Refusal crisis

The recent report on over 43,000 cases of polio vaccine refusals in Sindh is an alarming reminder of the persistent challenges that continue to hinder Pakistan’s fight against polio. Anti-vaccine propaganda has taken root in vulnerable communities, stoking fear and resistance. What is even more disconcerting is the reluctance of some officials to prioritise this issue. Global examples offer a stark contrast and valuable lessons. India, once a polio-endemic country, achieved eradication through rigorous door-to-door campaigns, continuous surveillance, and unwavering accountability among public officials. In regions with high vaccine hesitancy, they employed local religious and community leaders to build trust and debunk myths.

Similarly, Nigeria tackled refusals by integrating polio vaccination with other health initiatives, incentivising compliance with cash transfers. If countries like India and Nigeria can overcome their challenges, why do we falter despite having similar resources and international support? The Sindh government’s directive to dismiss officials that keep underperforming is a step in the right direction, but it must be accompanied by a robust strategy to counter misinformation, protect health workers, and ensure that every child is vaccinated.

Majid Burfat

Karachi