The Sokoto State Primary Health Care Development Agency (SPHCDA) has highlighted that entrenched beliefs against polio vaccines significantly impact the state's efforts to combat the disease, with hesitancy remaining high.
In an exclusive interview, Bashar Garba, the State Immunisation Officer (SIO), pointed out that many individuals who continue to refuse the vaccines have maintained these beliefs for a long time, rather than being swayed by new information.
Mr. Garba voiced his concern that refusal rates are notably higher in urban local government areas (LGAs) compared to rural regions.
He noted that Sokoto North, Sokoto South, and Wamakko – all of which are metropolitan LGAs – have consistently ranked as the top three in terms of vaccination non-compliance.
The state is collaborating with numerous local and international partners to tackle the surge in polio cases, following the recording of 20 instances of the circulating Vaccine-Derived Poliovirus Type 2 (cVDPV2) last year. This strain, which leads to paralysis in populations with low immunisation, has resulted in more annual polio cases than the wild poliovirus since 2017,
According to the World Health Organization (WHO).
Additionally, Mr. Garba identified ongoing challenges and advancements in immunisation coverage.
He remarked that their data shows that the highest refusal rates are predominantly found in metropolitan areas, which have faced ongoing opposition to vaccination initiatives.
Last year alone, the state recorded over 20 new cases, stemming from both direct contact with unvaccinated children and environmental sampling, demonstrating a worrying trend.
The Sokoto state government is actively implementing strategies in cooperation with various local and international partners to curtail the resurgence of polio after witnessing this increase in cases, particularly the cVDPV2 variant.
He elaborated that the state is applying various tactics to engage communities, including campaigns and advocacy meetings, targeting the importance of vaccinations to cultivate acceptance from residents.
In response to a question about refusal rates from households, which have been particularly high in urban areas, Mr. Garba stated that the government is being proactive in organizing community-based meetings aimed at educating the population on the necessity of vaccinations.
He highlighted that their efforts include working closely with influential local leaders to combat misinformation and encourage greater acceptance of vaccines. Mobile units equipped with megaphones are also employed to remind citizens of the significance of the polio vaccine during outreach efforts.
When inquired about the areas with the least compliance regarding vaccines, Mr. Garba specified that metropolitan regions, particularly Sokoto North, are currently leading in refusals.
He concluded by mentioning that efforts to enhance vaccination rates will intensify, focusing on identifying eligible children and ensuring they are adequately immunized, amidst challenges related to poor team performance and vaccine management quality.

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