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Vaccination: Three women in Nicaragua take a different path toward a common goal

 


April 2018

Video: An act of love in the land of lakes and volcanoes – Nicaragua

Carla Bethania Ortiz, 26, of Comarco Bosque de Xiloá, Nicaragua, never understood why she had not been vaccinated as a child. Unlike her friends, she did not have a vaccination card.

A woman in her kitchen, in front of a stove, in Comarca Bodque de Xiloa, Nicaragua

Carla Bethania Ortiz (26) at her home in Comarca Bosque de Xiloá, Nicaragua

WHO / S. Mey-Schmidt

One day when a “brigadist” or community health volunteer walked by her home, he decided to chase her and asked her to be vaccinated. It happened to be the “Jornada de Vacunación” – the days when vaccines are given to everyone in the community without any changes.

However, since Karla is a minor, she needed her parental consent. Carla knew that her mother, Silvia Elena Ortiz, did not believe in vaccines, but decided to bring a health care provider to her home to explain the benefits of vaccination to her. With more information, Silvia agreed that Karla should be vaccinated.

“I was very proud to receive my first vaccine and my vaccination card,” Karla says.

Now, with her three children, Carla never misses the “Jornada de Vacunación del Poder Ciudadano”, organized by the Nicaraguan Ministry of Health and supported annually by WHO / PAHO, to vaccinate the community in hard-to-reach areas.


A group of people on a ship in Xiloa Laguna, Nicaragua

Karla and her family have to get to the Xiloá Health Center by boat from Lagoon Xiloá.

WHO / S Mey-Schmidt

Today, Karla will take her 2-month-old daughter, Franeichy, to receive WHO-recommended vaccines at the Xiloá Health Center. 18:00 is Karla and she wakes up to make breakfast, bathe her children and dress them for a special occasion. Karla and her entire family leave the house at 8:30 a.m. and walk to Lagoon Xiloá, where a 10-minute boat ride to Xiloá sails them.


A nurse stuck a T-shirt in her Los Brasiles apartment in Nicaragua

Maritza Elena Pallaviccini Cruz (51), Registered Nurse from Los Brasiles, Nicaragua

WHO / S. Mey-Schmidt

A few hours before Karl’s family wakes up, Maritza nurse Elena Pallaviccini Cruz, 51, prepares at home for the “Jornada de Vacunación” in Los Brasiles, Nicaragua – an hour’s drive from a health center in Xiloi. After knowing two children who were paralyzed by polio when she was a child, Maritza decided she wanted to be a nurse. That was over 30 years ago.

“It is my wish that no child in my country dies of an immunizable disease,” she says.


A nurse walking past Lake Xolotlan in Nicaragua with a horse with a vehicle with two people on it

Maritza Elena Pallaviccini Cruz walks around Lake Xolotlán on her way to the health center.

WHO / S. Mey-Schmidt

Traveling to Nurse Maritzi is not easy. He leaves the house at 7 am and takes the bus. After the bus, she takes a motorcycle taxi and walks a little longer. Sometimes, if she is lucky, she gets a carriage ride from community members, which saves her time. The last part of the trip involves a walk along the shore of Lake Xolotlán before finally reaching the health center at 8:00.


A group of health workers were putting up a banner in Nicaragua

Healthcare professionals are preparing for the Jornada de Vacunación.

WHO / S. Mey-Schmidt


Health workers and “brigadists” are preparing for the Jornada de Vacunación. A large balloon and balloons hang on the fence of the Health Center, chairs and tents are set up, and the DJ plays exciting music to get the attention of the community. Piñata was even hung from a tree so children could have fun while waiting for immunization.


A sister who spoke to a mother in Nicaragua with a baby in her lap, awaiting vaccination

Franeichy seems to be vaccinated.

WHO / S. Mey-Schmidt

After arriving at the health center at about 9am, Karla and her family wait under a tent with other members of the community. When it is their turn, they enter the health center and meet with Maritz, who has already set up a vaccination station.


The nurse threw the vaccine into the girl's mouth while holding her mother

Franeichy receives four vaccines.

WHO / S. Mey-Schmidt

Maritza provides four vaccines – inactivated polio vaccine (IPV), rotavirus, pentavalent and pneumococcus (PCV13) – which protect against 8 different diseases.


The nurse hands over a vaccination card to a mother who holds her young girlfriend in Nicaragua

Franeichy receives his vaccination.

WHO / S. Mey-Schmidt

After Franeichy’s vaccination, she reminds Karl to bring her back for the next round of vaccines and give her Franeichy’s first vaccination card.

“I always vaccinate my children since I was a baby because I love them and I know vaccines save lives,” Karla says.


The nurse injects the vaccine into the shoulder of an elderly woman, in Nicaragua

Grandmother Silvia also received the vaccines before going home.

WHO / S. Mey-Schmidt

Before the family can head home, Maritza stops Sylvia and asks her if she’s up-to-date on her vaccines. She quietly answers “no,” but agrees to be vaccinated. She is receiving a tetanus and diphtheria vaccine. While Silvia didn’t believe in vaccines originally, she “changed her mind about the love she has for her grandchildren,” Karla says. “Today she knows how important vaccination is to prevent several diseases.”


A group of health professionals posing in Nicaragua

Brigadians at local health centers across Nicaragua are an integral part of conducting a major immunization campaign in the country.

WHO / S. Mey-Schmidt

In Nicaragua, anyone can receive immunization services throughout the year for free at local health centers, but the Department of Health is launching a major campaign, the Jornada Nacional de Vacunación del Poder Ciudadano, in April each year as part of Vaccination Week in America. This year, WHO Region of America (PAHO) is celebrating its 16th week of vaccination in America. To date, more than 720 million people have been vaccinated as part of their annual campaign.

Whether you are young or old, immunization makes the world a healthier place for everyone, now and in the future.

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