{
  "resourceType" : "CodeSystem",
  "id" : "icr-noncompliance-reason-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-noncompliance-reason-cs</b></p><a name=\"icr-noncompliance-reason-cs\"> </a><a name=\"hcicr-noncompliance-reason-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">safety-concern<a name=\"icr-noncompliance-reason-cs-safety-concern\"> </a></td><td>Safety concern / fear of adverse events</td><td>Fear of AEFI or medicine side effects.</td></tr><tr><td style=\"white-space:nowrap\">religious-objection<a name=\"icr-noncompliance-reason-cs-religious-objection\"> </a></td><td>Religious or cultural objection</td><td>Belief-based objection.</td></tr><tr><td style=\"white-space:nowrap\">no-felt-need<a name=\"icr-noncompliance-reason-cs-no-felt-need\"> </a></td><td>No felt need</td><td>Does not consider the intervention necessary (e.g. child already vaccinated, not at risk).</td></tr><tr><td style=\"white-space:nowrap\">campaign-fatigue<a name=\"icr-noncompliance-reason-cs-campaign-fatigue\"> </a></td><td>Campaign fatigue</td><td>Too many rounds; declines further participation.</td></tr><tr><td style=\"white-space:nowrap\">misinformation<a name=\"icr-noncompliance-reason-cs-misinformation\"> </a></td><td>Misinformation / rumor</td><td>Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap).</td></tr><tr><td style=\"white-space:nowrap\">not-decision-maker<a name=\"icr-noncompliance-reason-cs-not-decision-maker\"> </a></td><td>Not the decision-maker</td><td>The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis §Aggregate #4).</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"icr-noncompliance-reason-cs-other\"> </a></td><td>Other</td><td>Other reason — record detail in text.</td></tr></table></div>"
  },
  "url" : "https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs",
  "version" : "0.1.0",
  "name" : "ICRNoncomplianceReasonCS",
  "title" : "ICR Refusal Reason",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-08-07T08:41:18-04:00",
  "publisher" : "UNICEF",
  "contact" : [{
    "name" : "UNICEF",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.unicef.org"
    }]
  }],
  "description" : "Why a household or caregiver refused the intervention (WHO IDHC: 'intervention refusal'; ESPEN forms say noncompliance) — drives social-mobilization targeting and mop-up planning.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 7,
  "concept" : [{
    "code" : "safety-concern",
    "display" : "Safety concern / fear of adverse events",
    "definition" : "Fear of AEFI or medicine side effects."
  },
  {
    "code" : "religious-objection",
    "display" : "Religious or cultural objection",
    "definition" : "Belief-based objection."
  },
  {
    "code" : "no-felt-need",
    "display" : "No felt need",
    "definition" : "Does not consider the intervention necessary (e.g. child already vaccinated, not at risk)."
  },
  {
    "code" : "campaign-fatigue",
    "display" : "Campaign fatigue",
    "definition" : "Too many rounds; declines further participation."
  },
  {
    "code" : "misinformation",
    "display" : "Misinformation / rumor",
    "definition" : "Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap)."
  },
  {
    "code" : "not-decision-maker",
    "display" : "Not the decision-maker",
    "definition" : "The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis §Aggregate #4)."
  },
  {
    "code" : "other",
    "display" : "Other",
    "definition" : "Other reason — record detail in text."
  }]
}