Determinant Factors for Implementing Polio Eradication Activities under Security Compromised Settings of Pakistan

Fetene, Netsanet W; Asf,; Sherani, yar

doi:10.4172/2329-891x.1000127

Cited by 9 publications

(25 citation statements)

References 21 publications

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“…53 This has implications further down as these dropout rates decrease the proportion of fully immunized individuals, making the impact of vaccination on polio transmission useless. 57 We can, therefore, assess the extent to which polio under vaccination is prevalent in Pakistan. With regard to the global standards of public, elimination is the aim.…”

Section: Aid Clustering and The Polio Problemmentioning

confidence: 99%

“…The security issue for vaccination health workers should not be taken lightly, as it has led to nearly 200 000 eligible children going unvaccinated in tribal areas of Waziristan during the 2011-2010 anti-polio campaigns alone. 57 Religious influence takes a further serious turn when the Pakistan Taliban's influence is considered. Their effect on the number of children vaccinated is shocking.…”

Section: Cultural Resistancementioning

confidence: 99%

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<p>Why Have Immunization Efforts in Pakistan Failed to Achieve Global Standards of Vaccination Uptake and Infectious Disease Control?</p>

Butt¹,

Mohammed²,

Butt³

et al. 2020

RMHP

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Immunization is one of the most successful public health initiatives in recent times. It is, therefore, worrying to learn the level of under-vaccination in Pakistan. Diseases that have been successfully eliminated through the aid of vaccination in other countries have not been eliminated in Pakistan. The reasons for this vary and show the uniqueness of the economic, healthcare and environmental landscape of Pakistan, through which public health programmes need to be implemented. The "Expanded Programme of Immunization" (EPI) is the main programme through which routine immunization is provided to the public. Within Pakistan, it has encountered many problems since its inception. This includes logistical obstacles, inefficient health worker attitudes, parental and female awareness, and education, the influence of religious community leaders and the complications that accompany conflict. When compared to globally standardised targets for immunization, Pakistan is trailing behind. Not achieving these targets is worrying from both a global perspective and within the national healthcare landscape of Pakistan. Research is necessary to bring together findings on the failings of routine immunization and polio campaigns; there are many intersecting factors that global health bodies and the Department of Health in Pakistan must address in order to relieve the burden of vaccine-preventable diseases (VPDs).

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Section: Aid Clustering and The Polio Problemmentioning

confidence: 99%

Section: Cultural Resistancementioning

confidence: 99%

<p>Why Have Immunization Efforts in Pakistan Failed to Achieve Global Standards of Vaccination Uptake and Infectious Disease Control?</p>

Butt¹,

Mohammed²,

Butt³

et al. 2020

RMHP

View full text Add to dashboard Cite

show abstract

“…Security risks to healthcare workers, false religious and traditional beliefs, and limited access to hard-to-reach communities have severely hampered the progress of ‘End Polio from Pakistan’ campaign [ 6 ]. Various efforts have been made by the researchers to determine the barriers towards polio immunization in compromised settings in Pakistan [ 7 ]. Lack of knowledge and misconceptions about polio vaccination were reported as major barriers towards polio immunization by researchers from Hazara region in KPK [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and perceptions towards polio immunization among residents of two highly affected regions of Pakistan

et al. 2015

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BackgroundDespite the efforts of national and international organizations, polio has not been eradicated from Pakistan. The prevalence of polio in Pakistan is exceptional in global context. Quetta and Peshawar divisions are amongst the most affected regions hit by polio in Pakistan. This study was carried out to assess the knowledge, attitudes and perceptions towards polio immunization among residents of Quetta and Peshawar divisions in Pakistan.MethodsA descriptive, cross-sectional study involving 768 participants was conducted from August to December, 2014 in Quetta and Peshawar divisions in Pakistan. Multistage sampling technique was used to draw a sample of residents from each division. A pre-tested, self-administered questionnaire was used to collect the data from eligible participants. Descriptive and logistic regression analyses were used to express the results.ResultsA total of 38.8 % participants exhibited good knowledge about polio. Mean knowledge score of the participants was 7.35 ± 2.54 (based on 15 knowledge questions). Older age (p < 0.001), low qualification (p < 0.05), rural locality (p < 0.05) and Quetta division (p < 0.001) were significantly associated with poor knowledge of polio. A large proportion of participants displayed negative attitudes towards polio immunization (84.8 %), with a mean score of 19.19 ± 2.39 (based on 8 attitude statements). Lack of education (p < 0.001) and rural residence (p < 0.001) were significantly associated with the negative attitudes of participants towards polio immunization. False religious beliefs (39.06 %), lack of knowledge (33.7 %), fear of infertility by polio vaccines (32.16 %) and security issues (29.42 %) were reported by the participants as the main barriers towards polio immunization.ConclusionThe findings of this study showed poor knowledge and negative attitudes of participants towards polio immunizations. Religious beliefs and lack of knowledge about polio immunization were reported as the major barriers towards polio immunization.

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“…There is 95% reduction of poliomyelitis cases from 388 to 62 in 2009 and cVDPV2 declined by 82% in 2011 from 154 to 35 [13]. Polio eradication initiative, an estimated 250,000 children are now alive and another 5 million children are walking who otherwise would have been paralyzed [14]. Many regions and communities have ceased to worry about polio [15].…”

Section: Water Borne Diseasesmentioning

confidence: 99%

Ancient Diseases-Microbial Impact

Earla¹

2014

J Anc Dis Prev Rem

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There are several diseases in ancient days, to which people got affected, suffered and died too. These ancient diseases caused by microbes are divided into sub categories depending up on the source through which they have affected people. Those are Food and water borne diseases, air borne diseases, vector borne diseases, etc. Although we got succeeded in curing these ancient diseases, by the grace of medicines and antibiotics, microbes are still emerging day by day by showing many mutations and have becoming an ever green challenge to the present scientific community.

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Determinant Factors for Implementing Polio Eradication Activities under Security Compromised Settings of Pakistan

Cited by 9 publications

References 21 publications

<p>Why Have Immunization Efforts in Pakistan Failed to Achieve Global Standards of Vaccination Uptake and Infectious Disease Control?</p>

<p>Why Have Immunization Efforts in Pakistan Failed to Achieve Global Standards of Vaccination Uptake and Infectious Disease Control?</p>

Knowledge, attitudes and perceptions towards polio immunization among residents of two highly affected regions of Pakistan

Ancient Diseases-Microbial Impact

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