Empowering children for a lifestyle of Prayer and Service to Transform our World
In a camp just outside Lagos, female vaccinators like Eucharia and Aishatu are leading the charge against polio. Though Nigeria was declared free of wild poliovirus in 2020, the country continues to battle outbreaks of vaccine-derived polio (cVDPV), especially in under-immunised and conflict-affected regions. Women have proved indispensable in this effort, often gaining household access where male health workers cannot due to cultural or security concerns. Despite facing mistrust, misinformation, and physical danger, these women build trust through persistence, community dialogue, and personal sacrifice. Many supplement their modest income through small businesses, unintentionally turning polio campaigns into a platform for female empowerment and entrepreneurship. Their efforts have not only improved vaccination rates but also strengthened public health infrastructure and spurred broader social change. While wild polio is now endemic only in Pakistan and Afghanistan, Nigeria’s experience offers vital lessons. Its fight against polio, led by women, supported by community trust, and bolstered by innovative strategies, has reshaped how public health can be delivered in fragile settings.
Health workers in Pakistan are marking children’s fingers as having had a polio vaccination, when in reality parents have refused the vaccine after believing conspiracy theories that they are harmful, blasphemous, or a plot to sterilise Muslims. This is the biggest challenge - to eradicate the crippling virus in one of its last haunts. Deteriorating security along the border is making the situation worse, as militants cross from Afghanistan - the only other country where polio is still circulating. After two years free of polio Pakistan has two poliovirus cases. They were also paralysed, raising further concerns that there may still be hundreds of cases in the region. On average, only one in 200 infections leads to paralysis. Bill Gates, who invests billions in the polio fight, said ‘it would be tragic if the disease made a comeback because it would spread back across the world and eventually you have what you had before 1988 - hundreds of thousands of paralysed children.’
A government campaign to vaccinate 40 million children under the age of five against polio had to be suspended following serious attacks on workers and police in just one week. A policeman protecting polio workers was killed in Bannu, and a polio worker was injured with a knife in Lahore by a man refusing to allow his child to be vaccinated. Two others connected with different polio teams were also killed, and one man was seriously wounded. Further attacks on staff in Sindh, Balochistan and Punjab were reported. The violence was preceded by a series of rumours intended to derail Pakistan’s campaign to eradicate the disease. On 22 April several thousand children were taken to hospital in north-west Pakistan by panicked parents after a video circulated on Facebook in which a man attested that children were falling sick following vaccinations. A mob set alight a health centre following the same rumour.