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ABSTRACT
In1989, World Health Assembly (WHA) resolved to eradicate poliomyelitis from the world by
year 2000. By 2008 only 4 countries were still endemic for Wild Polio Virus (WPV) namely
Nigeria, India, Pakistan and Afghanistan. Nigeria the only African country still endemic for polio
exported WPV to neighboring countries previously declared polio free. To break WPV
transmission, Nigeria adopted Immunization Plus Days (IPD) a strategy used to deliver OPV
(Oral Polio Virus) together with other vaccines as well as other child survival health
interventions. Refusal of vaccination by parents or guardian of children eligible for polio
vaccination (Non compliance) threatened to undermine polio eradication drive. This study was
constructed to determine the socio-demographic correlates of non-compliant households during
IPD as compared with controls in Sokoto north and Sokoto south of Sokoto state and to compare
the knowledge, attitude and practice on IPD of heads of non-compliant house-holds and that of
their controls. Finally an assessment for other risk factors associated with non-compliance in
Sokoto north and south LGA was done
The study was case-control with 124 study participants (62 cases and 62 controls). Cases were
defined as “House-hold refusing OPV vaccination in last three rounds of IPD in Sokoto north
and south local governments”, while controls were “House-holds to the right of the cases
allowing OPV vaccination”. Study participants were interviewed with a pre-designed
questionnaire with sections on socio-demographics, media habits, knowledge of IPD, and
reasons for refusal
A total of 130 interviews were conducted out of which 9 were disqualified. The mean age of cases
(47.7years) and controls (44.3 years) were similar (χ2 = 1.81, p=0.179, df = 1). Cases were more
vii
likely to lack tertiary education OR=3.74 (1.55-9.15), but religion, age and type of marriage was
not statistically significantly different among the cases and control. A total of 45 cases and 14
controls lack knowledge of the benefit of immunization which was shown to be a statistically
significant difference OR=35.32 (9.7
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