List Of Contents:
- List of abbreviation
- CHAPTER ONE:
- POLIO ERADICATION EFFORTS IN SOMALIA
- STATEMENT OF THE PROBLEM
- NEED OF THE STUDY
- PREVIOUS ASSESSMENT
- GENERAL OBJECTIVES
- SPECIFIC OBJECTIVES
- CHAPTER TWO: GATHERING AND ANALYSIS
- GATHERING METHODOLOGY
- OPERATIONAL DEFINITIONS
- CHALLENGES OF THE ASSESSMENT
- DATA ANALYSIS, INTERPRETATION AND RESULT
- CHAPTER FOUR: DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS
List Of Abbreviations:
|OPV||Oral polio vaccine|
|WPV||Wild polio virus|
|AFP||acute flaccid paralysis|
|SIAs||Supplementary immunization activities|
|WHO||World Health Organization|
|EPI||Expanded Program on Immunization|
|MDGs||Millennium Development Goals|
|MOH||Ministry of Health|
|DPT||Diphtheria, pertussis, tetanus|
|CHA||Community health assessment|
|KPA||Knowledge, attitude and practice|
|UNICEF||united nations children`s fund|
CHAPTER ONE: Introduction
Background and History of Polio Disease
Polio is the common name for poliomyelitis, which comes from the Greek words for grey and marrow, referring to the spinal cord, and the suffix –its, meaning inflammation. Poliomyelitis, shortened, became polio. For a time, polio was called infantile paralysis, though it did not affect only the young ones.
Polio was one of the most feared diseases in industrialized countries, paralyzing hundreds of thousands of children every year. Soon after the introduction of effective vaccines in the 1950s and 1960s however, polio was brought under control and practically eliminated as a public health problem in the developed countries too. Poliomyelitis remains a serious problem in a large part of the developing world where the disease presents a constant threat to childhood populations with important consequences for social and economic development.
It took somewhat longer for polio to be recognized as a major problem in developing countries. Lameness surveys during the 1970s revealed that the disease was also prevalent in developing countries. As a result, during the 1970s routine immunization was introduced worldwide as part of national immunization programs, helping to control the disease in many developing countries. In 1988, when the Global Polio Eradication Initiative began, polio paralyzed more than 1000 children worldwide every day. Since then, more than 2.5 billion children have been immunized against polio thanks to the cooperation of more than 200 countries and 20 million volunteers, backed by an international investment of more than US$ 11 billion.
Countries in the Horn of Africa (HOA) including Somali land have experienced repeated wild polio virus (WPV) outbreaks, mainly due to importations fueled by low population immunity and massive population movements across the all countries of the horn. Wild polio virus type 1 (WPV) originating from West Africa moved through Chad into Sudan and crossed into Saudi Arabia and Yemen in the Middle East, and then returned to other HOA countries, especially Somalia/Somali land. Outbreaks have repeatedly spread from Somalia into Kenya and Ethiopia and from Sudan and South Sudan into Eritrea, Ethiopia, Kenya and Uganda had been polio free since July 2011. Somalia, Kenya and Ethiopia are so far the only three countries that have been infected during the current outbreak, which started in Somalia in April 2013.
In the mid of 2013, it was reported isolation of WPV from stool specimens collected from a 32- month-old girl with acute flaccid paralysis (with date of onset established at 18 April 2013) from the Ba nadir region of Somalia. Stool specimens from three asymptomatic close contacts also tested positive for WPV. Genetic sequencing showed the virus was related to those seen in northern Nigeria. As of 31 October 2013, 180 WPV cases have been reported from 46 districts.
Polio Vaccines Names:
Polio Eradication Efforts in Somali land
In Somali land, there were two AFP case but not confirmed was reported from Sool region. In this, Somali land entered into alert and alarming situation, Somali land has become and considered a risk zone in particular it was included as one of the target intervention objectives of the “WHO- UNICEF joint plan for polio outbreak response in the horn of Africa”. This objective was states as to protect populations in other areas that may be at risk due to population movement.
