caa a22 4500 606222049 CHVBK 20210128105230.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00038-015-0715-6 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0715-6 Exposing concerns about vaccination in low- and middle-income countries: a systematic review [Elektronische Daten] [Daniel Cobos Muñoz, Laura Monzón Llamas, Xavier Bosch-Capblanch] Objectives: Concerns about vaccination lead to under- and no-vaccination. Our objective is to synthesise and exposeevidence on individuals' and communities' concerns about vaccination to influence current debates on strategies to improve vaccination coverage in low- and middle-income countries. Methods: Systematic literature review till February 2014, following standard methods. Published and grey literature that focused on individuals and community concerns on childhood vaccinations were selected. Results: 44 quantitative, qualitative and mixed-methods studies were included. Main reported concerns referred to perceptions of vaccine harms (e.g. attribution of fatal events). Other concerns included programme distrust (mainly due to rumours and conspiracies) and health system unfriendliness. Conclusions: Concerns about vaccination are widespread and further worsen the challenges related to programmatic and health system barriers to vaccination. There is a disconnection between qualitative and quantitative research which misses the opportunity to quantify what is reported in the former. Strikingly, there is a wealth of evidence on concerns but much lesser evidence on interventions to address them. We welcome World Health Organization initiative to tackle vaccine hesitancy and call for the synthesis of evidence and production of guidance on strategies to address concerns on vaccination. Swiss School of Public Health, 2015 Concerns nationallicence Hesitancy nationallicence Vaccination nationallicence Immunisation nationallicence Systematic review nationallicence Low- and middle-income countries nationallicence Cobos Muñoz Daniel Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut Monzón Llamas Laura Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut Bosch-Capblanch Xavier Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut International Journal of Public Health Springer Basel 60/7(2015-11-01), 767-780 1661-8556 60:7<767 2015 60 38 https://doi.org/10.1007/s00038-015-0715-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0715-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cobos Muñoz Daniel Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut NATIONALLICENCE 700 1- Monzón Llamas Laura Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut NATIONALLICENCE 700 1- Bosch-Capblanch Xavier Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/7(2015-11-01), 767-780 1661-8556 60:7<767 2015 60 38 SWISSBIB 506944867