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

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 househol...

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Bibliographic Details
Published in:	The Journal of infectious diseases 2014-11, Vol.210 (suppl 1), p.S125-S130
Main Authors:	Michael, Charles A., Ogbuanu, Ikechukwu U., Storms, Aaron D., Ohuabunwo, Chima J., Corkum, Melissa, Ashenafi, Samra, Achari, Panchanan, Biya, Oladayo, Nguku, Patrick, Mahoney, Frank
Format:	Article
Language:	eng
Subjects:	Adolescent Adult AFRICAN REGION Aged Caregivers Cross-Sectional Studies Disease eradication Epidemiology Family Characteristics Female Humans Inactivated poliovirus vaccines Islam Male Middle Aged Nigeria Oral poliovirus vaccines Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Poliomyelitis Poliovirus Vaccine, Oral - administration & dosage Poliovirus vaccines Preventive medicine Questionnaires Surveys and Questionnaires Treatment Refusal - psychology Treatment Refusal - statistics & numerical data Young Adult
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Summary:	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.
ISSN:	0022-1899 1537-6613