An Assessment of the Reasons for Oral Poliovirus Vaccine Refusals in Northern Nigeria

Details

• Alternative Title:
  J Infect Dis
• Personal Author:
  Michael, Charles A. ; Ogbuanu, Ikechukwu U. ; Storms, Aaron D. ; Ohuabunwo, Chima J. ; Corkum, Melissa ; Ashenafi, Samra ; Achari, Panchanan ; Biya, Oladayo ; Nguku, Patrick ; Mahoney, Frank
• Corporate Authors:
  NSTOP OPV Refusal Study Team
• Description:
  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:
  Adolescent Adult Aged Assessment Cross-Sectional Studies Family Characteristics Female Humans Male Middle Aged Nigeria Noncompliance OPV Oral Polio Vaccine Patient Acceptance Of Health Care Poliovirus Vaccine, Oral Refusals Surveys And Questionnaires Treatment Refusal Young Adult

  More +
• Source:
  J Infect Dis. 210(Suppl 1):S125-S130
• Pubmed ID:
  25316826
• Pubmed Central ID:
  PMC10544260
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  210
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:08cc05d80f427fa5aa06eb4cd9c6b60903fdf0a76d60b90362e2214e3a10bf34
• Download URL:
  https://stacks.cdc.gov/view/cdc/133842/cdc_133842_DS1.pdf
• File Type:
  [PDF - 337.15 KB ]