. Then he insisted that he achieved routine coverage of more than 95% and AFP surveillance. Then I clarified that it depended on national strategies and that it would depend on how long the coverage rate has been more than 95% and what is the population density of the governorate and if it is isolated geographically from other governorates— all these 3 factors affect the decision to stop PNIDs in any governorate and this is a decision to be taken at the national not the provisional level.
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