2Research shows:Unvaccinated children tend to have uneducated mothers – suggests special focus on health education to mothers2/3 of mothers (rural/urban) confirmed LHWs have talked about vaccination and encouraged them to take children to health facilityParents of unvaccinated children have less exposure to media
3Interpersonal Communication Labor intensive, but often most effective method of encouraging participationPlanning meetings with community groups and leadersHealth workers/field staff/LHWs tell parents about campaign at clinic or in visits to homes prior to campaignStaff need ability to provide accurate information, overcome rumors, and motivate and encourage parents to vaccinate their children
4Good communication skills Using Verbal and non verbal communicationEffective, "active" listening in which the health worker demonstrates to the parent/caregiver that they are heard and understood;re-phrasing what the child caregiver has said to make sure it is correctly understood;asking open-ended questions. The questions require more than one word answers;making eye contact; Looking at the person when talking to you and showing you interested and showing concernproviding complete attention;
5Basic Interpersonal Communication skills Using simple clear language or local languageUsing non-technical words when giving informationconveying correct informationGreeting people and being courteousDressing appropriately and respecting the local culturenot being rude or showing a bad attitude toward the child caregiverSmiling and being cheerful and ready to help at all times
6Basic Interpersonal Communication skills Summarizing to show you have understoodMaking people comfortable while recording or giving vaccineAnswering those questions you know the answer to truthfully; referring to others those questions which you do not knowUse of IEC Material
7The IPC Do’s heath care providers / Vaccination team members should: DO treat parents with respectDO remain patient with parents, and not get into argumentsDO listen to reluctant parents’ concerns or questionsDO answer any questions and address concerns with reasonDO promise to bring to the attention of higher authorities any non-immunization health issues that they are concerned about
8The IPC Don’ts Vaccination team members should never….. NEVER force parents into accepting any form of immunizationNEVER be rude to parents because they are not informed or have misconceptions about immunizationNEVER Attack a parent’s valuesNEVER Immunize without consentNEVER Joke that vaccine will make children sick or sterile
10IPC Vaccinators & Mobilizers are health educators Must be equipped to answer the tough questions parents may have ( Approach and Manner)Must be able to provide accurate information
11Health Care providers interact with the community ….. Static EPI / fixed sitesOut Reach servicespublic places and Health ceners
12Barriers to immunization Two Types of BarriersBehavioralNon behavioral
13Behavioral barriersLack of understanding of importance of immunization.Mothers don’t know about immunization schedule.Do not know about subsequent doses.Fears of side effects..Husband doesn’t want mother to take child for immunization.Mother’s perception of unpleasant treatment at facilityRefusal to have child immunized for religious beliefs.Do Not follow immunization schedule properly –
14Non-behavioral barriers Families have limited access to immunization servicesHealth facilities are far awayLong waits at health facilitiesStaff absentLack of vaccine/D. SyringesInappropriate vaccination timings
15Individual ExerciseWhat are some common questions that parents ask about OPV, the polio programme, or routine and other health services? Share your questions and write down the best answers for them.
16Possible Questions Does OPV cause children to become sterile? Is the vaccine given only to Muslims or certain groups?Is an infant less than two months old too young to get the vaccine?Is it safe for a sick child to get the vaccine?Why do vaccinators come to deliver OPV when other health concerns are much greater?Why do vaccinators come so often, isn’t so much medicine harmful for the child?
17Role Play . Apply good communication skills Parent questions the harmful side effects of the vaccine and is concerned that the child might die if they take the vaccine. / Religious concernsWhat information shall be given to the mother when she comes to vaccinate her child
18SummaryEffective Interpersonal Communication is key to address concerns in the community.If interpersonal skills are weak, community concerns cannot be overcome and resistance is likely to increase.In those communities where there is little resistance to immunization, strong interpersonal skills can focus on creating enhanced awareness and demand creation.