ArticleBMJ global health2021
Scared, powerless, insulted and embarrassed: hesitancy towards vaccines among caregivers in Cavite Province, the Philippines.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review.Frontiers in pediatrics · 2022Pooled it
- Human-centred design bolsters vaccine confidence in the Philippines: results of a randomised controlled trial.BMJ global health · 2023Trial
- Coverage and social and behavioural drivers of routine childhood immunisation in selected regions in the Philippines: a cross-sectional study.BMJ global health · 2025Article
- Vaccine equity implementation: exploring factors influencing COVID-19 vaccine delivery in the Philippines from an equity lens.BMC public health · 2024Article
- Messy but worth it: human-centred design as applied within a successful vaccine-promotive campaign.BMJ global health · 2024Article
- Attitudes toward dementia and cognitive aging among Syrian refugees resettled in Jordan: a qualitative study.BMC public health · 2023Article
- Article
- Determinants of COVID-19 vaccination decision among Filipino adults.BMC public health · 2023Article
- Achieving the IA2030 Coverage and Equity Goals through a Renewed Focus on Urban Immunization.Vaccines · 2023Review
- Article
- Prevalence and Determinants of COVID-19 Vaccine Acceptance in South East Asia: A Systematic Review and Meta-Analysis of 1,166,275 Respondents.Tropical medicine and infectious disease · 2022Review
- Bargaining and gendered authority: a framework to understand household decision-making about childhood vaccines in the Philippines.BMJ global health · 2022Article
- The Psychological Experience of COVID-19 Vaccination and Its Impact on the Willingness to Receive Booster Vaccines among the Chinese Population: Evidence from a National Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- COVID-19 vaccine brand hesitancy and other challenges to vaccination in the Philippines.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have highlighted that vaccine hesitancy (VH) is among the most important threats to global health, especially in low- and middle-income countries, including the Philippines. However, there is a dearth of literature exploring family experiences of-or concerns related to-childhood vaccinations that gives voice to vaccine hesitant caregivers (VHCs) of small children. Here, we present insights from VHCs from the Philippines.
methodsThis research draws on in-depth interviews (IDIs) with 44 VHCs who had previously delayed or refused vaccination for their children in rural and urban communities in Cavite Province, the Philippines. Amid the COVID-19 pandemic, we conducted IDIs via an online platform of the respondents' choosing (ie, Facebook messenger call, Skype and Zoom). All interviews were recorded, transcribed, translated and analysed drawing from the tenets of constructivist grounded theory. We use the social ecological model to structure our results.
resultsAmong the reasons for delay or refusal of childhood vaccinations, a fear of side effects emerged as the most salient concern, exacerbated by previous negative experiences (including trauma) from a dengue vaccine controversy in 2017. Respondents cited the dengue vaccine controversy as they expressed reluctance (regarding any new vaccines) and suspicion (towards school-based vaccination, the distribution channel used for the dengue vaccine). Heads of households opposing vaccines, perceptions that vaccines are non-essential and influences from the social and traditional media or neighbours contributed to further refusal and delay. Upon probing, VHCs recounted health system concerns particularly with regards to healthcare workers who are sometimes unable to answer their questions and can be dismissive or disrespectful regarding caregivers' concerns.
conclusionUnderstanding VH from the lens of VHCs highlights pathways for interventions to regain trust and bolster confidence towards vaccines. Our findings may serve as linchpins in the development of VH interventions aiming at changing behaviour on a population scale.
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