Some members of the religious objector communities have called for the development of mandatory immunization and public health responses that protect the rights of women and children, a 2011 UNICEF report revealed. 
 
According to the survey “Apostolic Religion, Health and Utilization of Maternal and Child Health Services in Zimbabwe,” the key informants lamented the low uptake of modern health services and poor immunization coverage among Johanne Marange, Madhidha and conservative segments of Johanne Masowe sects. The Vapostori beliefs had disastrous consequences for women and children and often resulted in avoidable deaths among these groups.
 
A school teacher with the experience on the Madhidha group said vaccination should be made compulsory. “Vaccination and use of professionally-assisted maternal services should be mandatory, as we have experienced lots of child deaths in our communities from preventable diseases. The Madhidha sect has a high mortality rate because they sometimes get away with their anti-vaccination stance.” 
 
District Health Promotion Practitioner of the Ministry of Health and Child Welfare, who is also quoted in the report, said, “We are saying it must be mandatory regardless of religion because the seven killer diseases are the major causes of mortality and morbidity. Hence the reason to make use of Maternal and Child Health services ismandatory.”
 
Health officials say hundreds of children have died in recent years after their parents refused to have them immunised, citing strict religious beliefs. Measles have been the biggest killer. Some members of the Apostolic churches shun most forms of Western medicine in the belief that it diminishes their supernatural powers.