Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon
Schwarz, N.G.; Gysels, M.; Pell, C.; Gabor, J.; Schlie, M.; Issifou, S.; Lell, B.; Kremsner, P.G.; Grobusch, M.P.; Pool, R.
Vaccine 27(39): 5371-5375
2009
ISSN/ISBN: 1873-2518 PMID: 19616497 DOI: 10.1016/j.vaccine.2009.06.100Document Number: 206771
The aim of this paper is to explore attitudes of mothers towards childhood vaccinations and reasons for non-attendance and non-adherence to mother-child clinics (MCCs). Forty in-depth interviews with mothers of children under 5 years of age revealed positive attitudes towards vaccination that seem at odds with the region's observed low vaccination coverage. Important reasons for MCC non-attendance included distance to the MCC, transport costs, negative experiences at MCCs (such as interactions with unfriendly staff) and mothers' feeling of shame provoked by different, often poverty-associated reasons such as attending the clinic with a dirty or poorly clothed child.
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