Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon

Schwarz, Norbert; Gysels, Marjolein; Pell, Christopher; Gabor, Julian; Schlie, Meike; Issifou, Saadou; Lell, Bertrand; Kremsner, Peter G.; Grobusch, Martin P.; Pool, Robert

doi:10.1016/j.vaccine.2009.06.100

Cited by 35 publications

(84 citation statements)

References 24 publications

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“…In Gabon, the distance to the health centre is the most important determinant of survival for malaria patients. 20,26,27 Traditional healing was occasionally considered by patients to be cheaper and more convenient, in line with reports from other studies. 6,7 However, traditional healing sessions were also often expensive.…”

Section: Public Health Action Treatment Adherence In Gabon 331supporting

confidence: 55%

Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon

Cremers¹,

Janssen

Huson

et al. 2013

public health action

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Section: Public Health Action Treatment Adherence In Gabon 331supporting

confidence: 55%

Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon

Cremers¹,

Janssen

Huson

et al. 2013

public health action

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“…From other studies, we know that persons at the margins of their societies have more problems in accessing vaccination services. [52][53][54] Although a high rate of anticipated acceptance of a vaccine does not represent actual vaccine acceptance, it indicates a perceived need for the prevention of childhood diarrhea, and suggests little objection towards the introduction of vaccinations. No differences in vaccine acceptability were found between parents of young children and other respondents in our study.…”

Section: Discussionmentioning

confidence: 99%

Sociocultural Determinants of Anticipated Vaccine Acceptance for Acute Watery Diarrhea in Early Childhood in Katanga Province, Democratic Republic of Congo

Merten

Scheffold²,

Manianga³

et al. 2013

The American Society of Tropical Medicine and Hygiene

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Abstract. Rotavirus and oral cholera vaccines have the potential to reduce diarrhea-related child mortality in low-income settings and are recommended by the World Health Organization. Uptake of vaccination depends on community support, and is based on local priorities. This study investigates local perceptions of acute watery diarrhea in childhood and anticipated vaccine acceptance in two sites in the Democratic Republic of Congo. In 2010, 360 randomly selected non-affected adults were interviewed by using a semi-structured questionnaire. Witchcraft and breastfeeding were perceived as potential cause of acute watery diarrhea by 51% and 48% of respondents. Despite misperceptions, anticipated vaccine acceptance at no cost was 99%. The strongest predictor of anticipated vaccine acceptance if costs were assumed was the educational level of the respondents. Results suggest that the introduction of vaccines is a local priority and local (mis)perceptions of illness do not compromise vaccine acceptability if the vaccine is affordable.

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“…One mother explained during an in-depth interview in Gabon: ''Somebody, who has an outstanding debt [hospital bill] for example, if he does not have the financial means to settle the debts, he cannot come back. Some people are actually afraid to come back'' (Schwarz et al 2009). They also worried about spending some money to get to the health facility and then not being able to get the vaccine.…”

Section: Health System Issuesmentioning

confidence: 99%

“…They also worried about spending some money to get to the health facility and then not being able to get the vaccine. Frequent vaccine stock-outs lessen the confidence of parents on the health system (Schwarz et al 2009).…”

Section: Health System Issuesmentioning

confidence: 99%

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

Muñoz

Llamas

Bosch‐Capblanch

2015

Int J Public Health

109

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Objectives Concerns about vaccination lead to under-and no-vaccination. Our objective is to synthesise and expose evidence on individuals' and communities' concerns about vaccination to influence current debates on strategies to improve vaccination coverage in low-and middle-income countries. Methods Systematic literature review till February 2014, following standard methods. Published and grey literature that focused on individuals and community concerns on childhood vaccinations were selected. Results 44 quantitative, qualitative and mixed-methods studies were included. Main reported concerns referred to perceptions of vaccine harms (e.g. attribution of fatal events). Other concerns included programme distrust (mainly due to rumours and conspiracies) and health system unfriendliness. Conclusions Concerns about vaccination are widespread and further worsen the challenges related to programmatic and health system barriers to vaccination. There is a disconnection between qualitative and quantitative research which misses the opportunity to quantify what is reported in the former. Strikingly, there is a wealth of evidence on concerns but much lesser evidence on interventions to address them. We welcome World Health Organization initiative to tackle vaccine hesitancy and call for the synthesis of evidence and production of guidance on strategies to address concerns on vaccination.

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Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon

Cited by 35 publications

References 24 publications

Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon

Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon

Sociocultural Determinants of Anticipated Vaccine Acceptance for Acute Watery Diarrhea in Early Childhood in Katanga Province, Democratic Republic of Congo

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

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