Skip to main content
Article
Polio eradication and health systems in Karachi: vaccine refusals in context
Global Health Communicatio
  • Rashid Jooma, Agha Khan University
  • Emma Varley, Brandon University, Brandon, Manitoba, Canada
  • NAINA QAYYUM1, Middlebury College, Middlebury, Vermont, USA
  • SONIA RODRIGUES, Middlebury College, Middlebury, Vermont, USA
  • AKASHA Sarwar, Middlebury College, Middlebury, Vermont, USA
  • PATRICIA OMIDIAN, Focusing Initiatives International, New York, New York, USA
Publication Date
1-1-2015
Document Type
Article
Disciplines
Abstract
ABSTRACT Community and health worker engagement will be key to polio eradication in Karachi, Pakistan. In this study, the authors conducted participant observation, interviews, and a document review in SITE Town, Karachi, an area that in recent years has harbored poliovirus. SITE’s diverse population includes large numbers of internally displaced persons who are disproportionately affected by polio and are more likely than other populations to refuse the polio vaccine. Vaccine acceptance and worker motivation in SITE Town were shaped by the discrepancy in funding and attention for polio eradication campaigns as compared with routine services. Parental vaccine refusals stemmed from a distrust of government and international actors that provided few services but administered polio vaccine door-to-door every month. Addressing this discrepancy could therefore be key to eliminating polio. The authors suggest short-term improvements to routine immunization and sanitation in key polio endemic areas, coupled with a longterm focus on sustainable improvements to routine immunization and broader health services.
Citation Information
Rashid Jooma, Emma Varley, NAINA QAYYUM1, SONIA RODRIGUES, et al.. "Polio eradication and health systems in Karachi: vaccine refusals in context" Global Health Communicatio Vol. 1 Iss. 1 (2015) p. 32 - 40
Available at: http://works.bepress.com/rashid_jooma/62/