As the part of the global efforts to eradicate polio, Somali land uses for the following four strategies:
- Routine immunization of infants with oral polio vaccine (OPV) in the first year of life;
- National immunization days (NIDs) during which all children under five years of age are vaccinated, regardless of whether they have been vaccinated before.
- “Mop-up” immunization campaigns to break the final chains of transmission once transmission is limited to a specific geographic area; and
- Surveillance for acute flaccid paralysis (AFP) to find and investigate every newly paralyzed child to determine if polio is the cause.
In 2015, 4 National Immunization Days (NIDs) and 3 Sub-National Immunization Days (SNIDs) was implemented where more than 500,000 children between 6 – 59 months has receive at least two dozes of OPV vaccine through different campaigns. Although, Somali land was received to be certified as “the polio free” and “non-transmission country”, however, polio eradication is still considered as a priority public health problems that can be seen in the neighboring countries.
Statement of the Problem
Polio is a highly infectious disease caused by the polio virus which invades the nervous system, and can cause irreversible paralysis (usually in the legs) or even death. There is no cure unless prevention. Some parents refuse their children to vaccine and hold their kids in homes and did not allow the child to be vaccinated. Parents are very important in the determination of the success or failure of polio eradication. This is stemmed from the fact that their level of awareness and perception with respect to the susceptibility of their children to polio disease, severity of the disease and beliefs about the oral polio vaccine would influence their willingness or other wise to release their children for polio immunization. So to know the reason behind the rejection of polio vaccine this study assesses parent’s knowledge, attitude and practice surrounding polio and polio vaccination, self-reported participation in polio supplementary immunization activities (SIAs) targeting children aged < 5 years, and reasons for non-participation.
The study is to set out to determine the level of knowledge of parents about the polio disease, document the practice by parents of the susceptibility of their children to the disease and determine the attitude of parents toward polio eradication initiative.
Need for the study
Immunization of polio forms one of the most important and cost effective strategies for the prevention of childhood disabilities and is thus a basic need for all children. In the assessment we made about immunization coverage review on polio under five years was focused on the information of immunization status in the country generally with special emphasis to the polio vaccination. We assumed that the influence of parent’s knowledge to the vaccination is first priority for low performance of vaccination in Somali land. Other major factors that may be associated with the low performance of vaccination in the country included poor access on immunization, lack of information, sociology-demographic factors etc.
Vaccination coverage in Somali land has been historically low since the inception of the Expanded Program on Immunization (EPI) in 1980. Official routine vaccination data, reported internationally through the WHO/UNICEF Joint Reporting process, have indicated a consistent low coverage of 20%–40% over the last 8 years. This historically low routine vaccination coverage was substantiated by other sources. During the course of 2009, 3 rounds of EPI outreach were conducted in Somali land.
At the same time, 2EPI units within the ministries of health of Somali land were technically, financially, and logistically supported by WHO. This support to local EPI capacity development fostered appropriation of EPI activities by local authorities and is instrumental in coordinating immunization activities of local partners in the two zones. In 2009, the polio follow-up campaign was scaled up in the form of CHDs during which DPT, measles, and tetanus vaccines were also administered support to local EPI capacity development fostered appropriation of EPI activities by local authorities and is instrumental in coordinating immunization activities of local partners in the two zones. In 2009, the polio follow-up campaign was scaled up in the form of CHDs during which DPT, measles, and tetanus vaccines were also administer.
The general aim of this study is to assess the knowledge, attitude and practice of parents of regarding polio immunization under five year children.
Specific objectives :
• To examine the level of knowledge and awareness of parents about the polio disease. • To determine the attitude of parents about the risk of the disease and its ways of transmission within the community.
• To determine the level of acceptance and practices toward the polio immunization services and campaign.
