In the Ketu North District of Gha­na, Erica Doe Hormeku, a pas­sionate Community Health Nurse (CHN) at the Kasu Health Centre, dedicates herself to ensuring every child receives their routine immu­nisation.

Brimming with enthusiasm and commitment, Erica tirelessly fol­lows up with caregivers, even those hesitant about vaccinating their children.

Despite her best efforts, there are a few who remain adamant, which worries her deeply.

“Some caregivers refuse vacci­nation for their children, and we follow up to talk to them. Many of these cases have been overturned, but others remain. My fear is that such attitudes are ‘infectious’ and could potentially impact vaccine uptake,” Erica shares.

One such case involved David, a 46-year-old teacher and father of four, who refused to have his youngest child, Dennis, vaccinat­ed, even though his other children were fully vaccinated and remained healthy.

At three years old, Dennis had only received the Bacillus Calmette-Guerin (BCG) vaccine at birth. Under Ghana’s national immunisation schedule, Dennis should have completed his routine vaccinations by 18 months. Howev­er, missed doses can still be admin­istered until age five.

David’s reluctance stemmed from a deep mistrust of vaccines. “My parents told me I was not given any vaccines as a child, but I am healthy. These vaccines contain germs that cause illness instead of the so-called protection. I want to use my son to prove to everyone that vaccines are not relevant,” he stressed when health workers visited his home.

Thanks to funding from Canada Global Initiative for Vaccine Equity (CanGIVE), Erica and a team from World Health Organisation (WHO) Ghana made a follow-up visit to David’s home. They spent time explaining to him and his partner, Janet, the benefits of vaccination, the safety measures in place, and the risks of leaving a child unvacci­nated.

Dr Kwadwo Asante-Afari, WHO’s Technical Officer for Risk Commu­nication and Community Engage­ment, shared his expertise during the discussion, saying, “Vaccines have contributed significantly to the reduction of deaths and illness, especially among children. Some diseases, including measles and polio, that once killed and maimed children are no longer encountered as often.”

After a thorough conversation, David’s stance began to shift. “I see the importance now, and I want to make sure my son is protected,” he said, agreeing to allow Dennis to receive his missed vaccines. A vaccination plan was created with input from the family, addressing concerns about multiple injections. Dennis was immediately vaccinated with oral polio vaccine, inactivated polio vaccine, pentavalent vaccine, and pneumococcal conjugate vac­cine, with a follow-up schedule to complete the remaining doses.

Dennis’ mother, Janet, expressed her relief, saying, “It has always been my prayer that my partner agrees to Dennis’ vaccination just as the other children, and I am happy you defied the terrain and came this far to speak with him. I now have the assurance of my son’s protection against vaccine-prevent­able diseases.”

Gariba Abubakar Sumaila, the District Director of Health Services, acknowledged the positive impact of the intervention. “We shall work with the family to complete Dennis’ vaccination as planned. WHO’s in­tervention has been very impactful and will go a long way to strengthen demand for immunisation beyond this case. We have learned a lot from your approach and will scale it up to ensure every child benefits from vaccination”, he explained.

This successful engagement not only ensured Dennis received his vaccination but also strengthened community trust in immunisation. It’s a reminder that changing hearts and minds requires patience, dedication, and a commitment to protecting future generations.