Research Questions
1. What are the reasons for vaccine refusal and high increase in non-compliance in changing epidemiology of the virus by Care givers and Parents after Nigeria was declared to have ‘interrupted’ poliomyelitis?
2. Why do Caregivers and Parents change their belief or perspective from a previously vaccine accepted population to a vaccine refusal population post-polio interruption phase?
3. How can the polio programme be dynamic in their communication strategy as epidemiology of the virus changes so as to curb or keep parents informed and avoiding perception change after a period of acceptability? …show more content…
But it is important to explain that a lot of people both learned and illiterates have been given the notion that “polio interruption” means we are out of the dark and polio is gone. But this is a wrong notion.
It is great to know as public health expert that changing epidemiology tells us that Nigeria is in the post interruption phase and needs three years to eradicate polio, within that period, strengthening routine immunization, surveillance etc (NPEEP, 2016). It is important not to forget that population immunity across the previously endemic districts need to be improved so as to ensure no child is vulnerable to any re-infection.
The research problem noted here is that parents and care givers are not aware of changing epidemiology. All they are told is that they need to vaccinate their children. This means that they do not understand when you publish on the news and celebrate that polio has been interrupted, they take it to mean that polio has been eradicated which is a wrong notion. Health education and succinct messages should change, but that is not good enough. The purpose of this research design is to highlight reasons for missed children especially from non-compliant households then proceed further to identify what they understand by polio eradication viz-a-viz polio interruption and ways to which we can curb these perception and change their behavior and increase acceptance rate of the vaccine in lieu of