CHAPTER TWO: Gathering And Analysis
The assessment design of this study was cross-sectional study to assess the knowledge, attitude and practice of polio immunization among residences in Abdul town, Sahel region, S/land. This method was used because to enable the researcher to get necessary data within limited time available to complete project.
This study was carried out the period between April 2016 and May 2016 in Abdul town, Sahel region, Somali land. Sahel is of one the six main regions in Somali land and has five districts, namely: Berbera, Sheikh, Mandera, Bulahar and Hagal Districts. Berbera and Sheikh are most populated districts, with almost half of the region’s population. Berbera is the capital of the region and main port of Somali land. The population of the regions, based on the PESS, was estimated in 2015 at 180,000 inhabitants.
Currently, there 2 hospitals, 1 mental hospital, 1 TB hospital, 2 referral Health centers, 8 health centers/MCH and 12 primary health unites.
Abdul is one potential small towns of the Sahil Region, it’s located in Berbera district. 90Km west away from the capital city of Somali land, Hargesia and 60 Km East away from the capital city of the Sahel region Berbera.
Currently there 1 Referral Health Center (RHC) in the town. This facility provides comprehensive health services based on the EPHS. The total population of this Town estimated as PESS stated in 2015 at 1500 residents.
Immunization services, is one of the services that the RHC provides to the community residing in the main town of Abdul and surrounding villages.
The source populations of this study were communities who live in Abdal Town, Sahil region, Somaliland and secondary data which is already collected.
The target populations of the assessment were parents (fathers and mothers) who have under five children resided in the main town of Abdal town.
The sampling method of the study was non-probability, random sampling. the researcher purposely selects the participants who have the required information according to the objectives of this study, then by the first house hold was selected by using interval. Then one of the parents Mother/ father of the family who is eligible to the study was interviewed.
To determine the sample size of this study, investigators were used in Slovene’s formula of sample size calculation. According to this formula, providing estimate at a level of accuracy of within ± 5%, the researcher used an estimated total population of 1500 residents in the main town of Abdal so our aim was to interviewed only parents (Mother and Father who have under five children) for this reason we were removed ages <18 so that the rest population become our target population which approximately become 700 and the sample size required for the survey was 233 households.
For calculating the size that we used as sample, we chose Slovene’s formula as shown below: Where: n- Sample size
E – Marginal Error =5% =0.05 N – Total number of Households
1+N (e) 2 n = 700/1+700(0.05)^2 n = 700/1+2 n= 700/3 n =233
OPV: Oral polio vaccine consists of a mixture of live attenuated polio virus strains of each of the three stereotypes, selected by their ability to mimic the immune response following infection with wild polio viruses, but with a significantly reduced incidence of spreading to the central nervous system.
Poliomyelitis: Also called polio or infantile paralysis, is a highly infectious viral disease that may attack the central nervous system and is characterized by symptoms that range from a mild non paralytic infection to total paralysis in a matter of hours.
Knowledge: The scale measured knowledge from maximum score of 11. Scores < 7 were taken as poor, ≥ 7 as adequate knowledge of Polio.
Attitude: the scale measured attitude from maximum scores of 10. Scores of < 5 were taken as negative attitude, and score of ≥ 5 as positive attitude.
Practice: The scale measured attitude from maximum scores of 9. Scores of less <4 were taken as negative practice and score of ≥4 as positive. The study was designed to questionnaire number of our target population who live in the study area. Data was collected by using self-structured questionnaire, the questionnaire was written in simple English language and the interviewer was translate the questionnaire and guide the interviewee to respond all the questions the interviewer was used pencil to fill the questionnaire paper. The questionnaire was written by English language then translation to Somali language because it easy to understand.
Data was processed by using (SPSS) software version 16 and result were analyzed by using graphics table and charts statistical analysis Microsoft Excel statistical 2010 because they are easy to use and quick understanding.
