Background
Methods
Site selection
Participant selection and data collection
Total N participants = 200 |
Chókwè
|
Massinga
|
Total events
|
---|---|---|---|
Total focus group discussions
|
23
| ||
Female caregivers, rural | 1 | 1 | 2 |
Female caregivers, urban | 1 | 1 | 2 |
Male caregivers, rural | 1 | 1 | 2 |
Male caregivers, urban | 1 | 1 | 2 |
Other caregivers, rural | 1 | 1 | 2 |
Other caregivers, urban | 1 | 1 | 2 |
Traditional healers | 2 | 2 | 4 |
Traditional leaders | 1 | 2 | 3 |
Religious leaders | 2 | 2 | 4 |
Total in-depth interviews
|
26
| ||
Head of immunization | 1 | 1 | 2 |
Community health worker | 1 | 1 | 2 |
Director of health unit that provides preventive services | 2 | 2 | 4 |
Member of the Association of Traditional Medics of Mozambique | 1 | 1 | 2 |
Key informant at community level (Community block/area leaders) | 4 | 4 | 8 |
Traditional birth attendant | 2 | 2 | 4 |
Leader of nongovernmental organization | 2 | 2 | 4 |
Total data collection events
|
24
|
25
|
49
|
Results
Theme | Key questions |
---|---|
Perceptions and experiences with malaria | · What is the impact of malaria on the community? |
· What are the local terms for malaria? | |
· What are the symptoms of malaria? | |
· What are the ways to prevent and treat malaria? | |
· What malaria programmes are available? | |
· How well do they work? | |
Perceptions and experiences with vaccination | · What is the understanding of vaccination? |
· What are the benefits of vaccines? | |
· What influences the decision to vaccinate children? | |
· What prevents the decision to vaccinate children? | |
· Who might discourage vaccinations? | |
Health decision-making in households | · Who are the primary decision-makers for childhood health, including vaccination? |
· Who makes the decision if the primary decision-maker is not present? | |
Acceptability of a future malaria vaccine | · What concerns exist? |
· What information is needed? | |
Trusted sources and information channels | · Where do you get your health information? |
· Who are the trusted sources within the community? |
Perceptions and experiences with malaria
Malaria’s impact on the community
Malaria terminology
Malaria signs, symptoms, and treatment-seeking behaviour
Malaria prevention practices and views on transmission
Perceptions and experiences with childhood vaccination
Motivating factors related to childhood immunization
Concerns and constraints related to childhood immunization
Lack of information or poor messaging
Fear of side effects
Taboos related to vaccination
Distance to vaccination sites and service hours
Quality of service delivery
Understanding the importance of vaccines and how they work
Health decision-making in households
Future malaria vaccine—expectations
Reactions to the possibility of a malaria vaccine
Questions and concerns about a malaria vaccine
Information requested by community respondents | Supporting quotes |
---|---|
Efficacy and dosage
| |
· Duration of vaccine efficacy | “How long does it last when applied to the child?” Female caregiver from Chókwè |
Potential side effects
| “There is a lot of things that we will like to know before the vaccine comes, so that we feel comfortable taking it. Like what will happen to the child after taking the vaccine?” Other caregiver from Chókwè |
Target group
| |
· Who should be vaccinated | “Vaccines should also be made for us adults; we want it too.” Traditional healer from Chókwè |
· When will vaccine be available for adults | “Is the vaccine only for children 0–5 years old or is it for adult as well?” Director of health unit that provides preventive services |
· Will the vaccine be for pregnant women | “People might ask why the adult {laughs} cannot be vaccinated; this will be a concern for everyone.” Key informant at community level from Chókwè |
Where and how vaccine was tested | “I think that we the adults should be the first to test this vaccine and only after the results are good we could give the children.” Traditional leader from Chókwè |