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Вересень 2010 ЄДНАЙМОСЯ ЗАРАДИ ДІТЕЙ UKRAINE: Restoring public trust in immunization
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ukraine: vaccination crisis 2008 - 2010
Examples of covers in the Ukrainian press
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Declining public trust: context
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],UNICEF involvement:
[object Object],[object Object],[object Object],UNICEF actions: medical community
UNICEF actions: medical community Outcomes : -  260   medical professionals from all regions of Ukraine improved their communication capacities on immunization & influenza issues -  276   medical professionals from all regions of Ukraine improved their technical knowledge & communication on AEFI - 2,160  doctors improved their knowledge on vaccines safety and efficacy  ,[object Object],[object Object],[object Object],[object Object]
MoH capacity and partner collaboration: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],UNICEF actions: general public
Campaign outcomes: - Outdoor campaign outreach:  over 40 cities  (all regions); -  over 70 %  of people have seen the ads; -  101 420 376 – Number of times citizens have contacted with the outdoor (only immunization) advertising -  UNICEF actions: general public ,[object Object],[object Object],[object Object],Unexpected result:  34% said they have seen the ads on TV (we invested only in outdoor campaign
[object Object],[object Object],[object Object],AND: Monitoring (daily press monitoring shared with MoH); strong coordination (MoH, WHO); proactive in crisis (quicklines, Q&A, crisis communication plan)  UNICEF actions: opinion-makers
UNICEF actions: Internet outreach ,[object Object],[object Object],[object Object],[object Object]
UNICEF actions: impact Negative attitude to immunization in Ukraine: 2008  year   2010  year 32%  22% In Kiev : 2008  year   2010  year 64%  24,5% Market price of the campaign (both immunization and influenza)  about  1 mln USD
[object Object],[object Object],[object Object],[object Object],What are the challenges:
[object Object],[object Object],[object Object],[object Object],[object Object],What works well:
Lessons learned:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Campaign outcomes: - over 70% enjoyed the adds - Over 60 % were motivated to change their behaviour (follow the messages) Unexpected outcomes: - outdoor operators printed and placed additional amount on their own $. - got in social media:  “Got sick? Tweet from home!” UNICEF actions: general public Influenza
Health for All,  [email_address] ДЯКУЮ !

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Ukraine's Vaccination Crisis 2008-2010

  • 1. Вересень 2010 ЄДНАЙМОСЯ ЗАРАДИ ДІТЕЙ UKRAINE: Restoring public trust in immunization
  • 2.
  • 3. Examples of covers in the Ukrainian press
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. UNICEF actions: impact Negative attitude to immunization in Ukraine: 2008 year 2010 year 32% 22% In Kiev : 2008 year 2010 year 64% 24,5% Market price of the campaign (both immunization and influenza) about 1 mln USD
  • 14.
  • 15.
  • 16.
  • 17. Campaign outcomes: - over 70% enjoyed the adds - Over 60 % were motivated to change their behaviour (follow the messages) Unexpected outcomes: - outdoor operators printed and placed additional amount on their own $. - got in social media: “Got sick? Tweet from home!” UNICEF actions: general public Influenza
  • 18. Health for All, [email_address] ДЯКУЮ !

Notas del editor

  1. Spring 2008: MR campaign ran into trouble after MoH failed to adequately roll out the campaign, prematurely launching it. Newly vaccinated adolescent boy died and MR vaccine was incorrectly blamed. I nability of MoH effectively articulate convincing arguments for vaccination led to m edia and political firestorm, fed by internet based anti-vaccine forces. Government postponed the campaign and in February 2009 abandoned an attempt to immunise nine million people against measles and rubella A concerted internet led anti-vaccine campaign continues portraying immunisation as more dangerous than the diseases it meant to combat creating a public crisis of trust in the health system. It has also demonized international partners, such as WHO and UNICEF. Summer 2010, GoU disposed MR vaccines costed USD 5 million to international donors. During 2010 immunization coverage dropped up to 40% in some regions due to parents’ refusal and lack of vaccines provision.
  2. Spring 2008: MR campaign ran into trouble after MoH failed to adequately roll out the campaign, prematurely launching it. Newly vaccinated adolescent boy died and MR vaccine was incorrectly blamed. I nability of MoH effectively articulate convincing arguments for vaccination led to m edia and political firestorm, fed by internet based anti-vaccine forces. Government postponed the campaign and in February 2009 abandoned an attempt to immunise nine million people against measles and rubella A concerted internet led anti-vaccine campaign continues portraying immunisation as more dangerous than the diseases it meant to combat creating a public crisis of trust in the health system. It has also demonized international partners, such as WHO and UNICEF. Summer 2010, GoU disposed MR vaccines costed USD 5 million to international donors. During 2010 immunization coverage dropped up to 40% in some regions due to parents’ refusal and lack of vaccines provision.
  3. Vaccination crisis - a time bomb that could happen elsewhere, the following factors constitute it: soviet legacy: UNICEF+ - pervoprohodtsy Distrust of immunisation is widespread among medical workers. media: contradictory information, aggressive coverage parents: choice with no knowledge/ abcense sufficient friendly easy-accessible information - now days there are many parents who are afraid of vaccine safety and who are questioning and are not immunising their children The anti-vaccine movement is strong. capacity of anti-vaccine forces to disrupt public health interventions on a scale not seen before. MoH: lack of capacity; A failing health care system - people’s distrust to public health system doctors: they would not encourage vaccination profit making: re-shaping of market shares among hidden wars of vaccines producers (Russian vs French vs Indian) A highly politicized governmental system.
  4. UNICEF has since 2008 been working closely with the MoH to rebuild public confidence in immunisation. The project has developed key strategies for responding to the anti-immunisation movement: situation assessment (KAPB, stakeholders); equipping medical workers (workshops, forums, materials); building a pro-immunisation coalition; developing an information platform to be followed by a campaign (Internet, IEC materials, video/radio): educating media, religious leaders, civil society activists, other opinion makers
  5. // Evaluation (omnibus, KAP) // scaling up parents’ & general public outreach // promo Internet campaign (CEO, etc) // constantly improving our language & methods of communications to overplay anti-vaccination activists // Good news: we will win, but it is a long row to hoe