The allowance was found orally from the population in the district collect the questionnaire. The head of the society help us to communicate with the community. The questionnaires was easy to understand .The community was well welcomed and support full and respondents had full confident to answer or refuse question. Objectives of the study were explained for the every study participants and they asked for information only after they give their consent. No person was obligated to participate to study without his/her consent.
Challenges of the assessment
- Insufficient of time and cost
- Lack of previous assessment of this study
- Poor understanding of participants
- There were Climate problem because it was spring so the rain was raining and it was difficult to work
- Lack of Support from Donors
- We were coordinating with each other
Data analysis, interpretation and result
This part presents the analysis and interpretation of the result and also presents the characteristics of the sample that was used in the collection of the primary data. Further still, the presentation has been done in line with the study objectives.
Statistical package for social sciences (SPSS) and Microsoft Word was used to aggregate and analyze the data presented in this chapter. The presentation of this data is in line with the aim of the study which was assessment of knowledge, attitude and practice towards polio immunization among residence in Abdul, Sahel,Somali land.
Part one: demographic.
Table one : age of the respondents
|frequency||percent||valid percent||cumulative percent|
As shown in Table 1 and figure 1: the age of the respondents were different, therefore 72(31%) of the respondents age were the ages between 25-30years, while 69 (30%) were the ages between 18-24 years , also 66(28%) were the ages between 31-36 years, while 18(8%), of the respondents were the ages 37-42 years, also 4 (2%) were ages between 49-55 while3(1%) were the ages between 43-48 years.
As shown in Table2 and figure2: 177(76%) of the respondents were female, while 56 (24%) of the respondents were male. Therefore, when we were collecting the primary data the most sources We got the information and distributed our questionnaire were female.
Number Of Children:
As shown in Table3 and figure 3: 144 (60%) were having number of children between 1 -5, while 75(32%) were having number of children between 6-10 while 18(8%) were having number of children
Figure 4 Table 4 and figure 4 indicate among The Respondent Rate Marital Status Mostly 188(81%) were married. while windowed respondents were 24 (10%) while 21(9) of the respondents were divorced. Majority of the respondents were married.
Figure 6 According to religion the above table6 and figure 6 indicates that most respondents were 233(100%) Islam. Therefore, there were no others religions in the population .that means 100% of ABDAAL Community were Muslim or Islam.
The Martial Status Of Respondents:
As table7 and figure7explains In occupational status of the respondents, 143(61%) were house wife those who work for the government were about 31(13%) and those who work for NGO were about 13(5%) and 28(12%) were merchant, while others were 18( 8%). As this figure shown most of the respondents were house wife.
Part Two Knowledge
Figure 8 This table 8 and figure 8 clearly Showed that The Most Common Income of the respondents were different.38 (16%) of the respondents were high, while 69 (30%) were middle and the remaining 126(54%) of the Respondents were low income. That’s means the most of the respondents were low income level.
Have You Ever Heard About Polio:
According to above table 9 and figure 9 showed that 226(97%) heard about polio, while 7(3%) never heard about polio disease.
Cause Of Polio:
Figure 10 According to above table 10 and figure 1 47(20) think that bacteria causes polio, 38(16%) thinks that virus is the cause, and 12(5%) think that polio is caused by fungi, while 136(58%) don’t know what is the cause. So that majority of the respondents were answered that they don’t know the exact cause of polio.
Symptoms Of Poliomyelitis:
Is There A Vaccine Against Polio:
As shown in the above table 11 and figure 11: 175(75%) thinks that there is a vaccine against polio, while 58(25%) of the respondent don’t think that there’s no vaccine
Do You Think Immunization Is the Must Effective Way to Prevent Polio:
Above figure : shows that 177(76%)of the respondents think that immunization is the most effective way for preventing poliomyelitis ,while 56(24%) don’t think is effective.
Polio Drops Should Be Given To Children In Mild Illness:
Above table 13 and figure 13: shows that 138(59%) thinks that polio drops shouldn’t be given to children in mild illness, while 95 (49%) don’t think it should be given.
