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New Vaccine Post-Introduction Evaluation - libdoc.who.int - World ...

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2.10 Advocacy, communication and acceptance<br />

Advocacy and communication efforts are linked to community acceptance of the new<br />

vaccine. Messages and methods for their dissemination need to be tailored to the target<br />

audience.<br />

•<br />

•<br />

•<br />

•<br />

Ask about promotional launch efforts for the new vaccine, particularly at the<br />

central level.<br />

At central level, ask what steps were taken to make sure that the messages and<br />

information are both relevant to, and understood and accepted by, their target<br />

audiences. Include evidence of pre-testing of messages.<br />

Look for evidence of health information and education efforts, such as posters,<br />

flyers and brochures, and assess their accuracy and relevance to the target<br />

audience.<br />

Ask about the use of community-based information dissemination channels<br />

(e.g. community and religious leaders, outreach workers, traditional birth<br />

attendants, and other community peers).<br />

To evaluate community acceptance, <strong>int</strong>erview 2–5 parents or guardians of children <strong>who</strong><br />

have just received the new vaccine, at each clinic visited, to seek anecdotal evidence<br />

of vaccine acceptability (Appendix 2.3). Groups of caretakers can also be <strong>int</strong>erviewed.<br />

If no children have been vaccinated when the evaluator is onsite, general questions<br />

can be asked of parents to elicit knowledge and acceptance of the vaccine. Health-care<br />

workers should also be asked to describe their experience of administering an additional<br />

vaccine, as their acceptance will influence the acceptability by the caregivers.<br />

•<br />

•<br />

•<br />

Ask what injection the infant received.<br />

Ask if parents or guardians heard about the new vaccine and the disease that it<br />

prevents.<br />

For vaccines requiring an additional injection at an immunization visit, such as<br />

yellow fever or pneumococcal conjugate vaccine (PCV), ask if the additional<br />

injection influenced the decision whether or not to receive the vaccination.<br />

Evaluate the health-care worker’s reaction to delivering an additional vaccine.<br />

WHO/IVB/10.03<br />

17

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