In the heart of Nigeria, a formidable threat persists—the circulating variant poliovirus type 2 (cVPV2). Despite numerous outbreak responses (OBRs), this tenacious virus continues to spread, particularly amid escalating insecurity. The ongoing struggle is a critical challenge, where dedicated healthcare workers confront the dual obstacles of vaccinating every child while navigating through conflict zones and remote areas.

Despite several OBRs already implemented, the deteriorating security landscape across the country adds complexity to the mission of halting cVPV2 transmission, turning it into a high-stakes endeavor.

To address this crisis, the SCIDaR (Solina Centre for International Development and Research) enlisted the expertise of Georgetown Global Health Nigeria (GGHN) to lead a bold initiative: two rounds of vaccination campaigns in the conflict-affected states of Niger and Katsina. These campaigns were not routine tasks—these states are fraught with security challenges at every turn. Understanding the gravity of the situation, GGHN partnered with the Sultan Foundation and Chigari Foundation, organizations with deep-rooted local knowledge. Together, they embarked on a mission, meticulously planning every step.

The initial phase involved precise micro-planning, where teams updated and validated settlement data with meticulous accuracy. This critical step enabled targeted interventions, ensuring that no child was overlooked in the vaccination efforts.

However, plans alone were insufficient. GGHN and its partners recognized that the success of the campaign hinged on earning the trust of local communities. They engaged traditional leaders—Emirs, District Heads, and Ward Heads—who wield significant influence over their communities. By involving these leaders, the campaign gained crucial endorsements, fostering vaccine acceptance and rallying local support.

Traditional Birth Attendants (TBAs), respected figures within the community, played a pivotal role in expanding the campaign’s reach. These women were trained in vaccination service delivery, extending the campaign’s impact to even the most remote areas.

In more secure regions, women’s groups became essential advocates, leveraging their networks to promote the importance of vaccination. These groups were instrumental in mobilizing the community, ensuring that every child understood the life-saving benefits of the vaccine.

Recognizing the security risks, GGHN and its partners took no chances. They engaged local vigilantes and, where necessary, the military to secure safe passage to high-risk areas. This strategic approach ensured that the vaccine reached even the most dangerous regions.

The efforts of GGHN and its collaborators led to significant achievements. They identified priority Local Government Areas (LGAs) with the greatest security concerns, sensitized traditional rulers, and trained TBAs and women’s groups to expand the campaign’s reach. These activities laid the foundation for a successful vaccination drive, underscoring the importance of collaboration and community engagement.

This is a story of determination, strategic planning, and an unwavering commitment to protecting every child, regardless of their circumstances. The dedicated healthcare workers on the front lines, navigating through complex challenges, are steadily advancing the battle against cVPV2.