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Viewing cable 08ABUJA2515, NIGERIA: U.S. MISSION PUSHES FOR LOCAL OWNERSHIP OF POLIO

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Reference ID Created Released Classification Origin
08ABUJA2515 2008-12-23 13:55 2011-08-26 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Abuja
VZCZCXRO3459
PP RUEHMA RUEHPA
DE RUEHUJA #2515/01 3581355
ZNR UUUUU ZZH
P 231355Z DEC 08
FM AMEMBASSY ABUJA
TO RUEHC/SECSTATE WASHDC PRIORITY 4791
INFO RUEHOS/AMCONSUL LAGOS 0498
RUEHZK/ECOWAS COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUEAUSA/DEPT OF HHS WASHDC
UNCLAS SECTION 01 OF 02 ABUJA 002515 
 
SENSITIVE 
SIPDIS 
 
DEPARTMENT FOR OES/IHA DANO WILUSZ 
USAID FOR GH/HIDN ELLYN OGDEN, RICHARD GREENE 
USAID FOR AFR/SD MARY HARVEY 
CDC FOR NCIRD/GID/DEEB SUE GERBER 
 
E.O. 12958: N/A 
TAGS: TBIO KISL PGOV SOCI ECON KOCI EAID NI
SUBJECT:  NIGERIA: U.S. MISSION PUSHES FOR LOCAL OWNERSHIP OF POLIO 
CAMPAIGN 
 
REF: A. STATE 102802 
      B. STATE 65054 
      C. ABUJA 1591 
      D. ABUJA 815 
 
SENSITIVE BUT UNCLASSIFIED - DO NOT DISTRIBUTE OUTSIDE USG. 
 
1. (U) Summary:  The Nigeria Polio Eradication Initiative Task Force 
(PEITF) Core Group held a meeting on November 11-12 in Kano to 
discuss current status of polio in northern Nigeria, assess 
preparations for upcoming campaigns, and strategize on steps to 
making future rounds more successful.  Some state officials 
complained of public polio fatigue and called for improved approach 
to increased immunization.  EMBOffs emphasized that state ownership 
and leadership is critical for the success of polio eradication and 
stressed that, barring a concerted and determined effort by all 
stakeholders to overcome ongoing challenges, the Government of 
Nigeria's (GON) objective of interrupting the polio outbreak by 2009 
is unlikely to be achieved.  The Ambassador is providing some 
recommendations to increase immunization to the Chairman of the 
Governors' Forum, which he has agreed to present to his colleagues 
at their next meeting in January.  End Summary. 
 
Polio Campaign Fatigue 
---------------------- 
 
2. (U) Some state officials complained of public fatigue over the 
ongoing polio campaign.  Despite years of polio campaigns, they 
said, there is little progress to show for it.  Some pointed out 
that the very poor state of the healthcare system and its inability 
to provide basic community health needs, have made parents skeptical 
about bringing out their children for polio immunization.  Lack of 
coordination and supervision, the hiring of unqualified and 
ill-trained vaccinators (nepotism was often sited as the reason), 
delayed distribution of funds and vaccines, and the lack of cold 
storage facilities and transportation were identified as major 
hindrances to success.  Several states complained about 
non-compliant parents and advocated imposition of arrest as penalty. 
 EMBOffs strongly cautioned against such harsh measures and instead 
encouraged to focus attention on the unscrupulous health workers and 
administrators who are not doing their jobs (falsifying data, 
dumping vaccines, hiring unqualified vaccinators, withholding of 
payment, etc) and suggested that a different strategy should be 
adopted to entice the voluntary cooperation of parents. 
 
Creation of State Taskforces on Polio 
------------------------------------ 
 
3. (U) To overcome challenges and provide overall leadership on 
polio campaigns, the PEITF has recommended that states establish a 
similar body under the authority of the Commissioner of Local 
Government, a powerful arm of state government that is capable of 
marshalling all the players within the state.  Borno, Jigawa, 
Kaduna, Katsina, Kwara, Sokoto, and Zamfara have established such a 
task force.  On November 13, the Katsina Polio Taskforce gathered 
all the 34 Local Government Area (LGA) Chairmen and held a day-long 
brainstorming session on the upcoming campaign.  EmbOffs attended 
this meeting and encouraged the LGA chairmen to take ownership and 
provide leadership for a more successful outcome in their respective 
areas. 
 
