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Vaccine. 2009 Aug 27;27(39):5371-5. doi: 10.1016/j.vaccine.2009.06.100. Epub 2009 Jul 17.

Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon.

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Medical Research Unit, Albert Schweitzer Hospital, Lambaréné, Gabon.


The aim of this paper is to explore attitudes of mothers towards childhood vaccinations and reasons for non-attendance and non-adherence to mother-child clinics (MCCs). Forty in-depth interviews with mothers of children under 5 years of age revealed positive attitudes towards vaccination that seem at odds with the region's observed low vaccination coverage. Important reasons for MCC non-attendance included distance to the MCC, transport costs, negative experiences at MCCs (such as interactions with unfriendly staff) and mothers' feeling of shame provoked by different, often poverty-associated reasons such as attending the clinic with a dirty or poorly clothed child.

[Indexed for MEDLINE]

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