Patterns of vaccination acceptance
Section snippets
Variations in contexts
In many countries, vaccinations have become integrated into the regular health services. The same staff are involved in curative and preventive health care, and contacts between health workers and patients usually include a range of activities. Vaccinations are also organized as “vertical” programmes with their own staff and resources. These two variants can be called routine vaccination and campaign vaccination. In a third approach, a specific vaccination campaign may be conducted side by side
Vaccination acceptance and non-acceptance
The vaccination status of cohorts of children in specified areas or groups is expressed as a coverage rate or ratio, with the number of vaccinated children as the numerator and the total number of children as the denominator. The indicative value is questionable, since in many countries births are not registered and consequently the denominator has to be estimated. Moreover, due to vaccination registration problems the accuracy and/or reliability of the numerator can also be doubtful. This was
Explanatory perspectives
An explanatory framework for understanding vaccination acceptance requires linkages to theoretical perspectives. These perspectives also illuminate the representations of vaccination acceptance in the discourses of various immunization programme stakeholders—vaccinologists, policy makers, programme managers, vaccinators. No single explanation pertains to all the different patterns of acceptance. Encouraged by a promotive regime, young mothers might follow the practice they see around them and
Conclusion
As a major global preventive disease control strategy, immunization requires considerable efforts involving new vaccines and delivery mechanisms, vaccine production and procurement, programmatic planning, and securing financial support. For the strategy to be effective in the long run, parents must continue to bring their children in for vaccination.
Using results from research carried out in Bangladesh, India, The Philippine, Ethiopia, Malawi and The Netherlands in the framework of the Social
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