"To build strong acceptance and demand for vaccination among caregivers and their communities, national governments must be committed to delivery of quality services, building trust and engaging communities to ensure that programs are responsive to the needs and perspectives of all people across the life-course."
"This review highlighted that not all potentially relevant confidence constructs have been identified and included in previous measures of vaccine confidence or comprehensively investigated in large, representative, population-based studies."
"To increase vaccination coverage, it is vital to know why uptake is low. Immunization programmes should collect data on what people are thinking and feeling, their motivation, and the social processes and practical issues that drive or hinder vaccination to develop evidence-informed strategies that increase uptake."
BBC News
By Stephanie Hegarty
image captionDisinformation has led to indigenous communities choosing not to get vaccinated
In November Pascuala Vázquez Aguilar had a strange dream about her village Coquilteel, nestled among the trees in the mountains of southern Mexico. A plague had come to the village and everyone ran to the forest. They hid in a hut under a tall canopy of oak trees. The plague couldn t reach us there, Pascuala says. That s what I saw in my dream.
A few months later the pandemic had engulfed Mexico and thousands of people were dying every week. But Coquilteel and many small, indigenous towns in the state of Chiapas were left relatively unscathed. This has been a blessing but it also presents a problem.