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. 2014 Nov 1;210 Suppl 1(Suppl 1):S125-30.
doi: 10.1093/infdis/jiu436.

An assessment of the reasons for oral poliovirus vaccine refusals in northern Nigeria

Charles A Michael  1 , Ikechukwu U Ogbuanu  2 , Aaron D Storms  2 , Chima J Ohuabunwo  1 , Melissa Corkum  3 , Samra Ashenafi  2 , Panchanan Achari  3 , Oladayo Biya  1 , Patrick Nguku  1 , Frank Mahoney  2 ; NSTOP OPV Refusal Study Team
Collaborators, Affiliations

An assessment of the reasons for oral poliovirus vaccine refusals in northern Nigeria

Charles A Michael et al. J Infect Dis. .

Abstract

Background: Accumulation of susceptible children whose caregivers refuse to accept oral poliovirus vaccine (OPV) contributes to the spread of poliovirus in Nigeria.

Methods: During and immediately following the OPV campaign in October 2012, polio eradication partners conducted a study among households in which the vaccine was refused, using semistructured questionnaires. The selected study districts had a history of persistent OPV refusals in previous campaigns.

Results: Polio risk perception was low among study participants. The majority (59%) of participants believed that vaccination was either not necessary or would not be helpful, and 30% thought it might be harmful. Religious beliefs were an important driver in the way people understood disease. Fifty-two percent of 48 respondents reported that illnesses were due to God's will and/or destiny and that only God could protect them against illnesses. Only a minority (14%) of respondents indicated that polio was a significant problem in their community.

Conclusions: Caregivers refuse OPV largely because of poor polio risk perception and religious beliefs. Communication strategies should, therefore, aim to increase awareness of polio as a real health threat and educate communities about the safety of the vaccine. In addition, polio eradication partners should collaborate with other agencies and ministries to improve total primary healthcare packages to address identified unmet health and social needs.

Keywords: OPV; assessment; noncompliance; oral polio vaccine; refusals.

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Figures

Figure 1.
Figure 1.
Major reasons given by 148 questionnaire respondents for refusing oral poliovirus vaccine during the October 2012 campaign. Respondents could give >1 answer.
Figure 2.
Figure 2.
Perception of 146 questionnaire respondents on how to protect their children from polio—October 2012. Respondents could give >1 answer.
See this image and copyright information in PMC

References

    1. Situation analysis–polio situation worldwide: the game changer. UNICEF Quarterly Newsletter on Polio Eradication Initiative in Nigeria, 2012.
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    1. GPEI. Nigeria http://www.polioeradication.org/Infectedcountries/Nigeria.aspx. Accessed 11 March 2014.
    1. WHO. 10 facts on polio eradication http://www.who.int/features/factfiles/polio/facts/en/index7.html. Accessed 11 March 2014.

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