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