Exploring the Prospects and Impediments of Community Dialogue for Social Change Around Immunisation Against Six Childhood Killer Diseases: A Case of Gogrial West County in South Sudan

Abstract

The research investigated the Prospects and impediments of community dialogue for effecting social change regarding immunisation against six prevalent childhood diseases in Gogrial West County, South Sudan. The study was structured around four specific objectives: comprehending the factors facilitating community dialogue in Gogrial West County, identifying the obstacles impeding community dialogue for social transformation in Gogrial West County and evaluating the communication tools and channels employed by stakeholders in community dialogue in Gogrial West County. The study relied on a desk review to accumulate pertinent data from secondary literature sources such as journals, newspapers, and articles. A sample of 50 respondents was targeted, with 49 ultimately participating, and both primary and secondary data were utilised. The findings indicated community participation enhances awareness, fosters trust, and elevates immunisation rates. The study revealed that financial constraints, gender disparities, fear of retaliation, and transportation difficulties impede community dialogue for social change. Conversely, factors discouraging participation in immunization-related dialogues encompass fear, misinformation, and a lack of confidence in healthcare providers and the healthcare system. Conclusively, the research emphasised the diverse range of communication tools and channels utilised in community dialogues in Gogrial West County, reflecting the necessity to address a broad audience. Furthermore, it was emphasised that while in-person meetings are favoured for direct engagement, it is imperative to adapt to contemporary communication preferences such as radio programs and mobile messaging. The study recommended collaboration between local authorities and non-governmental organisations (NGOs) to secure sufficient funding for community dialogues. Additionally, it suggested the requirement for resources and assistance to surmount financial and logistical challenges. This study emphasises the significance of cooperative endeavours among communities, healthcare professionals, and policymakers in overcoming obstacles and enhancing immunisation response and coverage. By prioritising community engagement and dialogue, sustainable solutions can be collaboratively developed with the community to ameliorate the impact of childhood diseases in Gogrial West County and similar regions in South Sudan.