Sense-Making During the RTS,S Malaria Vaccine Pilot Implementation in Ghana
Bibliographic Data
| ID | 5455495 |
|---|---|
| Authors | Esi Thompson Tani-Eshon (0000-0002-0772-0997, The Media School, Indiana University, Bloomington, IN, USA, corresponding author) |
| Year | 2025 |
| Pages | 10497323251347922-10497323251347922 |
| Publication date | 2025-06-13 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/10497323251347922 |
| PMID | 40512580 |
| OpenAlex | W4411273333 |
| Language | EN |
| References cited | 57 |
The pilot implementation of the RTS,S/AS01E (Mosquirix) malaria vaccine marked a significant step in addressing one of Africa's leading causes of mortality by providing essential data that led to its approval for use in children under two years old in malaria-endemic regions. However, little attention has been given to the lived experiences of caregivers and how they made decisions about participating in the vaccine pilot implementation. This paper takes an interpretive phenomenological analysis lens to understand caregivers' process of negotiating participation in the pilot implementation. I conducted 11 in-depth interviews with caregivers in the RTS,S pilot implementation site in the Assin North district in Ghana. Findings reveal that participants engaged in three overarching sense-making processes to negotiate their involvement in the pilot. These were questioning the vaccine , considering political and socio-economic concerns , and biting the bullet. Embodied within these themes are how agency, power, politics, trust in healthcare workers, and knowledge of vaccines undergird respondents' decision-making regarding the pilot implementation. The study evidenced the need for a holistic approach to engaging community members in pilot sites to guide their vaccine decision-making. By identifying the complex decision-making processes that individuals go through, we can better inform vaccine policy and public messaging to guide vaccine decision-making
Malaria · Malaria vaccine · Plasmodium falciparum · COVID-19 epidemiological studies · Medicine · Psychology · Vaccine Coverage and Hesitancy · Viral Infections and Outbreaks Research · Immunology · Virology
Essentials of interpretative phenomenological analysis.
Vaccine hesitancy in the era of Covid-19
Vaccine Hesitancy
Risk and Rationality in Adolescent Decision Making
Covid-19 vaccine hesitancy in Africa
Qualitative Analysis of Mothers' Decision-Making About Vaccines for Infants
Black Skin, White Masks
Applying a social-ecological model to understand factors impacting demand for childhood vaccinations in Nigeria, Uganda, and Guinea
Healthcare Professionals’ Discursive Constructions of Parental Vaccine Hesitancy
The Role Familiarity With Science and Medicine Plays in Parents’ Decision Making About Enrolling a Child in Vaccine Research
Barriers and facilitators to nationwide implementation of the malaria vaccine in Ghana
Predicting intention to receive Covid-19 vaccine among the general population using the health belief model and the theory of planned behavior model
Vaccination, politics and Covid-19 impacts
Post introduction evaluation of the malaria vaccine implementation programme in Ghana, 2021
Developing an Interpretative Phenomenological Approach to Focus Group Data
Bracketing in Phenomenology
Decolonizing Communication for Social Change
Beyond the divide between cognition and discourse
When maximizing profit endangers our humanity
Genetically at-risk status and individual agency. A qualitative study on asymptomatic women living with genetic risk of breast/ovarian cancer
Risk society
Social Cognitive Theory
The Factors That Promote Vaccine Hesitancy, Rejection, or Delay in Parents
Nature Does Things Well, Why Should We Interfere
Capturing Lived Experience
| Highly cited | No |
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