Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique
Background: Improved communication about childhood vaccination is fundamental to increasing vaccine uptake in low-income countries. Mozambique, with 64% of children fully vaccinated, uses a range of communication interventions to promote uptake of childhood immunisation. Objectives: Using a taxonomy...
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doaj-5b8568d05a914f6ab247c427a07fb34b2020-11-25T00:43:17ZengTaylor & Francis GroupGlobal Health Action1654-97161654-98802017-01-0110110.1080/16549716.2017.13213131321313Using the COMMVAC taxonomy to map vaccination communication interventions in MozambiqueArtur Manuel Muloliwa0Julie Cliff1Afiong Oku2Angela Oyo-Ita3Claire Glenton4Heather Ames5Jessica Kaufman6Sophie Hill7Yuri Cartier8Xavier Bosch-Capblanch9Gabriel Rada10Simon Lewin11Provincial de SaúdeUniversidade Eduardo MondlaneUniversity of CalabarUniversity of CalabarNorwegian Institute of Public HealthNorwegian Institute of Public HealthLa Trobe UniversityLa Trobe UniversityInternational Union for Health Promotion and EducationSwiss Tropical and Public Health InstitutePontificia Universidad Católica de ChileNorwegian Institute of Public HealthBackground: Improved communication about childhood vaccination is fundamental to increasing vaccine uptake in low-income countries. Mozambique, with 64% of children fully vaccinated, uses a range of communication interventions to promote uptake of childhood immunisation. Objectives: Using a taxonomy developed by the ‘Communicate to Vaccinate’ (COMMVAC) project, the study aims to identify and classify the existing communication interventions for vaccination in Mozambique and to find the gaps. Methods: We used a qualitative research approach to identify the range of communication interventions used in Mozambique. In-depth semi-structured interviews were carried out with key purposively selected personnel at national level and relevant documents were collected and analysed. These data were complemented with observations of communication during routine vaccination and campaigns in Nampula province. We used the COMMVAC taxonomy, which organises vaccination communication intervention according to its intended purpose and the population targeted, to map both routine and campaign interventions. Results: We identified interventions used in campaign and routine vaccination, or in both, fitting five of the seven taxonomy purposes, with informing or educating community members predominating. We did not identify any interventions that aimed to provide support or facilitate decision-making. There were interventions for all main target groups, although fewer for health providers. Overlap occurred: for example, interventions often targeted both parents and community members. Conclusions: We consider that the predominant focus on informing and educating community members is appropriate in the Mozambican context, where there is a high level of illiteracy and poor knowledge of the reasons for vaccination. We recommend increasing interventions for health providers, in particular training them in better communication for vaccination. The taxonomy was useful for identifying gaps, but needs to be more user-friendly if it is to be employed as a tool by health service managers.http://dx.doi.org/10.1080/16549716.2017.1321313VaccinationcommunicationMozambiquetaxonomyhealth systemsimmunisationchildren |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Artur Manuel Muloliwa Julie Cliff Afiong Oku Angela Oyo-Ita Claire Glenton Heather Ames Jessica Kaufman Sophie Hill Yuri Cartier Xavier Bosch-Capblanch Gabriel Rada Simon Lewin |
spellingShingle |
Artur Manuel Muloliwa Julie Cliff Afiong Oku Angela Oyo-Ita Claire Glenton Heather Ames Jessica Kaufman Sophie Hill Yuri Cartier Xavier Bosch-Capblanch Gabriel Rada Simon Lewin Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique Global Health Action Vaccination communication Mozambique taxonomy health systems immunisation children |
author_facet |
Artur Manuel Muloliwa Julie Cliff Afiong Oku Angela Oyo-Ita Claire Glenton Heather Ames Jessica Kaufman Sophie Hill Yuri Cartier Xavier Bosch-Capblanch Gabriel Rada Simon Lewin |
author_sort |
Artur Manuel Muloliwa |
title |
Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique |
title_short |
Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique |
title_full |
Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique |
title_fullStr |
Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique |
title_full_unstemmed |
Using the COMMVAC taxonomy to map vaccination communication interventions in Mozambique |
title_sort |
using the commvac taxonomy to map vaccination communication interventions in mozambique |
publisher |
Taylor & Francis Group |
series |
Global Health Action |
issn |
1654-9716 1654-9880 |
publishDate |
2017-01-01 |
description |
Background: Improved communication about childhood vaccination is fundamental to increasing vaccine uptake in low-income countries. Mozambique, with 64% of children fully vaccinated, uses a range of communication interventions to promote uptake of childhood immunisation. Objectives: Using a taxonomy developed by the ‘Communicate to Vaccinate’ (COMMVAC) project, the study aims to identify and classify the existing communication interventions for vaccination in Mozambique and to find the gaps. Methods: We used a qualitative research approach to identify the range of communication interventions used in Mozambique. In-depth semi-structured interviews were carried out with key purposively selected personnel at national level and relevant documents were collected and analysed. These data were complemented with observations of communication during routine vaccination and campaigns in Nampula province. We used the COMMVAC taxonomy, which organises vaccination communication intervention according to its intended purpose and the population targeted, to map both routine and campaign interventions. Results: We identified interventions used in campaign and routine vaccination, or in both, fitting five of the seven taxonomy purposes, with informing or educating community members predominating. We did not identify any interventions that aimed to provide support or facilitate decision-making. There were interventions for all main target groups, although fewer for health providers. Overlap occurred: for example, interventions often targeted both parents and community members. Conclusions: We consider that the predominant focus on informing and educating community members is appropriate in the Mozambican context, where there is a high level of illiteracy and poor knowledge of the reasons for vaccination. We recommend increasing interventions for health providers, in particular training them in better communication for vaccination. The taxonomy was useful for identifying gaps, but needs to be more user-friendly if it is to be employed as a tool by health service managers. |
topic |
Vaccination communication Mozambique taxonomy health systems immunisation children |
url |
http://dx.doi.org/10.1080/16549716.2017.1321313 |
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