HEALTH-TOGO: Vaccination Campaign
'Fails' as Women Stay Away
By Noel Tadegnon
LOME, Feb 11 (IPS) - Togo's latest vaccination campaign has
''failed'' to achieve its target because health officials
never bothered to enlist the support of women, a government
official says.
The official, who works for the Ministry of Health, and requested
anonymity, says only 47 percent of children had been vaccinated
between December and January, far less than the 95 percent
of the anticipated goal. Health officials had hoped to vaccinate
about 2.5 million children between the ages of nine months
and 14 years old.
Crowds showed up during the first few days of the campaign,
but afterwards, there were few takers. This is because the
vaccination coincided with the New Year festivities.
''Women could have been effective contributors to the success
of this programme, if only they were involved,'' says Kafui
Kouwonou of the Women's International League for Rights and
Democracy in Africa (WILDAF).
''Women should've been in the forefront of the campaign if
they wanted it to succeed,'' says Odette Akomatsri, a midwife
at the University Hospital in Lome, the capital of Togo.
''We should have been told about the vaccination campaign
a little earlier,'' says Ida Teko, a mother, in Lome.
Aicha Toulassi, director of the Medical and Social Service
Centre in Noukafou, a suburb of Lome, also acknowledged the
lack of sensitivity around the campaign. ''It could have been
a complete success if women were urged to bring their children
for vaccinations,'' she says.
But - in a rare success story - teams of vaccinators sent
to Toulassi's neighbourhood in Lome ''were able to vaccinate
41,053 children out of a total of 53,966.''
Vaccination teams were sent to inoculate children living
within a 15-kilometre radius, in urban areas. Most of the
health workers travelled to remote villages and hamlets.
Celestine Aidam, secretary general of the Lome-based Women's
Democratic Development Action and Reflection Group (GFED),
believes that the organisers failed to realise that the success
of the operation depended on enlisting the support of women's
groups.
''They didn't understand it, but let's hope that next time,
they'll get it right,'' she says.
The campaign aimed to reduce measles morbidity rate by 90
percent, as well as measles mortality rate by 95 percent.
Measles is a contagious childhood disease.
''In four years' time, we would have protected our children
from measles epidemic,'' says Dr. Agbi Tatagan, a paediatrician.
''To reach this goal, we need to vaccinate at least 95 percent
of our children''.
''We should give all children a chance in order to reduce
the number of those carrying the virus,'' says Charles Kondi
Agba, Togolese minister of health.
Dr. Koubagnine Takpa, coordinator of the anti-measles campaign,
says ''when the first symptoms of the disease appear in one
child, it means that at least 100 more children around him
are already infected''.
The first sign of the disease is when the skin erupts in
spots and red blotches.
Measles is an extremely contagious viral disease. It can
lead to serious complications and sometimes death in children.
''It can cause respiratory infections, diarrhoea, conjunctivitis
and nasal discharges. The victim sometimes can succumb from
dehydration,'' explains Agba.
The measles virus, like all others, is difficult to erase.
Furthermore, the treatment of measles in traditional societies
can sometimes be fraught with controversy and contradiction.
''Sometimes they forbid the child from drinking water, and
you can imagine what that can lead to,'' says the Minister
of health.
In 2000, some 6,000 cases of measles were recorded in Togo.
Up to 100 of the children affected died, according to the
ministry of health.
Experts urged the government to increase the rate of vaccination
coverage. ''In 1990, it was 62 percent but in the year 2000,
it was down to 43 percent,'' says Takpa.(END/IPS/AF/HE/TRA-
FRA/NT/SZ/MN/02)
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