Page 109 - Preventing pertussis in early infancy - Visser
P. 109
matrix, at least for the determinants of pertussis cocooning acceptance, is that our framework gives an indication of the interrelatedness of the determinants, and is thoroughly connected to psychosocial theories of behavioural change. Although vaccination acceptance differs for each target group, vaccine and setting, we expect our theoretical framework to cover a broad range of vaccination determinants and thereby to be able to measure the most important determinants of vaccination acceptance for every vaccination situation. Additionally, the constructs of decisional uncertainty and anticipated regret might be informative for the SAGE working group, and potentially eligible for inclusion in their determinants matrix.
Figure 7.2 Definition of vaccine hesitancy and vaccine hesitancy determinants matrix by the WHO SAGE Working Group on Vaccine Hesitancy
General discussion
General discussion
The SAGE Working Group on Vaccine Hesitancy defined vaccine hesitancy as follows: vaccine hesitancy refers to delay in acceptance or refusal of vaccination despite availability of vaccination services. Vaccine hesitancy is complex and context specific, varying across time, place and vaccines. It is influenced by factors such as complacency, convenience and confidence. The SAGE Working Group drafted a detailed vaccine hesitancy determinants matrix, organised around three key domains: 1) contextual influences, 2) individual and group influences, and 3) vaccine and vaccination-specific issues (WHO , Larson et al. 2014, Larson et al. 2015,
MacD D
o
d d
. .
2 2
5 5
o
.
n
n
a
a
l
e
l
e
t
a
t
a
l
0
l
0
1
) ).
1
111
107