<status value="draft"/> <experimental value="false"/> <date value="2026-08-07T08:41:18-04:00"/> <publisher value="UNICEF"/> <contact> <name value="UNICEF"/> <telecom> <system value="url"/> <value value="https://www.unicef.org"/> </telecom> </contact> <description value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <caseSensitive value="true"/> <content value="complete"/> <count value="7"/> <concept> <code value="safety-concern"/> <display value="Safety concern / fear of adverse events"/> <definition value="Fear of AEFI or medicine side effects."/> </concept> <concept> <code value="religious-objection"/> <display value="Religious or cultural objection"/> <definition value="Belief-based objection."/> </concept> <concept> <code value="no-felt-need"/> <display value="No felt need"/> <definition value="Does not consider the intervention necessary (e.g. child already vaccinated, not at risk)."/> </concept> <concept> <code value="campaign-fatigue"/> <display value="Campaign fatigue"/> <definition value="Too many rounds; declines further participation."/> </concept> <concept> <code value="misinformation"/> <display value="Misinformation / rumor"/> <definition value="Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap)."/> </concept> <concept> <code value="not-decision-maker"/> <display value="Not the decision-maker"/> <definition value="The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis §Aggregate #4)."/> </concept> <concept> <code value="other"/> <display value="Other"/> <definition value="Other reason — record detail in text."/> </concept> </CodeSystem>

Generated Narrative: CodeSystem icr-noncompliance-reason-cs

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

Code	Display	Definition
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.