Do You Think Poliomyelitis Can Cause Paralyze If There Is No Prevention:
The above table 14 and figure 14 show that 185(79%) of the respondent of abdaal think that poliomyelitis can cause paralyze if there is no prevention, while 48(21%) don’t think that it causes paralyze if there’s no prevention.
Part Three Practice
Why Your Children Are Not Vaccined:
As shown in the above table 15 and figure 15, 119 (51%) of our respondents were immunized their children (note: 999 stands for parents who immunized their children), 39(17%) were answered that they didn’t get the vaccination because of lack of access,37(16%) they had lack of knowledge, and 20(9%) they didn’t vaccinate b/c of ethical reject, while 18(8%) they don’t believe the vaccination.
Have You Ever Met The Vaccination Campaign Of Polio:
The above table 16 and figure 16 show that 156(57%) had met the vaccination campaign of polio, while 77(33%) never met the vaccination campaign
Does The Vaccination Campaign Visits Your Home:
The above table 17 and figure 17 shows that 174(75%) of the respondents had the vaccination campaign visited their homes, while 59 (25%) of the respondents didn’t met the vaccination campaign
Have You Ever Attend Any Awareness About The Immunization Campaign About Polio:
The above table 18 and Figure 27188(51%),of the respondents have attend any awareness about the immunization campaign about polio, while 115(49%) never attended
Do You Think That There Is Any Necessitate For Immunization Awareness:
The above table 19 and figure 19: 179(77%) of the respondents think that there’s necessitate for immunization, while 54(23%) don’t think it’s necessitate.
To Allow The Child Been Vaccinated Is Against The Habit ( culture ,practice) Of My Community:
As show in the above table 20 and figure 20 show 64(27%) of the respondents were answered Disagree while 52(22%) were answered strongly agree followed by 48(21) of the respondents who were answered Agree side line with 41(18%) were answered we don’t know and lastly 28(12%) were answered strongly Disagree so most of the respondents were answered Disagree.
Part Four Attitude
Are Polio Vaccine Capable To Reduce The Transmission Of Infection?
As show in the above table 21 and figure 21 show 187(80%) were answered Yes and assume that vaccine of polio can reduce the transmission of polio and 46(19%) were answered No and they think that there is no any advantage for this vaccination finely the most respondents were think that the vaccination of polio can reduce the transmission of infection.
Infected Children Should Not Be Brought To Public Place Because Of Risk Of Infection Transmission:
the above table 22 and Figure 22: 148(64%) of the respondents think that infected children should be not be brought to public places, while 85 (36%) don’t think that they should not be brought.
Are All Children Should Be Vaccinated For Polio:
The above table 23 and figure 23 show that 165(71%) think that all children should be vaccinated for polio, while 68 (29%) think that polio shouldn’t be vaccinated.
Are People With Poliomyelitis Less Productive Than Non-disabled Once?
The above table 24 and Figure 24 show that 174(75%) believe that people with poliomyelitis is less productive than none –disabled ones, while 59(25%) believe that they aren’t less productive. So the most respondents were believed that people with poliomyelitis less productive than non- disabled.
Why Some Parents Refused Vaccination For Their Children?
As shown in the above table 25 and figure 25: in order to answer reasons behind to refuse the vaccination 138(59%) of our respondents were lack of knowledge, 55(19%) were not believed, 28(12%) said that they were tired for the vaccination and finely 22(9%) of the respondents stated that they are not believed the vaccine. So that majority of our respondents for this question were Lack of knowledge.
Do you Think That Vaccination Is Good For Health:
As shown in the above table 26 and figure 26: 197(85%) of our respondents were believed that immunization is very important for our health in another side 36(15%) said that it is not good for our health. Thus mostly our respondents were believed that immunization is good for the health.
Do You Think That Vaccination Of Polio Is Important To Prevent Polio Disease?
