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Despite this positive view of immunization, occurrence of different

difficulties are bound as hurdles as we called it barriers in disseminating

information pertaining to its importance to the welfare of the community.
Information on hand is always a challenge when it comes to its effective
medium to make it known to the public thus these barriers are most often
encounter are follows, misinformation, misconception and the highly
custom followed superstitions which are quite known to most Filipinos as a
hand down tradition.
The population of the Philippines has been steadily growing for many
years. In 2014, it is the 12th most populated country in the world between
Mexico and Ethiopia, and continues to grow at a rate of 1.81% per year.
2013 2014 -


Based on the year 2014 census results, the population increases nearly to
16 million from the year 2000 census. The growth rate has slowed slightly
from the previous census down to 1.81% from 2.34%. Children comprised
about 31% of the total population.

Philippine Demographic Profile 2014

Population: 107,668,231 (July 2014 EST.)

0-14 years old

15-24 years old
25-54 years old
55-64 years old

33% Male
19% Male
37% Male


65 years old and 4.5





Population Growth Rate:

1.81% (2014 est.)

Birth Rate:

24.24 Births/ 1000 population (2014 est.)

Death Rate:

4.92 Deaths/ 1000 population (2014 est.)

Infant Mortality Rate:

Total 17.64 Deaths/ 1000 live birth

Male 19.99 Deaths/ 1000 live birth
Female 15.17 deaths/ 1000 live birth

*Ref (Index Mundi)

Myths, superstitions and technical barriers hamper Philippines

Immunization Drive. Despite the mass immunization campaign, the
Philippines faces an uphill battle, with many parents fearing the adverse
side effects and religious ramification, if they partake in the drive to
immunize children (against measles and polio)
CBCPS Anti-Vaccination Article
1. They are using a lone dissenting voice as the foundation

of their

belief for some reason CBCP listen to one Dr. Eleonor De Borja

Palabyab, who is a member of the group Doctors for Life

2. Citing unclean conditions as an issue, because vaccines introduces
viruses into the system, thus it must be unclean. Therefore unsafe,
Why would you stick disease into your body? Dr.

De Borja

Palabyab made a claim that Viruses and bacteria cannot grow

without an unclean condition as if to insinuate that vaccine are
unclean and unsanitary themselves, contracting measles is clean
and sanitary because somehow only natural things are good.

3. They are trotting out the repeatedly debunked link between

vaccines and Autism. Research by Dr. Andrew Wakefield in the late
1990s has shown that there is a connection between vaccines and a
rising diagnosis in autism. It is very difficult for the parents of
children with Autism to deal with the challenges of raising their
children. Dr. Andrew Wakefield who has discovered the link
between MMR ( Mumps-Measles-Rubella) vaccine did not only make
a mistake in his research, he actually deliberately skewed his
research and even neglected to mention that he had massive
conflict of interest: he was being paid by lawyers, who were planning
to sue pharmaceutical companies, to conduct his research. His entire
research was eventually completely retracted by the Lancet, after
they have more than sufficiently proven that his research was not
only impossible to replicate the result of his research, but outright
fraudulent. There is no proven scientific, causative link between
vaccine and autism.
4. That some vaccine came from aborted fetuses as an issue. Some








promotes abortion. By bringing up the fact that cell lines (used as a

culture medium for certain vaccines) originated from two aborted
fetuses in 1964 and 1970. The Vatican has already weighed-in on

this issue in a statement it released in 2005, while it expressly

condemned the original immoral act ( the Voluntary Abortion) It
also took pains to give permission to use these vaccines, as vaccines
are necessary in order to avoid a serious risk not only for the ones
own children but also, and more specifically, for the health
conditions of the population as a whole, especially for pregnant
5. Just because you did not get sick while being unvaccinated does not
mean taking vaccines at all is perfectly okay. Dr. De Borja Palabyab
insist she wasnt vaccinated, yet she turn out okay. Vaccination is not
just for children but for the general public , vaccination minimizes
6. Vaccines are NOT 100% safe. Some people have adverse reactions
to vaccines, therefore nobody should use vaccines. Vaccines have
rare side effects. Some of them are fatal, but they are incredibly

7. A doctor actually has more to gain from you financially if you dont
take vaccinations. The good doctor is doing Gods work and thank to
the CBCP bringing all this to light. At least, we dont have to spend
our hard earned money on useless vaccines that do nothing but
pollute our childrens bodies, while lining the pockets of the
pharmaceutical companies. The Big Pharma conspiracy theory
doesnt even hold water in the Philippines.
8. Leave the medical advice to the medical expert, not the religious

Its the CBCP and we should totally respect their authority as the
spiritual guardians of a predominantly Catholic nation. If they see
something wrong with the vaccines, we must give them an
opportunity to elucidate their position, even if they are unqualified
to give medical advice, with the backing of a doctor who is strong on
rhetoric but weak on facts. They do not have the science to prove Dr.
Borja- Palabyabs claim because it does not exist. The CBCP
professes to be Pro-Life, but there is absolutely nothing Pro-Life
about leaving easily preventable yet potentially fatal disease all to
chance when the solution is right there for the taking at no cost and
minimal risk.

(CBCP Article - Dr. Eleonor De Borja-Palabyab)

Other issues considered as barriers were mostly pertaining to the
caregivers (parents/guardians) and health workers and are the program
platforms and caregivers current dilemma.
1. Hard to reach- Reaching the hard to reach, is a challenge for
National EPIs which already achieved relatively high coverage rate.
How to reach the 20% to 40% of the population which have not yet
been covered.? In some cases these will be primarily an issue of lack
of physical access and communication has little role to play.
2. Missed Areas- Missed areas or pockets are the most dangerous
type of campaign failure because the entire community remains
unvaccinated. In such areas, the virus is likely to persist, flourish and

spread to neighboring communities. It is critical that missed areas

are promptly identified and covered during the campaign.
Missed areas often are areas that have been forgotten in the
Slum Areas
New Settlements via Re-settle Programs
Poor Settlements around factories
Minority Communities
Scattered Houses
High-rise Apartments
Commercial/Industrial Areas
Along Highways or in between Cities
Along riversides in urban and per-urban areas
Streets with known street children

(Sustaining EPI: What can communication do?)

3. Caregiver barriers: Negligence, lack of time, long lines in the health

center and missing the vaccine schedules.
4. Healthworkers: A common problem in many if not most EPIS is poor
or non existent communication by the health center staff with the
client. This is not a problem particular to the immunization
programs, rather, it seems a chronic condition in many public health



communication skills.






(Iligtas sa Tigdas ang Pinas A Door to Door Measles Follow-up Immunization Campaign)