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BMC Public Health. 2018 Mar 6;18(1):324. doi: 10.1186/s12889-018-5244-9.
Community perception regarding childhood vaccinations and its implications for effectiveness: a qualitative study in rural Burkina Faso.
Excerpt below; full text is at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840732/
RESULTS:
There was better social mobilization in the rural areas as compared to the urban area. Most mothers know the Expanded Program of Immunization (EPI) target diseases, and the importance to immunize their children. However, the great majority of informants reported that mothers dont know the vaccination schedule. There is awareness that some children are incompletely vaccinated. Mentioned reasons for that were migration, mothers being busy with their work, the practice of not opening vaccine vials unless a critical number of children are present, poor interaction between women and health workers during immunization sessions, potential adverse events associated with vaccination, geographic inaccessibility during rainy season, and lack of information.
CONCLUSIONS:
Well organized vaccination programs are a key factor to improve child health and there is a clear need to consider community perceptions on program performance. In Burkina Faso, a number of factors have been identified which need attention by the EPI managers for further improvement of program effectiveness.