Religious and community leaders' acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
Religious and community leaders' acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study
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DOI：
10.1186/s12889-019-6706-4
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发表时间：
2019-04-03
影响因子：
4.5
通讯作者：
Seale, Holly
中科院分区：
文献类型：
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作者：
Padmawati, Retna Siwi;Heywood, Anita;Seale, Holly
背景：在印度尼西亚，口服轮状病毒疫苗是可用的，但没有得到国家免疫规划(NIP)的资助。引入新的免疫计划需要对社区接受程度进行评估。对于印度尼西亚虔诚的穆斯林来说，疫苗的接受由于在生产过程中使用猪胰酶和没有清真标签而变得更加复杂。在印度尼西亚，宗教和社区领袖以及印尼马格里斯乌拉玛(MUI)是许多虔诚的穆斯林在决定使用包括疫苗在内的药物时的重要资源。本研究旨在探讨宗教领袖和社区领袖对轮状病毒疫苗的看法，为未来的沟通策略提供参考。方法：对来自印度尼西亚日惹两个区的20位宗教领袖和社区代表进行半结构式深度访谈。结果：尽管人们认识到儿童腹泻可能很严重，需要接种疫苗，但很少有人知道疫苗。与会者认为，需要清真标签才能被社区接受，并保持对政府和领导人的信任。参与者认为自己是在疫苗贴标签后向社区推广疫苗的关键参与者。结论：这项研究强调了在疫苗提供之前更好的利益相关者参与的必要性，以及在印度尼西亚日惹穆斯林占多数的社区中，宗教和社区领袖在轮状病毒疫苗可接受性方面的潜在重要作用。这些发现将有助于制定在印度尼西亚引进新疫苗的战略。
Background: In Indonesia, oral rotavirus vaccines are available but not funded on the National Immunization Program (NIP). New immunization program introduction requires an assessment of community acceptance. For religiously observant Muslims in Indonesia, vaccine acceptance is further complicated by the use of porcine trypsin during manufacturing and the absence of halal labeling. In Indonesia, religious and community leaders and the Majelis Ulama Indonesia (MUI) are important resources for many religiously observant Muslims in decisions regarding the use of medicines, including vaccines. This study aimed to explore the views of religious and community leaders regarding the rotavirus vaccine to inform future communication strategies.Methods: Twenty semi-structured in-depth interviews were undertaken with religious leaders and community representatives from two districts of Yogyakarta Province, Indonesia. Thematic analysis was undertaken.Results: Although there was recognition childhood diarrhoea can be severe and a vaccine was needed, few were aware of the vaccine. Participants believed a halal label was required for community acceptance, and maintenance of trust in their government and leaders. Participants considered themselves to be key players in promoting the vaccine to the community post-labeling.Conclusions: This study highlights the need for better stakeholder engagement prior to vaccine availability and the potentially important role of religious and community leaders in rotavirus vaccine acceptability in the majority Muslim community of Yogyakarta, Indonesia. These findings will assist with the development of strategies for new vaccine introduction in Indonesia.