Table 2.

meta-inferred joint display of qualitative and quantitative data

Meta-inference (integrated finding)	Supporting quantitative evidence	Supporting qualitative evidence	Implications for intervention
1. High vaccine willingness exists alongside major access barriers, creating a critical implementation gap.	Overall vaccine willingness: 98.1%. Willingness among parents of zero-dose children: 89.7%.	Dominant themes of stockouts ("if the mami them cam then vaccine no be available"), long distances, transportation costs, and insecurity ("Amba di always parade those areas").	Shift focus from demand creation to reliable service delivery. Prioritize mobile clinics, supply chain resilience, and flexible scheduling to overcome physical and security barriers.
2. Low parental confidence (self-efficacy) is a key risk factor, driven by logistical obstacles, not just attitude.	Lower self-efficacy/confidence significantly associated with zero-dose status (aOR=0.50 for high confidence).	Parents expressed feeling unable to vaccinate due to unpredictable vaccine availability, cost of travel, and clinic closures, undermining their perceived ability to act.	Boost self-efficacy by making vaccination predictable and easy. Implement community-based delivery, fixed advance schedules, and remove point-of-care costs.
3. Misinformation undermines the perceived benefit and value of vaccination.	Disagreement that "vaccines are a major advancement for humanity" strongly associated with zero-dose status (aOR=2.35).	Prevalent narratives of vaccines as tools for "population control," "infertility," or being "fake" (e.g., "government want eliminate male children").	Counter misinformation by co-opting trusted community channels. Engage chiefs, pastors, and local health workers as credible messengers for benefit-focused education.
4. Community leaders are pivotal, trusted facilitators for health decisions.	Not a direct quantitative measure, but aligns with high willingness influenced by external cues.	Consistent identification of chiefs, quarter heads, and religious leaders as the most influential figures for mobilizing compliance and building trust.	Formally integrate and train community leaders as vaccine advocates. Empower them to lead mobilization, disseminate correct information, and legitimize outreach efforts.
5. Perceived severity of diseases is a weaker motivator compared to tangible access and benefit perceptions.	Perceived low disease seriousness was only marginally associated with zero-dose status (p=0.079).	While disease severity was acknowledged, discussions focused overwhelmingly on immediate practical barriers and fears about vaccine safety/intent.	Emphasize practical benefits and safety in messaging. Move beyond fear-based communication about diseases to highlight vaccination as a feasible, positive community norm.