Not My Child

Addressing the challenges of resistance to polio immunization in Nigeria

Parents and sometimes older siblings bring children to the vaccination centre. Thomas Moran/WHO

KANO, NIGERIA, December 2011 – It is 10.00 a.m. at the health facility of Dawakin Tofa, one of the villages in Kano State with several polio cases this year. Outside of the health facility, a group of women – health educators, community mobilisers and vaccinators – are preparing to start a house-to-house polio immunization “mop-up” activity to reach every last child. Among this group, Ms. Hafsat, vaccinator, and her team were assigned to cover a remote village of Yansalmo, where block resistance to polio immunization by the community is still persisting.

“Why is the polio vaccine given round after round when there is no health care nor clean water in our village? There are so many other diseases like malaria, cholera and meningitis that kill our children; drugs are either unavailable and we cannot afford to buy them,” a representative of the village asked when the team arrived.

In Kano State, continued community resistance to the polio eradication programme is profoundly impacting progress. Caregiver refusals, or non-compliance, to immunize their children still make up a significant proportion of the total number of children missed during campaigns, and refusals are on the rise in some high-risk areas. According to the latest data analysis, non-compliance accounts for more than four (4) out of ten (10) of missed children in Kano State and in ten (10) Local Government Areas (LGAs), non-compliance accounts for fifty percent (50%) of missed children.

“It is difficult to convince families under these circumstances, especially when they are facing multiple deprivations. But, through compound meetings and community dialogues, we were finally able to convince villagers to accept the oral polio vaccine. We have been successful in turning around their resistance by increasing their threat perception of polio,” Ms. Hafsat said.

To address the issue of resistance to polio immunization, local government and polio eradication partners organize regular community dialogues with the support of traditional leaders. In fact, according to the latest data analysis, almost eight out of ten of resolved non-compliance cases were due to traditional leaders’ interventions.

Full story


Related News

   22/01/2018
Afghanistan’s surveillance system is the strongest it’s ever been, says country experts
   22/01/2018
Over the critical ‘low transmission season’, Pakistan’s polio programme is working feverishly to identify and vaccinate every high-risk mobile child
   22/01/2018
Women are critical in the drive to eradicate polio in Afghanistan. In one of the final strongholds of the polio virus, vaccination coverage is improving as female vaccinators have more access to children.
   19/01/2018
The Global Polio Eradication Initiative (GPEI) is extremely saddened that two committed frontline health workers were killed while delivering vaccines in Quetta, Pakistan. We extend our deepest condolences to their family. The delivery of health care is im...
   15/01/2018
To eradicate polio, we need to stop all strains of the virus, including vaccine-derived polioviruses. This short animation explains how these rare virus strains emerge and how to stop them.
   15/01/2018
Update on polio eradication efforts in Afghanistan for December 2017