Vaccination reminder |
Information content |
Information about MACV and MCV2 |
Vaccination benefits |
Healthcare workers |
Information sources |
Community health workers |
Mass media (TV, radio) |
Other caregivers |
Traditional and religious leaders |
Town criers |
Awareness of vaccine schedule |
Awareness |
Motivations to seek MACV for the child |
Awareness of ‘no-cost’ for vaccines |
Trust in healthcare workers |
Trusted messengers |
Distrust in healthcare workers |
Other caregivers in the community |
Severity of meningitis |
Perceived benefits |
No more meningitis cases |
Protection against meningitis |
Failure to make vaccines available |
Unavailability or withholding of vaccines |
Barriers to the uptake of MACV and MCV2 |
Fear of wastage |
Multiple trips to health facilities |
Inability to pay at private clinics |
Not knowing importance of the 15–18-month visit |
Knowledge gaps |
Difficult technical information |
Not knowing the vaccine schedule |
Lack of time to travel |
Practical constraints |
Long wait time at healthcare center |
Inclement weather |
Harvest season |
Unpleasant experiences with healthcare workers |
Past negative experiences |
Shaming women who missed visits |
Stigmatization of farming women |
Sociocultural influences |
Stigma for not birth spacing |
No need for MACV if other vaccines received |
Misinformation |
No need for repeat visit at 15 months |
Healthy children don’t need vaccines |
Vaccines paralyze, sterile, or kill children |