This photograph was taken September 20, 2012, during the monitoring and evaluation of the Immunization Plus Days (IPDs) in the Zamfara state of Nigeria. Special teams of Nigerian Field Epidemiology Training Program (FETP) residents, were assigned to newly enumerated nomadic settlements, like the one depicted here. Residents would enter households containing cows, chickens, goats, ducks and humans. The FETP resident shown in this photograph, was marking this dwelling on the wall outside its entranceway, having concluded his investigation, and administration of any requisite vaccinations.
According to the United Nations Children's Fund (UNICEF), “Immunization “Plus” refers to the delivery of a set of essential and cost-effective maternal and child health interventions. As a minimum, the “Plus” should include vitamin A supplementation in countries where vitamin A deficiency is a public health problem.”
See the link below for more on the Immunization Plus Days, or FETP, see the links below.