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Characteristics of persons refusing oral polio vaccine during the immunization plus days - Sokoto, Nigeria 2011.

Mohammed A, Sabitu K, Nguku P, Abanida E, Sheidu S, Dalhat M, Dankoli R, Gidado S, Suleiman I - Pan Afr Med J (2014)

Bottom Line: Refusal of oral polio vaccine (OPV) by heads of households is a significant challenge.Noncompliant heads of households were more likely to lack tertiary education (OR = 3.7, 95% CI, 1.6 - 9.2), believe that OPV is not safe (OR = 22, 95% CI, 7.1 - 76), lack access to functional radio (OR = 4.4, 95% CI, 1.4 - 15) and television (OR = 9.4, 95% CI, (1.9 - 63) andget information about IPD from town announcers (OR = 3.9, 95% CI, 1.3 - 12).We conclude that noncompliant heads of households compared to compliant heads of households had low level of education, lacked knowledge of immunization, and had negative attitude towards OPV.

View Article: PubMed Central - PubMed

Affiliation: Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.

ABSTRACT

Introduction: Nigeria, the only African country endemic for wild poliovirus, adopted Immunization Plus Days (IPD) to eradicate polio. Refusal of oral polio vaccine (OPV) by heads of households is a significant challenge. In Sokoto state, we determined characteristics of heads of households refusing OPV during IPD in 2011.

Methods: To evaluate reasons for refusals, we conducted a case control study among heads ofhouseholds accepting or refusing OPV vaccine. Noncompliant households were defined as households refusing OPV vaccination in last three rounds of IPDs while compliant households were those accepting vaccination. Interviewers administered a questionnaire to the heads of households to obtain information on socio-demographics, media habits, and knowledge of IPD.

Results: Of the 121 (60 cases and 61 controls) interviews, 88 (73%) were from Sokoto north. Noncompliant heads of households were more likely to lack tertiary education (OR = 3.7, 95% CI, 1.6 - 9.2), believe that OPV is not safe (OR = 22, 95% CI, 7.1 - 76), lack access to functional radio (OR = 4.4, 95% CI, 1.4 - 15) and television (OR = 9.4, 95% CI, (1.9 - 63) andget information about IPD from town announcers (OR = 3.9, 95% CI, 1.3 - 12).

Conclusion: We conclude that noncompliant heads of households compared to compliant heads of households had low level of education, lacked knowledge of immunization, and had negative attitude towards OPV. They get information about OPV from town announcers and lacked access to functional radio and television. We recommended training of town announcers in polio communication and use of key communication messages preceding every round of IPD.

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Related in: MedlinePlus

Reasons for OPV refusal among the noncompliant heads of households in Sokoto, Nigeria, 2011 (n = 60)
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Figure 0001: Reasons for OPV refusal among the noncompliant heads of households in Sokoto, Nigeria, 2011 (n = 60)

Mentions: Access to information about IPDs and reasons for refusals among non-compliant heads of household: Noncompliant heads of household were more likely “To source” information concerning IPD from town announcers (OR = 3.9) and lack access to a functional radio (OR = 4.4) and television (OR = 9.4)(Table 3). The most frequent reason given for vaccine refusal among the noncompliant heads of households was “no felt need” (Figure 1).


Characteristics of persons refusing oral polio vaccine during the immunization plus days - Sokoto, Nigeria 2011.

Mohammed A, Sabitu K, Nguku P, Abanida E, Sheidu S, Dalhat M, Dankoli R, Gidado S, Suleiman I - Pan Afr Med J (2014)

Reasons for OPV refusal among the noncompliant heads of households in Sokoto, Nigeria, 2011 (n = 60)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199787&req=5

Figure 0001: Reasons for OPV refusal among the noncompliant heads of households in Sokoto, Nigeria, 2011 (n = 60)
Mentions: Access to information about IPDs and reasons for refusals among non-compliant heads of household: Noncompliant heads of household were more likely “To source” information concerning IPD from town announcers (OR = 3.9) and lack access to a functional radio (OR = 4.4) and television (OR = 9.4)(Table 3). The most frequent reason given for vaccine refusal among the noncompliant heads of households was “no felt need” (Figure 1).

Bottom Line: Refusal of oral polio vaccine (OPV) by heads of households is a significant challenge.Noncompliant heads of households were more likely to lack tertiary education (OR = 3.7, 95% CI, 1.6 - 9.2), believe that OPV is not safe (OR = 22, 95% CI, 7.1 - 76), lack access to functional radio (OR = 4.4, 95% CI, 1.4 - 15) and television (OR = 9.4, 95% CI, (1.9 - 63) andget information about IPD from town announcers (OR = 3.9, 95% CI, 1.3 - 12).We conclude that noncompliant heads of households compared to compliant heads of households had low level of education, lacked knowledge of immunization, and had negative attitude towards OPV.

View Article: PubMed Central - PubMed

Affiliation: Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.

ABSTRACT

Introduction: Nigeria, the only African country endemic for wild poliovirus, adopted Immunization Plus Days (IPD) to eradicate polio. Refusal of oral polio vaccine (OPV) by heads of households is a significant challenge. In Sokoto state, we determined characteristics of heads of households refusing OPV during IPD in 2011.

Methods: To evaluate reasons for refusals, we conducted a case control study among heads ofhouseholds accepting or refusing OPV vaccine. Noncompliant households were defined as households refusing OPV vaccination in last three rounds of IPDs while compliant households were those accepting vaccination. Interviewers administered a questionnaire to the heads of households to obtain information on socio-demographics, media habits, and knowledge of IPD.

Results: Of the 121 (60 cases and 61 controls) interviews, 88 (73%) were from Sokoto north. Noncompliant heads of households were more likely to lack tertiary education (OR = 3.7, 95% CI, 1.6 - 9.2), believe that OPV is not safe (OR = 22, 95% CI, 7.1 - 76), lack access to functional radio (OR = 4.4, 95% CI, 1.4 - 15) and television (OR = 9.4, 95% CI, (1.9 - 63) andget information about IPD from town announcers (OR = 3.9, 95% CI, 1.3 - 12).

Conclusion: We conclude that noncompliant heads of households compared to compliant heads of households had low level of education, lacked knowledge of immunization, and had negative attitude towards OPV. They get information about OPV from town announcers and lacked access to functional radio and television. We recommended training of town announcers in polio communication and use of key communication messages preceding every round of IPD.

Show MeSH
Related in: MedlinePlus