Table 1.

Enablers of childhood vaccination–Western Area Urban, Sierra Leone, 2018

Meaning unit	Category	Sub-themes	Theme
Responsibility to ensure full vaccination	Parental responsibility	Emotional enablers of childhood vaccination	Enablers of childhood vaccination
Obligation to do the right thing
Immunisation as a requirement
Immunisation is important for baby’s health	Wanting a ‘strong and healthy baby’
Wanting ‘strong baby’
‘Health is wealth’
Defaulting on vaccination risks baby’s life
Vaccination benefits the parent later in life	Parental anticipation of reciprocal benefit
Taking care of parents when old
Immunisation card is important	Diversity of immunisation reminders	Practical enablers of childhood vaccination
Campaign as reminder
Reminders by health workers at vaccination visit
Husband as reminder
Immunisation card as reminder
Other family member as reminder
Nurses should lead	Information access and information trust
Nurses more trusted than CHWs
Same information from different sources
Immunisation promotion through radio/tv
Immunisation promotion by health workers
Immunisation promotion through leaders
Immunisation promotion by NGOs
Mothers take the child to the clinic	Getting fathers more involved
Fathers rarely involved
Father received an award for involvement
Cordial relationship with nurses	Positive experiences with health worker
Good care by nurses
HWs encourage seeking care at HF
Giving money to health worker as token of appreciation
Husband asking about the visit	Post-vaccination information sharing
Informing husband of next visit
Telling husband about visit expenses
Immunisation is a ‘learning process’
Sharing experiences with neighbours or friends
Other family members asking about the visit

CHWs, community health workers; HF, Health facility; HWs, Health workers; NGOs, Non-governmental organisations.