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Caregivers' perceptions on routine childhood vaccination: A qualitative study on vaccine hesitancy in a South Brazil state capital.
de Souza Amorim Matos, Camila Carvalho; Couto, Marcia Thereza; Oduwole, Elizabeth O; Shey Wiysonge, Charles.
Afiliación
  • de Souza Amorim Matos CC; Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil.
  • Couto MT; Departamento de Ciências da Saúde, Universidade Federal de Santa Catarina, Araranguá, Brazil.
  • Oduwole EO; Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil.
  • Shey Wiysonge C; Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
Hum Vaccin Immunother ; 20(1): 2298562, 2024 Dec 31.
Article en En | MEDLINE | ID: mdl-38196242
ABSTRACT
Immunization programs worldwide have been facing challenges in keeping vaccination coverage high. Even though universally known for its robust National Immunization Program, Brazil has also faced significant challenges regarding vaccination coverage. One of the reasons for this is vaccine hesitancy, a complex, multi-causal, and context-specific phenomenon. This qualitative study aims to understand the factors associated with decision-making and the drivers of vaccine hesitancy in Florianopolis, Santa Catarina state capital, regarding caregivers' perceptions of routine childhood vaccination. In-depth interviews were conducted in the Capital city of Santa Catarina State. Families with children up to 6 years old were included. Data were analyzed based on thematic content analysis. Twenty-nine caregivers in 18 families were interviewed. These caregivers were mainly mothers and fathers. Three themes emerged 1. Access to information and the decision-making process, where we discuss the role of social circles, healthcare workers, and the internet; 2. Individual-institutions power relationships Perceptions about the State's role and the Health institutions 3. Reasons and motivations The senses and meanings behind non-vaccination, where we discuss the drivers of vaccine hesitancy related to risk perception, caregivers' opinions on the medical-pharmaceutical industry, vaccines' composition and their side effects, families' lifestyles and worldviews, and the childhood routine vaccination schedule. The results of this study reaffirm the complexity of the decision-making process in childhood vaccination and further enable a better contextual understanding of the complex and challenging phenomenon of vaccine hesitancy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores / Vacilación a la Vacunación Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Child / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Hum Vaccin Immunother Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores / Vacilación a la Vacunación Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Child / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Hum Vaccin Immunother Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos