Understanding vaccine hesitancy in polio eradication in northern Nigeria

Vaccine hesitancy among caregivers and association with childhood vaccination timeliness in Addis Ababa, Ethiopia

“…Nigeria is similarly positioned to Ethiopia in terms of vaccination uptake, maintaining 25% full vaccination coverage in 2013. 28 The first Nigerian study found that vaccine hesitancy was related to OPV refusal, and further clarified that some of the potential reasons for this negative vaccine perception and behavior were founded in strained relationships (perceived or real) between communities and their governing agencies who administer vaccinations. 28 The second, a qualitative study, identified attitudes, poor communication skills among health workers, and lack of motivation as affecting vaccine perceptions, with many clinic-level factors such as availability of seats, ventilation, and waiting times affecting a caregiver's desire to pursue immunization services for their child.…”

“…28 The first Nigerian study found that vaccine hesitancy was related to OPV refusal, and further clarified that some of the potential reasons for this negative vaccine perception and behavior were founded in strained relationships (perceived or real) between communities and their governing agencies who administer vaccinations. 28 The second, a qualitative study, identified attitudes, poor communication skills among health workers, and lack of motivation as affecting vaccine perceptions, with many clinic-level factors such as availability of seats, ventilation, and waiting times affecting a caregiver's desire to pursue immunization services for their child. 29 Additionally, some authors have attributed unmeasured confounding and residual vaccine defaulting behaviors to vaccine hesitancy without identifying a root cause or exploring the potential linkages between hesitancy and vaccination outcomes.…”

Oral Polio Vaccine Refusal Pattern in Kumbotso Local Government Area, Kano State, Northern Nigeria

“…Wealth, female education and knowledge of vaccines were associated with lower propensity to refuse OPV among rural households, but higher risk of refusal among wealthier, more literate urban household rendered these findings ambiguous. Surprisingly in a study conducted outside the country, ethnic and religious identity did not appear to be associated with risk of OPV refusal (Taylor et al, 2017).…”

30 years of polio campaigns in Ethiopia, India and Nigeria: the impacts of campaign design on vaccine hesitancy and health worker motivation

“…Polio vaccine hesitancy in our study countries has sometimes been conceptualised as arising from factors internal to the community itself. [39][40][41] However, as figure 4 demonstrates, vaccine hesitancy is also integrally tied to health systems dynamics.…”