According to above table 27 and figure 27: 169(73%) of the respondents were thinking that vaccination of polio is important and good for prevention of the disease, 44(19%) stated that it is not important, while 20(9%) did not aware whether it is good or not.
Is There Any Of Your Children Affected By Polio Disease?
As shown in the above table 28 and figure 28 of our respondents 232(99.6%) were answered that no polio was not affected for their children,1(0.4%) said that polio was affected for his/her child. So that majority of our respondents were answered No polio was not affected for their children.
Do You Think That Immunized Children Are Better Than Non-immunized Children?
As shown in the above table 29 and figure 29 of our respondents 168(72%) were believed that immunized child is more healthful than none while 65(27%) were thinking that they are same and no difference between them.
Chapter 4: Discussion, Conclusion and Recommendations
This chapter looks at the discussion, conclusions that can be drawn from data analysis and results in the study and forward recommendation. A cross Sectional Descriptive study design was conducted to assess knowledge, attitude and practice towards polio immunization in Abdal town, Sahil region, Somali land.
In this chapter we are going to discuss about polio immunization coverage held in Abdal Town,Sahil region,Somali land, April to May,2016.
This study found that Most of the respondents were mothers. The respondents were aged between 25-30 years 72 (31%). Majority of the respondents, about two third of them never attended school. Few of the respondents were only attended school and these accounts for 36% which means that 4 out of 10 were attended school. Our study also clearly Showed that the Most Common Income of the respondents were different. 38 (16%) of the respondents were high, while 69 (30%) were middle and the remaining 126(54%) of the Respondents were low income.That’s means the most of the respondents were low income level. In occupational status of the respondents, 143(61%) were house wife those who work for the government were about 31(13%) and those who work for NGO were about 13(5%) and 28(12%) were merchant, while others were 18(8%).
Our study mentioned that respondents have adequate awareness about the beneficial effect of vaccination. they have deep understanding but don’t have enough knowledge about polio immunization for instance According to people 47(20%) think that bacteria causes polio, 38(16%) thinks that virus is the cause, and 12(5%) think that polio is caused by fungi, while 136(58%) don’t know what is the cause. So that majority of the respondents were answered that they don’t know the exact cause of polio. So most of the respondents had enough understanding this is due to regular awareness about immunizations, particularly polio immunizations, so sufficient of training for vaccination, and regular of awareness about polio is important for health.
This study majority 232/233 (98%) of the respondents had positive attitudes towards the vaccine”. 187(80%) of the respondents strongly agreed that the vaccine is capable to reduce transmission of polio, while, 148(64%) of the respondents think that infected children should be not be brought to public places, that’s because they didn’t have knowledge about the transmission of polio.
However 197(85%) of the respondents believed that vaccination is good for health. While 36(15%) said that it is not good for our health, because they don’t have faith for the vaccine. Majority of our respondents were answered (No) polio was not affected for their children. That proves that the respondents cooperated with the immunization campaigns and had full awareness about polio. Efforts have been made by the non-governmental organizations (NGOs) such as UNICEF to expand the social mobilization programs in polio affected areas by engaging community leaders, civil society organizations, and community members to ensure that polio immunization is recognized as an essential practice to protect the health of all children.
The majority (99%) of the respondents had good overall practice regarding KAP of polio immunization. For example our assessment want to know how they practice .To allow the child been vaccinated is against the habit (culture, practice) of my community 64(27%) of the respondents were answered Disagree while 28(12%) were answered strongly disagree so most of the respondents were answered disagree. This proves the statement (vaccination is against my culture).
The objectives of our study were to assess the knowledge, attitude and practice towards polio immunization among less than five years children at ABDAL town, April to May 2016, Sahil, Somali land. Our assessment highlighted significant improvement in vaccination coverage among ABDAL community [ABDAL as a sample] compared with the assessment done by UNICEF at 2008 this was indicating Somali land Immunization coverage reach maximum level of 30%. We assumed this is because of the enlargement seen in the magnitude of educated people this means there is direct proportion between KAP and Immunization coverage (UNICEF 2008).
