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Figure 2. Main themes that were indicated as top three reasons for vaccine hesitancyIndicator 2: Reasons for Vaccine HesitancyNumber of countries naming anissue related to the determinant9876543210Communication and Media EnvironmentReligion/Culture/Gender/Socio-economicPharmceutical IndustryInfluential Leaders, Gatekeepers andAnti- or Pro-vaccination LobbiesBeliefs, Attitudes and Motivation AboutHealth and PreventionRisk/Benefit (Perceived, Heuristic)Immunisation as a Social Norm vs. NotNeeded/HarmfulHealth System and Providers-Trust andPersonal ExperienceKnowledge and AwarenessDesign of Vaccination Program /Mode ofDeliveryRole of Healthcare ProfessionalsVaccination ScheduleReliability and/or Source of VaccineSupplyContextual Individual/ Social Groups Vaccine Specific43

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