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. 2019 Mar 28;14:100858. doi: 10.1016/j.pmedr.2019.100858

Table 2.

In-depth interview of the influencers (mother, father or grandparents).

Area Key observations
Knowledge about VPDs
  • Majority did not had any idea except for polio.

Strategies to prevent VPDs
  • Cleanliness

  • Healthy food, exercises and clean water

  • Proper drainage system

  • Immunization

List few important vaccines
  • Majority polio, some talked about BCG and measles

Perceptions about vaccines as a healthcare service
  • Important, prevent diseases, and makes kids healthy

  • Good for kid's health but no quick effect

  • Recommended immunization services, especially, to neighbors at least once

Major challenges with respect to vaccination services in the slum
  • Don't take it seriously vs water, food, etc.

  • Had to wait long

  • Good behavior of staff missing sometimes

  • Need education about benefits

Reasons for not vaccinating
  • No time

  • Experienced adverse event (e.g. fever, pain)

  • Not informed

  • Not important

  • Work or event in family

  • Fear

Opportunities available to improve the vaccination?
  • Weekly announcement

  • Recall message by text or by call

  • One-day prior door to door visit

  • Incentives e.g. for travel

  • Immunization session at evening or weekends

  • Clubbing immunization services with other health services

  • Award for those who completes all the vaccines on time

  • Regular community and healthcare service provider meeting

Expectations from and service providers/healthcare system?
  • Be polite

  • On time services

  • Inform and educate

  • Visit at least once per week

  • Offer other services

  • Monitor session and take feedback