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The acceptability and accessibility of a hypothetical Shigella vaccination campaign was explored. A household survey was conducted with 539 randomly-selected residents of six communes in Nha Trang city of Viet Nam. Four categories of acceptability, such as refusers, low acceptors, acceptors, and high acceptors, were established, Refusers were significantly more likely to be elderly women and were less likely to know the purpose of vaccinations. Low acceptors tended to be male, elderly, and live in urban areas. Low acceptors perceived the disease as less serious and themselves as less vulnerable than acceptors and high acceptors. In terms of accessing vaccination, the commune health centre workers and commune leaders were the preferred sources of information and commune health centres the preferred location for vaccination. Direct verbal information from healthcare providers and audio-visual media were preferred to written information. The respondents expressed a desire for knowledge about the side-effects and efficacy of the vaccine. These findings are significant for targeting specific messages about shigellosis and vaccination to different populations and maximizing informed participation in public-health campaigns.

Type

Journal article

Journal

Journal of health, population, and nutrition

Publication Date

06/2004

Volume

22

Pages

150 - 158

Addresses

University of Maryland Baltimore, School of Medicine, Department of Pediatrics, Baltimore, MD 21201, USA. lkaljee@peds.umaryland.edu

Keywords

Humans, Dysentery, Bacillary, Shigella Vaccines, Population Surveillance, Health Care Surveys, Risk Factors, Public Health, Age Factors, Sex Factors, Adult, Aged, Aged, 80 and over, Middle Aged, Health Promotion, Health Services Accessibility, Patient Acceptance of Health Care, Vietnam, Female, Male