Abstract
.In North East Nigeria, anti-immunization rumors and sentiments have negatively impacted the country’s polio eradication efforts. Since 2014, the CORE Group Partners Project (CGPP) has leveraged local-level strategies to help change prevailing attitudes and behaviors by improving immunization acceptability in some of the most difficult settlements in Nigeria’s states at highest risk for polio. The CGPP’s communication model in Nigeria, in part, emphasizes the need to counter suspicion and address myths and misunderstandings by convening community dialogs and compound meetings, both of which serve as safe spaces for open discussion primarily aimed at addressing non-compliance. In the communities in Kaduna, Katsina, Kano, Borno, and Yobe states located in the CGPP implementation areas, there has been a consistent reduction in the number of missed children and consistent improvement in polio immunization uptake, providing evidence of the effectiveness of the CGPP communication model. The last case of wild poliovirus in Nigeria was detected in August 2016. Since Nigeria has gone more than 3 years without a case of wild poliovirus, the CGPP communication model promises to remain highly relevant in sustaining the community’s awareness about immunizations that will be required to keep the population coverage of polio immunization high and, by extension, the herd immunity required to maintain zero transmission of poliovirus in Nigeria. This article describes the various strategies used to address noncompliance and provides examples of community engagement in Yobe state, which is one of the project’s largest implementation areas.
Highlights
As the world moves closer to polio eradication, eliminating the poliovirus from Nigeria, Afghanistan, and Pakistan is a substantial challenge
In the communities in Kaduna, Katsina, Kano, Borno, and Yobe states located in the CORE Group Partners Project (CGPP) implementation areas, there has been a consistent reduction in the number of missed children and consistent improvement in polio immunization uptake, providing evidence of the effectiveness of the CGPP communication model
Since Nigeria has gone more than 3 years without a case of wild poliovirus, the CGPP communication model promises to remain highly relevant in sustaining the community’s awareness about immunizations that will be required to keep the population coverage of polio immunization high and, by extension, the herd immunity required to maintain zero transmission of poliovirus in Nigeria
Summary
As the world moves closer to polio eradication, eliminating the poliovirus from Nigeria, Afghanistan, and Pakistan is a substantial challenge. In 2014, the CGPP in Nigeria began with 647 VCMs and 106 volunteer ward supervisors across 23 LGAs in the five highrisk states of Kaduna, Kano, Katsina, Borno, and Yobe These states had high rates of immunization rejection and noncompliance along with low rates of polio and routine immunization uptake. By September 30, 2018, the CGPP had grown to include 2,205 VCMs and 264 volunteer ward supervisors in 32 LGAs in the same five states, covering 598,781 households, an increase from 355,197 households in 2017 This expansion in coverage translates to more pregnant women identified, tracked, and referred for antenatal care along with higher levels of newborn tracking and immunization with OPV birth dose and routine immunizations. At least 3,750 children younger than 5 years are immunized weekly against polio in the state across the 10 LGAs where the CGPP is active
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