Examining enablers of vaccine hesitancy toward routine childhood and adolescent vaccination in Malawi  

作　　者：Gbadebo Collins Adeyanju Cornelia Betsch Abdu AAdamu Khadijah Sanusi Gumbi Michael GHead Aristide Aplogan Haoua Tall Tene-Alima Essoh 

机构地区：[1]Media and Communication Science,University of Erfurt,Erfurt,Germany [2]Center for Empirical Research in Economics and Behavioural Science(CEREB),University of Erfurt,Erfurt,Germany [3]Bernard Nocht Institute of Tropical Medicine(BNITM),Hamburg,Germany [4]Cochrane South Africa,South African Medical Research Council,Cape Town,South Africa [5]Division of Epidemiology and Biostatistics,Department of Global Health,Faculty of Medicine and Health Sciences,Stellenbosch University,Cape Town,South Africa [6]Ahmadu Bello University,Zaria,Kaduna,Nigeria [7]Clinical Informatics Research Unit,Faculty of Medicine,University of Southampton,Southampton,UK [8]Agence de Médecine Préventive,Regional Directorate for Africa,Abidjan,Côte d’Ivoire

出　　处：《Global Health Research and Policy》2022年第1期232-241,共10页全球健康研究与政策（英文）

基　　金：supported by an unconditional educational grant from Merck Sharp and Dohme(MSD)through the Agence de Médecine Préventive(AMP)Afrique。

摘　　要：Background:The contribution of vaccination to global public health and community wellbeing has been described as one of the greatest success stories of modern medicine.However,13.5 million children still miss at least one of their routine vaccinations,and this contributes to about 1.5 million deaths from vaccine-preventable diseases.One of the contributing factors has been associated with vaccine hesitancy.Vaccine hesitancy is the delay or refusal of vaccines despite their availability.The study explored factors from multiple perspectives that influence hesitancy among caregivers of children and adolescent girls eligible for childhood routine immunisation and the Human Papillomavirus vaccine in Malawi.Methods:The methodology used was qualitative such as key informant interviews and focus-group discussion.Information was obtained from caregivers,community and religious leaders,leaders of civil society groups,teachers in schools where Human Papillomavirus vaccine were piloted,healthcare workers,national and district-level officials of the expanded program on immunisation.There were 25 key informant interviews and two focus-group discussions,with 13 participants.The study was conducted between April to May 2020.The Interviews and discussions were audio-recorded,transcribed,and analysed using a thematic content approach.Results:Most vaccine-hesitancy drivers for routine immunisation were also relevant for the HPV vaccine.The drivers included inadequate awareness of the vaccination schedule,rumours and conspiracy theories exacerbated by religious beliefs,low literacy levels of caregivers,distance and transport to the vaccination clinic,gender role and a disconnect between community healthcare workers and community leaders.Conclusions:The study demonstrated that a network of factors determines vaccine hesitancy for childhood Routine Immunisation and Human Papillomavirus,and some of them are interrelated with one another.This has implications both for current levels of vaccine acceptance and the introduction of any new

关 键 词：HPV Malawi Routine immunisation VACCINATION Vaccine hesitancy Vaccine uptake CHILDHOOD ADOLESCENT 

分 类 号：R73[医药卫生—肿瘤]