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Community Participation for Action in the Social Sector (COMPASS) Polio Project

Country

Nigeria

Region

Africa

Programme Summary

The Community Participation for Action in the Social Sector (COMPASS) Project has developed an approach for minimising missed polio vaccine opportunities for children in 8 northern high-risk states in Nigeria. The initiative is a response to COMPASS' concern that many leaders in rural Nigerian communities continue to strongly distrust and resist polio immunisation; COMPASS indicates that this places local children and their neighbours in great danger of exposure to the virus. In the northern state of Jigawa, this issue is complicated by the nomadic lifestyle of the Fulanis, which has led to several Fulani children missing immunisations. This initiative is designed to reach these children, strengthening polio immunisation coverage.

Communication Strategies

COMPASS' general approach is to blanket communities with information about polio, drawing on partner organisations such as the Federation of Muslim Women's Associations of Nigeria. Through such collaborative efforts, they lead monthly house-to-house visits to resolve non-compliant cases and to persuade Imams to include immunisation messages in their sermons. Thus, mobilising communities is a core COMPASS strategy.

This strategy is illustrated by a particular effort carried out during the early March 2007 round of Immunization Plus Days (IPDs). In an effort to reach nomadic Fulanis, COMPASS stimulated an intensive dialogue in Gwaram Local Government Area (LGA). As part of this process, 15 Fulani Ardos (leaders) shared their fears and assumptions about polio immunisation, and learned of the importance getting their children immunised. COMPASS claims that, by the end of these dialogues, they were "thoroughly convinced about the importance of the immunization effort and spearheaded a local campaign by bringing their own children for immunizations. As expected, other Fulanis followed suit and as a result, 7,022 children were immunized; 261 had never received the vaccine."

Based on the success in Gwaram, the initiative was undertaken in 3 other LGAs: Guri, Buji, and Birnin-Kudu. Myetti Allah, a local non-governmental organisation (NGO), supported an advocacy meeting with 79 Ardos, which resulted in the immunisation of 18,081 children (467 zero-dose). With COMPASS technical support, Myetti Allah continued the initiative in Kiyawa, Kazaure, Garki, Taura, Kaugama, Ringim, Gagarawa, and Dutse.

Development Issues

Health, Polio, Immunisation and Vaccines.

Key Points

COMPASS explains that, despite several rounds of nationwide immunisations, Nigeria remains a centre of transmission of the Wild Polio Virus. According to the World Health Organization (WHO), nearly 800 cases of Wild Polio were diagnosed in Nigeria in 2004.

The vast greenery in a district that is 90% farming remains a major attraction to Fulani herders, who frequently visit in search of good pasture and water, and to trade their diary products to sedentary farmers. It is for this reason that their lifestyle is nomadic, leading to some missed immunisation opportunities.

By the end of the March 2007 IPDs, the initiative had been applied in 11 LGAs, leaving 29,627 eligible children (1,049 zero-dose) immunised. According to COMPASS, a quick analysis showed that just during the late March 2007 IPD campaign, zero-dose cases dropped by 31.8% (83) and immunisation increased by 2.4% (7193) in Gwaram alone. "Targeting specific clusters of the community has proved successful in Jigawa and we are now adapting this approach to other States where we work," said COMPASS Regional Polio Activities Director Lola Mabogunje.

Partners

In partnership with the Federal Government of Nigeria, the United States Agency for International Development (USAID) launched the COMPASS Project in 2004. The 9-partner COMPASS team includes: Pathfinder International, Management Sciences for Health, John Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP), Federation of Muslim Women's Associations of Nigeria (FOMWAN), Nigerian Medical Association (NMA), Civil Society Action Coalition on Education For All (CSACEFA), Creative Associates International, Inc. (CAII), Adolescent Health Information Project (AHIP), Futures Group.

Contact

Community Participation for Action in the Social Sector (COMPASS) Project

No. 35 Justice Sowemimo Street
Asokoro

Abuja
Nigeria
Tel: 09 6720021 2, 3145206 8, 3145400
Fax: 09 3145405

Source

Immunisation, Vaccine, and Polio Programme Experience Submission from Kemi Ayanda on May 31 2007; COMPASS Project website; and email from Kemi Ayanda to The Communication Initiative on June 13 2007.


Placed on the Communication Initiative site July 03 2007
Last Updated May 14 2008

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