“Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines
Abstract Background Despite the instrumental role of vaccines, public confidence is declining, and anti‐vaccine movements have increased worldwide. With the goal of informing policy decisions and the development of interventions, we explore the concerns and challenges related to vaccine uptake (of c...
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| Format: | Article |
| Language: | English |
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Wiley
2023-09-01
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| Series: | Public Health Challenges |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/puh2.105 |
| _version_ | 1797672280905482240 |
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| author | Mark Donald C. Reñosa Vivienne Endoma Johanna Beulah Sornillo Thea Andrea Bravo Jhoys Landicho‐Guevarra Mila Aligato Jeniffer Landicho Bianca Joyce Sornillo Maria Paz Demonteverde Catherine Silvestre Carol Malacad Lourdes Pambid Jimena Llopis Cecilia Francisco Marianette T. Inobaya |
| author_facet | Mark Donald C. Reñosa Vivienne Endoma Johanna Beulah Sornillo Thea Andrea Bravo Jhoys Landicho‐Guevarra Mila Aligato Jeniffer Landicho Bianca Joyce Sornillo Maria Paz Demonteverde Catherine Silvestre Carol Malacad Lourdes Pambid Jimena Llopis Cecilia Francisco Marianette T. Inobaya |
| author_sort | Mark Donald C. Reñosa |
| collection | DOAJ |
| description | Abstract Background Despite the instrumental role of vaccines, public confidence is declining, and anti‐vaccine movements have increased worldwide. With the goal of informing policy decisions and the development of interventions, we explore the concerns and challenges related to vaccine uptake (of childhood, maternal, and COVID‐19 vaccines) among parents or caregivers of under‐two children and pregnant women in urban and rural communities in the Philippines. Methods Between May and June 2022, we conducted combined in‐person and online interviews with purposively selected caregivers and pregnant women in the Calabarzon region (Naic, Cavite and Tanay, Rizal), and National Capital Region (Pasay and Muntinlupa Cities), Philippines. A total of 43 interviews were completed, audio‐recorded, transcribed, and analyzed according to the tenets of hermeneutic phenomenology. Results Our results, grounded on the social ecological model, underlined the interplays of contextual or logistical challenges on vaccine uptake, respondents’ overarching concerns about vaccines, and their informational needs that affected their vaccine decision‐making. Respondents described that the long‐established maternal and childhood vaccines no longer represent a high‐risk concern but highlighted their fears and hesitancy particularly to newer vaccines. Conclusion Our findings underscore the multilayered challenges in vaccine decision‐making among caregivers and pregnant women. The volatility of vaccine decision‐making necessitates rethinking the current immunization process, recalibrating the health workforce, and reinvigorating the health information delivery channels for more inclusive and responsive health care. |
| first_indexed | 2024-03-11T21:27:39Z |
| format | Article |
| id | doaj.art-392447fa2ea44b639949414586ff78a6 |
| institution | Directory Open Access Journal |
| issn | 2769-2450 |
| language | English |
| last_indexed | 2024-03-11T21:27:39Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Public Health Challenges |
| spelling | doaj.art-392447fa2ea44b639949414586ff78a62023-09-27T16:42:32ZengWileyPublic Health Challenges2769-24502023-09-0123n/an/a10.1002/puh2.105“Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the PhilippinesMark Donald C. Reñosa0Vivienne Endoma1Johanna Beulah Sornillo2Thea Andrea Bravo3Jhoys Landicho‐Guevarra4Mila Aligato5Jeniffer Landicho6Bianca Joyce Sornillo7Maria Paz Demonteverde8Catherine Silvestre9Carol Malacad10Lourdes Pambid11Jimena Llopis12Cecilia Francisco13Marianette T. Inobaya14Department of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesSave the Children PhilippinesQuezon CityPhilippinesCenter for Utilizing Behavioral Insights for Children Save the Children International MelbourneAustraliaSave the Children PhilippinesQuezon CityPhilippinesDepartment of Epidemiology and BiostatisticsResearch Institute for Tropical Medicine – Department of HealthMuntinlupaPhilippinesAbstract Background Despite the instrumental role of vaccines, public confidence is declining, and anti‐vaccine movements have increased worldwide. With the goal of informing policy decisions and the development of interventions, we explore the concerns and challenges related to vaccine uptake (of childhood, maternal, and COVID‐19 vaccines) among parents or caregivers of under‐two children and pregnant women in urban and rural communities in the Philippines. Methods Between May and June 2022, we conducted combined in‐person and online interviews with purposively selected caregivers and pregnant women in the Calabarzon region (Naic, Cavite and Tanay, Rizal), and National Capital Region (Pasay and Muntinlupa Cities), Philippines. A total of 43 interviews were completed, audio‐recorded, transcribed, and analyzed according to the tenets of hermeneutic phenomenology. Results Our results, grounded on the social ecological model, underlined the interplays of contextual or logistical challenges on vaccine uptake, respondents’ overarching concerns about vaccines, and their informational needs that affected their vaccine decision‐making. Respondents described that the long‐established maternal and childhood vaccines no longer represent a high‐risk concern but highlighted their fears and hesitancy particularly to newer vaccines. Conclusion Our findings underscore the multilayered challenges in vaccine decision‐making among caregivers and pregnant women. The volatility of vaccine decision‐making necessitates rethinking the current immunization process, recalibrating the health workforce, and reinvigorating the health information delivery channels for more inclusive and responsive health care.https://doi.org/10.1002/puh2.105health policyhealth system, Philippinesimmunizationpolicymakersvaccine hesitancyvaccines |
| spellingShingle | Mark Donald C. Reñosa Vivienne Endoma Johanna Beulah Sornillo Thea Andrea Bravo Jhoys Landicho‐Guevarra Mila Aligato Jeniffer Landicho Bianca Joyce Sornillo Maria Paz Demonteverde Catherine Silvestre Carol Malacad Lourdes Pambid Jimena Llopis Cecilia Francisco Marianette T. Inobaya “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines Public Health Challenges health policy health system, Philippines immunization policymakers vaccine hesitancy vaccines |
| title | “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines |
| title_full | “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines |
| title_fullStr | “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines |
| title_full_unstemmed | “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines |
| title_short | “Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines |
| title_sort | respect my opinion and i ll respect yours exploring the challenges concerns and informational needs of vaccine hesitant caregivers and pregnant women in the philippines |
| topic | health policy health system, Philippines immunization policymakers vaccine hesitancy vaccines |
| url | https://doi.org/10.1002/puh2.105 |
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