Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study

Abstract Background In Indonesia, oral rotavirus vaccines are available but not funded on the National Immunization Program (NIP). New immunization program introduction requires an assessment of community acceptance. For religiously observant Muslims in Indonesia, vaccine acceptance is further compl...

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Main Authors: Retna Siwi Padmawati, Anita Heywood, Mei Neni Sitaresmi, Jarir Atthobari, C. Raina MacIntyre, Yati Soenarto, Holly Seale
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-6706-4
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author Retna Siwi Padmawati
Anita Heywood
Mei Neni Sitaresmi
Jarir Atthobari
C. Raina MacIntyre
Yati Soenarto
Holly Seale
author_facet Retna Siwi Padmawati
Anita Heywood
Mei Neni Sitaresmi
Jarir Atthobari
C. Raina MacIntyre
Yati Soenarto
Holly Seale
author_sort Retna Siwi Padmawati
collection DOAJ
description Abstract Background In Indonesia, oral rotavirus vaccines are available but not funded on the National Immunization Program (NIP). New immunization program introduction requires an assessment of community acceptance. For religiously observant Muslims in Indonesia, vaccine acceptance is further complicated by the use of porcine trypsin during manufacturing and the absence of halal labeling. In Indonesia, religious and community leaders and the Majelis Ulama Indonesia (MUI) are important resources for many religiously observant Muslims in decisions regarding the use of medicines, including vaccines. This study aimed to explore the views of religious and community leaders regarding the rotavirus vaccine to inform future communication strategies. Methods Twenty semi-structured in-depth interviews were undertaken with religious leaders and community representatives from two districts of Yogyakarta Province, Indonesia. Thematic analysis was undertaken. Results Although there was recognition childhood diarrhoea can be severe and a vaccine was needed, few were aware of the vaccine. Participants believed a halal label was required for community acceptance, and maintenance of trust in their government and leaders. Participants considered themselves to be key players in promoting the vaccine to the community post-labeling. Conclusions This study highlights the need for better stakeholder engagement prior to vaccine availability and the potentially important role of religious and community leaders in rotavirus vaccine acceptability in the majority Muslim community of Yogyakarta, Indonesia. These findings will assist with the development of strategies for new vaccine introduction in Indonesia.
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spelling doaj.art-29a8c1cc8e8d4d72b91ff8ad95af25c62022-12-22T01:58:54ZengBMCBMC Public Health1471-24582019-04-011911610.1186/s12889-019-6706-4Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative studyRetna Siwi Padmawati0Anita Heywood1Mei Neni Sitaresmi2Jarir Atthobari3C. Raina MacIntyre4Yati Soenarto5Holly Seale6Faculty of Medicine, Universitas Gadjah Mada (UGM)School of Public Health and Community Medicine, UNSW Medicine, University of New South WalesFaculty of Medicine, Universitas Gadjah Mada (UGM)Faculty of Medicine, Universitas Gadjah Mada (UGM)School of Public Health and Community Medicine, UNSW Medicine, University of New South WalesFaculty of Medicine, Universitas Gadjah Mada (UGM)School of Public Health and Community Medicine, UNSW Medicine, University of New South WalesAbstract Background In Indonesia, oral rotavirus vaccines are available but not funded on the National Immunization Program (NIP). New immunization program introduction requires an assessment of community acceptance. For religiously observant Muslims in Indonesia, vaccine acceptance is further complicated by the use of porcine trypsin during manufacturing and the absence of halal labeling. In Indonesia, religious and community leaders and the Majelis Ulama Indonesia (MUI) are important resources for many religiously observant Muslims in decisions regarding the use of medicines, including vaccines. This study aimed to explore the views of religious and community leaders regarding the rotavirus vaccine to inform future communication strategies. Methods Twenty semi-structured in-depth interviews were undertaken with religious leaders and community representatives from two districts of Yogyakarta Province, Indonesia. Thematic analysis was undertaken. Results Although there was recognition childhood diarrhoea can be severe and a vaccine was needed, few were aware of the vaccine. Participants believed a halal label was required for community acceptance, and maintenance of trust in their government and leaders. Participants considered themselves to be key players in promoting the vaccine to the community post-labeling. Conclusions This study highlights the need for better stakeholder engagement prior to vaccine availability and the potentially important role of religious and community leaders in rotavirus vaccine acceptability in the majority Muslim community of Yogyakarta, Indonesia. These findings will assist with the development of strategies for new vaccine introduction in Indonesia.http://link.springer.com/article/10.1186/s12889-019-6706-4RotavirusRotavirus vaccineImmunizationAcceptanceReligiousIslam
spellingShingle Retna Siwi Padmawati
Anita Heywood
Mei Neni Sitaresmi
Jarir Atthobari
C. Raina MacIntyre
Yati Soenarto
Holly Seale
Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
BMC Public Health
Rotavirus
Rotavirus vaccine
Immunization
Acceptance
Religious
Islam
title Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
title_full Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
title_fullStr Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
title_full_unstemmed Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
title_short Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
title_sort religious and community leaders acceptance of rotavirus vaccine introduction in yogyakarta indonesia a qualitative study
topic Rotavirus
Rotavirus vaccine
Immunization
Acceptance
Religious
Islam
url http://link.springer.com/article/10.1186/s12889-019-6706-4
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