Again, in our study the educated parents were only 36% compared with non-educated parents whom were 64% although parents had good understanding and positive attitudes on some aspects related childhood immunization, gaps were identified.
In order to know reasons behind to refuse the vaccination 138(59%) of our respondents were said lack of knowledge, 55(19%) were not believed, 28(12%) said that they were tired for the vaccination and finely 22(9%) of the respondents stated that they are not believed the vaccine. So that majority of our respondents for this question were Lack of knowledge.
In order to fill this gape educational interventions are needed to upgrade parents’ knowledge with special emphasis on less educated and residents of rural areas. And also 156(67%) of the respondents think that poliomyelitis is curable, while 77(33%) don’t think that is curable. And as well as 138(59%) thinks that polio drops shouldn’t be given to children in mild illness, while 95 (49%) don’t think it should be given. All these above examples show us that parents had only understanding but don’t have deep knowledge to the polio disease and its vaccination.
Eventually, in order to achieve millennium development goal (MDG) we have to continue the steps that contributing to stride forward, this is included raising up mothers general knowledge and specially those related health objectives like NIS, also it so crucial to do recurrent Immunization awareness.
In here we will suggest our last recommendations about our assessment of KAP on polio immunization among less than five years children at ABDAL town, May 2016 Sahil region, Somali land.
Somali Land Ministry Of Health
- Provide public awareness about Immunization around the country specially ABDAL town and through Sahil region.
- Deliver public knowledge about Immunization and specially NIS.
- Raise up all health activities around the country and specially the vaccination campaigns.
- Enhance vaccination coverage program in the country specially ABDAL Town .
International And Local NGOs
To double their health activities particularly vaccination program in the country in particular ABDAL town.
To participate all sides of improving country health system like financially, human resource, etc.
- Increase their knowledge about health system chiefly those related Immunization like NIS.
- Organize and make Immunization awareness for all parents especially mothers and care takers.
- Assist and help health care providers particularly vaccination campaign workers during the Field.
Polio is the common name for poliomyelitis, which comes from the Greek words for grey and marrow, referring to the spinal cord, and the suffix –it is, meaning inflammation.Poliomyelitis, shortened, became polio. For a time, polio was called infantile paralysis, though it did not affect only the young.
Poliomyelitis remains a serious problem in a large part of the developing world where the disease presents a constant threat to childhood populations with important consequences for social and economic development.
Somali land was received to be certified as “the polio free” and “non-transmission country”, however, polio eradication is still considered as priority public health problems that can be seen in the neighboring countries.
To assess the knowledge, attitude and practice of parents of regarding polio immunization under five year children.
The study period was April-May, 2016, this was cross-sectional, descriptive survey conducted to assess the level of knowledge, attitude and practice of polio immunization among residences in Abdal town, Sahil region, S/land.
The study findings revealed that indicates or explain knowledge, attitude and practice of parents of regarding polio immunization under five year children.
In order to know reasons behind to refuse the vaccination of polio disease 138(59%) of our respondents were said lack of knowledge, 55(19%) were not believed, 28(12%) said that they were tired for the vaccination and finely 22(9%) of the respondents stated that they are not believed the vaccine. So that majority of our respondents were lack of knowledge. In order to fill this gape educational interventions are needed to upgrade parents’ knowledge with special emphasis on less educated and residents of rural areas.
Majority of our respondents for this assessment didn’t have enough knowledge about polio immunization. in order to fill this gape educational interventions are needed to upgrade parents’ knowledge with special emphasis on less educated and residents of rural areas. Eventually, in order to achieve millennium development goal (MDG) we have to continue the steps that contributing to stride forward, this is included raising up mothers general knowledge and specially those related health objectives like, also it so crucial to do recurrent Immunization awareness.