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August 5, 2014PLoS MedicineOpen Access

From Intense Rejection to Advocacy: How Muslim Clerics Were Engaged in a Polio Eradication Initiative in Northern Nigeria

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Key result

The active engagement of Muslim clerics and a community coalition in northern Nigeria helped reverse intense opposition to polio vaccination, coinciding with a drastic drop in new polio cases.

Population

Communities in 12 polio-prevalent states of northern Nigeria (85 high-risk local government areas)

Design

Other

Follow-up

2009 to 2013

Authors

SNS NasirGAGambo AliyuNational Agency for the Control of AIDSIYInuwa B. Yau

Discussion

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Implication

May improve polio vaccine uptake via cleric engagement in resistant regions; leaves open generalizability to other vaccines or settings.

Structured PICO

P
Population
Communities in high-risk local government areas in northern Nigeria targeted for a polio eradication initiative.
I
Intervention
Community communication and awareness enhancement methodology (Majigi) and active engagement of Muslim clerics (imams) to promote polio vaccination
O
Outcome
Number of new wild poliovirus (WPV) and circulating vaccine-derived poliovirus (cVDPV) cases

Active engagement of traditional and religious leaders in northern Nigeria was a critical strategy in overcoming intense community rejection of the polio vaccine.

Limitations

  • Decline in polio cases was inconsistent due to attacks on vaccinators
  • Prevailing religious conflict and safety concerns could undermine momentum
  • Persistent refusing households remain a challenge

Cite This Study

Nasir et al. (2014) studied Poliomyelitis. Engagement of Muslim clerics (imams) and community coalition was evaluated on Number of wild poliovirus (WPV) and circulating vaccine-derived poliovirus (cVDPV) cases. The active engagement of Muslim clerics and a community coalition in northern Nigeria helped reverse intense opposition to polio vaccination, coinciding with a drastic drop in new polio cases.

synapsesocial.com/papers/6a9c7e2b608059552e069ed1https://doi.org/10.1371/journal.pmed.1001687
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Key issues in the persistence of poliomyelitis in Nigeria: a case-control study2014 · 48 citations
  2. 2Vaccine-Related Polio Outbreak in Nigeria Raises Concerns2007 · 14 citations
  3. 3Outbreak of Type 2 Vaccine-Derived Poliovirus in Nigeria: Emergence and Widespread Circulation in an Underimmunized Population2011 · 124 citations
  4. 4Risks associated with the use of live-attenuated vaccine poliovirus strains and the strategies for control and eradication of paralytic poliomyelitis2012 · 78 citations
  5. 5National Public Radio2001 · 558 citations