Deconstructing social resistance to pulse polio campaign in two north indian districts.

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dc.contributor.authorChaturvedi, Sanjay
dc.contributor.authorDasgupta, Rajib
dc.contributor.authorAdhish, Vivek
dc.contributor.authorGanguly, Kalyan K
dc.contributor.authorRai, Sanjay
dc.contributor.authorSushant, Leena
dc.contributor.authorSrabasti
dc.contributor.authorArora, Narendra K
dc.date.accessioned2013-01-09T05:10:00Z
dc.date.available2013-01-09T05:10:00Z
dc.date.issued2009-11
dc.description.abstractObjective: To gain an insight into the phenomenon of social resistance and rumors against pulse polio campaign. Design: Qualitative, community-based investigation, mapping perceptions of various stakeholders through in-depth interviews (IDIs), focus group discussions (FGDs), non-formal interactions and observations. Setting: Moradabad and JP Nagar districts of Uttar Pradesh. Subjects: IDIs (providers 33, mothers 33, community leaders 10); FGDs (providers 4, mothers 8) and non-formal interactions (156) with community leaders, parents, businessmen, journalists (Hindi and Urdu media), mobilizers, vaccinators and supervisors. Results: A distinct machination of social resistance and rumors against oral polio vaccine during supplementary immunization activities (SIA) was observed in some minority dominated areas. The pattern can be understood through a model that emerged through qualitative evidence. Inspite of all this, most parents in minority areas supported the SIAs. Only a few clusters from extremely marginalized sections continued to evade SIAs, with an endemic pattern. Through social osmosis, these rumors reached majority community as well and some parents were affected. However, in such cases, the resistance was sporadic and transient. Conclusion: While the program’s focus was on microbiological issues, the obstacles to polio eradication lie in the endemicity of social (and/or cultural) resistance in some pockets, leading to clustering of perpetually unimmunized children - inspite of good coverage of SIAs at macro level. This may sustain low levels of wild poliovirus transmission, and there can be exceptions to the robustness of the pulse approach. A micro level involvement of volunteers from marginalized pockets of minorities might be able to minimize or eliminate this resistance.en_US
dc.identifier.citationChaturvedi Sanjay, Dasgupta Rajib, Adhish Vivek, Ganguly Kalyan K, Rai Sanjay, Sushant Leena, Srabasti, Arora Narendra K. Deconstructing social resistance to pulse polio campaign in two north indian districts. Indian Pediatrics. 2009 Nov; 46(11): 963-974.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/144215
dc.language.isoenen_US
dc.source.urihttps://indianpediatrics.net/nov2009/nov-963-974.htmen_US
dc.subjectEradicationen_US
dc.subjectIndiaen_US
dc.subjectPulse polioen_US
dc.subjectRumorsen_US
dc.subjectSupplementary Immunization Activities (SIAs)en_US
dc.subjectSocial resistanceen_US
dc.subject.meshAttitude to Health
dc.subject.meshChild
dc.subject.meshCommunity Health Services
dc.subject.meshCommunity-Based Participatory Research
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshMothers
dc.subject.meshPoliomyelitis --ethnology
dc.subject.meshPoliomyelitis --prevention & control
dc.subject.meshPoliomyelitis --psychology
dc.subject.meshPoliovirus Vaccine, Oral --administration & dosage
dc.subject.meshTrust --psychology
dc.subject.meshVaccination --psychology
dc.subject.meshWorld Health
dc.titleDeconstructing social resistance to pulse polio campaign in two north indian districts.en_US
dc.typeArticleen_US
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