![]() ![]() As they complete each data collection phase of the study over the next six months, we will post their reflections on what worked well and what did not so you can learn from our experience. First, stay tuned for a post introducing you to our four caregiver researchers. On this page, we will share updates on our experience with each method, from the perspective of the caregiver researchers. Our approach is unique in this setting and we want to share our learnings with you as we go. Human-centered design workshop: Finally, we will facilitate a human-centered design workshop where caregivers (n=10) and health workers (n=10) will review the barriers they identified, identify key problem statements and generate their own potential solutions – which we will share with all participants and the government.At the end of the month, they will debrief the SMS observations and conduct a semi-structured interview. ![]() Live messaging and semi-structured interview: Next, they will interview health workers (n=10) and collect their ongoing observations via SMS over the course of a month of providing vaccinations.The photovoice session is then followed by a semi-structured interview guided by the increasing vaccination model. Photovoice: First, caregiver researchers will recruit and enroll 30 other caregivers with children who were fully vaccinated (n=20) or partially vaccinated (n=20) with a camera and ask them to take and describe photos that reflect their experience vaccinating their young children.As the study progresses, they will be actively involving the other caregivers and health workers they interview in reflecting on findings, making decisions and co-creating solutions. Four local caregivers are co-conducting the research. Through every step of the study, we put caregiver and health worker voices at the center – after all, they should know best what works and what does not. Recognizing this, VillageReach and Zambézia Provincial Health Department are conducting a participatory study that will engage health workers and caregivers of children between the ages of 25-34 months to better understand the barriers to completing full vaccination and identify community-driven solutions to improve full vaccination. Many of the barriers to full vaccination are nuanced and context-specific. However, despite years of effort and research, global coverage still has not increased above the levels where it plateaued about 10 years ago. Researchers have identified many barriers to vaccination in sub-Saharan Africa – like the distance some caregivers have to travel to bring their child to a health facility. Particularly as COVID-19 disrupts routine immunization, understanding how to improve full vaccination coverage is more critical than ever. Reaching under-immunized children is a global priority (3). In Zambézia Province, located in the central region of Mozambique, only half of children were fully vaccinated in 2015. Globally, the number of children fully immunized has plateaued over the last decade, leaving nearly 20 million children under-immunized (2). Every child deserves access to life-saving vaccines, but many children are still not fully vaccinated. Vaccines save millions of lives each year, and estimates suggest their economic benefit between 2011-2020 was more than $1.5 trillion (1). Introducing you to a qualitative, participatory study on barriers to full vaccination in Mozambique East African Consortium for Clinical Research. ![]()
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