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Trends in Classifying Vaccine Hesitancy Reasons Reported in the WHO/UNICEF Joint Reporting Form, 2014-2017: Use and Comparability of the Vaccine Hesitancy Matrix

Kulkarni, Harvey, Prybylski, Jalloh); Oak Ridge Institute for Science and Education ( Kulkarni, Harvey) The need to understand the drivers of global vaccine hesitancy is perhaps more crucial than ever as the world gears up to introduce COVID-19 vaccines. Recent outbreaks of vaccine-preventable diseases (VPDs) around the globe have been partly attributed to a rise in vaccine hesitancy, thereby highlighting the significance of caregivers decision to delay or refuse vaccines for their children. Since 2014, the World Health Organization (WHO) member states have been annually reporting vaccine hesitancy reasons on the WHO/United Nations Children s Fund (UNICEF) Joint Reporting Form (JRF). The Vaccine Hesitancy Matrix (VHM), developed by the WHO Strategic Advisory Group of Experts on Immunization (SAGE) Vaccine Hesitancy Working Group, can serve as a tool to categorise vaccine hesitancy reasons reported in the JRF. This paper explores the reasons for vaccine hesitancy reported globa

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