Kano the Least Prepared for Polio Campaign 
------------------------------------------ 
 
4. (SBU) Based on presentations made at the PEITF meeting, it was 
apparent that Kano state was the least prepared for upcoming 
campaigns.  In a separate meeting with Kano Commissioner of Local 
Government, EMBOffs described Kano's disproportionate polio burden 
(the highest in the nation) and lack of adequate preparations to 
make progress in the upcoming campaign and encouraged increased 
state leadership by establishing the Kano Polio Task force.  The 
Commissioner was surprised that he was supposed to establish and 
chair such a taskforce.  He expressed appreciation for U.S. 
assistance, promised to bring the issue to the attention of the 
Governor, and to establish the task force.  (Note: Since then Kano 
has established a polio task force.  End Note). 
 
5. (SBU) EmbOffs also met and discussed the polio situation in Kano 
with Professor Mohamed Kabir, a former Kano Health Commissioner and 
Dean of the School of Medicine at the local university.  According 
to Kabir, active engagement by the state governor is crucial to 
success in the polio campaign.  He pointed to past negative 
statements against polio vaccine by a highly respected octogerian 
 
ABUJA 00002515  002 OF 002 
 
 
medical doctor and influential Islamic scholar (claiming that the 
vaccine is laced with anti-fertility drugs) as a source of lingering 
public reticence in accepting the polio vaccine.  Kabir thought that 
engaging particularly the Saudi Consulate in Kano and getting their 
cooperation to deliver positive public message will be effective, 
both because of Saudi Arabia's influence on Islamic affairs and due 
to its polio vaccine requirement for visa to the kingdom, including 
for Hajj travelers.  Additionally, he encouraged involving liberal 
Islamic scholars to deliver positive messages on polio in their 
regular Friday sermons.  (Comment:  Mission will follow-up on these 
suggestions.  End comment.) 
 
Gezawa Local Government Area Pilot Project 
------------------------------------------ 
 
6. (U) The Gezawa Local Government Area, east of Kano and one of the 
most polio affected localities, has adopted the Gezawa Polio 
Initiative (GPI), a pilot project to increase polio immunization. 
The GPI was developed by the U.S. Center for Disease Control (CDC) 
and World Health Organization (WHO) with inputs from community 
members and leaders, and if successful, will be replicated in other 
LGAs in Kano and elsewhere.  Under the GPI, enhanced training will 
be given to religious leaders, traditional birth attendants, 
barbers, town announcers, singers, leaders of local Muslim women 
associations and female Hisbah (security officers).  To raise public 
awareness, the GPI will take a very popular "Majigi" (film in Hausa) 
on a roadside show to all the 59 villages in the LGA preceding 
future campaigns.  The Gezawa LGA Chairman has announced five awards 
to the best performing traditional rulers and their settlements. 
Initial feedback indicates very high acceptance of the initiative by 
traditional rulers and religious and community leaders. 
 
7. (SBU) Comment:  Holding the meeting in Kano had symbolic value, 
as Kano is the epicenter of the polio epidemic in Nigeria.  The 
meeting provided a platform for assessing the polio situation in the 
north, evaluating ongoing challenges, and for exchanging best 
practices within the region.  The fact that several states have 
established a task force under the leadership of their respective 
Commissioner of Local Government is expected to provide improved 
leadership in future campaigns.  The Ambassador has engaged the 
Chairman of the Governors' Forum on this issue and is encouraging 
improved sate leadership on polio eradication efforts.  The Gezawa 
Polio Initiative seems to have generated local interest and if 
successfully implemented might bear promising fruits.  If so, the 
U.S. Mission will encourage replicating the model in other states as 
appropriate.  End Comment. 
 
8. (U) This cable was coordinated with Consulate Lagos. 
 
SANDERS