Social determinants and polio 'endgame': a qualitative study in high risk districts of India.

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dc.contributor.authorDasgupta, Rajiben_US
dc.contributor.authorChaturvedi, Sanjayen_US
dc.contributor.authorAdhish, S Viveken_US
dc.contributor.authorGanguly, Kalyan Ken_US
dc.contributor.authorRai, Sanjayen_US
dc.contributor.authorSushant, Leenaen_US
dc.contributor.authorArora, N Ken_US
dc.date.accessioned2008-05-13en_US
dc.date.accessioned2009-05-27T06:10:46Z
dc.date.available2008-05-13en_US
dc.date.available2009-05-27T06:10:46Z
dc.date.issued2008-05-13en_US
dc.description.abstractOBJECTIVES: To understand the perceptions and likely determinants that facilitate or act as barriers in implementing additional strategies for polio eradication: (a) accelerated delivery of mOPV1 (monovalent polio vaccine type 1); (b) use of IPV (inactivated polio vaccine); and (c) provision of incentives. DESIGN: QUALITATIVE. Rapid appraisal procedures (RAP) were adopted to derive the reality by synthesizing multiple sources of information; search for opinions, motivations, behaviors and attitudes of key stakeholders within their organizational and socio-cultural matrix. SETTING: Two districts of Uttar Pradesh - Moradabad and J P Nagar. SUBJECTS: Total 244 interactions were conducted; 33 interviews and 4 focussed group discussions (FGD) conducted with providers; 33 mothers (<5 years) and 10 leaders were interviewed; 8 FGD were conducted with mothers of under-fives. Informal interactions (156) were also conducted with village pradhans, religious leaders, parents, businessmen, journalists (Hindi and Urdu media), mobilizers, vaccinators and supervisors. RESULTS: Providers expressed reservation regarding accelerated rounds of OPV; scientific rationale of accelerated rounds is not clear to parents and leaders. Although technical advantages of introducing IPV exist, issues of logistical difficulties and injection safety emerged strongly. Providers and communities indicated a clear 'no' to the cash incentives but argued for developmental issues. Resistance to the program has declined over time but still the program is perceived as the "government's need, not ours". CONCLUSION: The polio eradication program is critically poised, an opportunity to intensify efforts for reducing inequities in health services and improve access of all children to the PHC services. Ongoing dialogue with local communities and strong political commitment would be essential to translate the technological innovations into a sustainable program.en_US
dc.description.affiliationCenter of Social Medicine and Community Health, Jawaharlal Nehru University, Delhi, India.en_US
dc.identifier.citationDasgupta R, Chaturvedi S, Adhish SV, Ganguly KK, Rai S, Sushant L, Arora NK. Social determinants and polio 'endgame': a qualitative study in high risk districts of India. Indian Pediatrics. 2008 May; 45(5): 357-65en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/15348
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshAttitude to Healthen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshConsumer Participationen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshImmunization Programs --organization & administrationen_US
dc.subject.meshIndiaen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMothersen_US
dc.subject.meshMotivationen_US
dc.subject.meshPoliomyelitis --prevention & controlen_US
dc.subject.meshPoliovirus Vaccine, Inactivateden_US
dc.subject.meshPoliovirus Vaccine, Oralen_US
dc.subject.meshPoliticsen_US
dc.subject.meshQualitative Researchen_US
dc.subject.meshSocial Marketingen_US
dc.titleSocial determinants and polio 'endgame': a qualitative study in high risk districts of India.en_US
dc.typeJournal Articleen_US
dc.typeMulticenter Studyen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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