Barriers and facilitators to vaccination in Latin America

A Thematic Synthesis of Qualitative Studies

Dados Bibliográficos

ID5166808
AutoresJavier Roberti (0000-0002-4285-5061, Instituto de Efectividad Clínica y Sanitaria, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina), Natalí Ini (0009-0002-9411-0851, Instituto de Efectividad Clínica y Sanitaria, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina), Maria Belizan (0000-0002-8739-5249, Instituto de Efectividad Clínica y Sanitaria), Juan Pedro Alonso (0000-0002-8366-7200, Consejo Nacional de Investigaciones Científicas y Técnicas)
Ano2024
Volume40
Fascículo6
Páginase00165023-e00165023
Data de publicação2024-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen165023
PMID38922226
OpenAlexW4399892540
SCIELO_PIDS0102-311X2024000601100
IdiomaEN
Citações recebidas3
Referências citadas78

Vaccines are often undervalued or underused for a variety of reasons, and vaccine hesitancy is a global challenge that threatens vaccine acceptance and the goals of immunization programs. This review aimed to describe the barriers and facilitators to vaccination in Latin America. The study design was a systematic review and thematic synthesis of qualitative studies reporting on the knowledge or attitudes of adults, parents of children at vaccination age, adolescents and health professionals towards vaccination in Latin America. The databases searched were PubMed, CENTRAL, Scopus, LILACS, SciELO, and CINAHL. A total of 56 studies were included. Facilitators included vaccination being recognized as an effective strategy for preventing infectious diseases and as a requirement for access to social assistance programs, schooling or employment. Recommendations from health professionals and positive experiences with health services were also identified as facilitators. The main barriers were lack of information or counseling, structural problems such as shortages of vaccines and limited hours of operation, the inability to afford over-the-counter vaccines or transportation to health facilities, certain religious beliefs, misconceptions and safety concerns. Qualitative research can contribute to understanding perceptions and decision-making about vaccination and to designing policies and interventions to increase coverage

CINAHL · Family medicine · Immunization · Latin Americans · Medical education · MEDLINE · Political science · Psychological intervention · Qualitative research · Scopus · Sociology · Thematic analysis · Vaccination · Immunology · Influenza Virus Research Studies · Medicine · Nursing · Vaccine Coverage and Hesitancy · Viral gastroenteritis research and epidemiology