Integrated Campaign Registry (ICR) Implementation Guide
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CodeSystem: ICR Refusal Reason

Official URL: https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs Version: 0.1.0
Draft as of 2026-08-07 Computable Name: ICRNoncomplianceReasonCS

Why a household or caregiver refused the intervention (WHO IDHC: 'intervention refusal'; ESPEN forms say noncompliance) — drives social-mobilization targeting and mop-up planning.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs defines the following codes:

CodeDisplayDefinition
safety-concern Safety concern / fear of adverse events Fear of AEFI or medicine side effects.
religious-objection Religious or cultural objection Belief-based objection.
no-felt-need No felt need Does not consider the intervention necessary (e.g. child already vaccinated, not at risk).
campaign-fatigue Campaign fatigue Too many rounds; declines further participation.
misinformation Misinformation / rumor Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap).
not-decision-maker Not the decision-maker The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis §Aggregate #4).
other Other Other reason — record detail in text.