| 1. Issues with harmful effects of vaccination |
| a. Concerns that immuno-compromising |
| b. Concerns that causes diseases / general harm / adverse effects |
| c. Concerns that is harmful if the child is sick |
| d. Concerns with side-effects of vaccination (including pain) |
| e. Parents remember their own or other adverse experiences |
| f. Exposed to pathogens in clinics |
| g. Fear of needles |
| h. Vaccines are provided at too young age / too many vaccines and doses |
| 2. Issues of mistrust with vaccination programmes/services |
| a. Rumours / mistrust of medical community |
| b. Lack of confidence in vaccines effectiveness |
| c. Religious reasons |
| d. Not enough information to make the decision |
| 3. Health system issues |
| a. Concern with costs / access to the health facility |
| b. Concern with time / working hours of services |
| c. Health staff are unpleasant / untrained |
| d. Concern with not being able to get vaccination |
| e. Concern with quality of the vaccines |
| 4. Other issues |
