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Vaccine. 2019 Jan 4. pii: S0264-410X(18)31674-8. doi: 10.1016/j.vaccine.2018.12.014. [Epub ahead of print]

Vaccine acceptance: Science, policy, and practice in a 'post-fact' world.

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School of Social Science, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia; Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Australia. Electronic address:
Centre de recherche du CHU de Québec, Université Laval, Institut national de santé publique du Québec, 2400 D'Estimauville, Québec, QC G1E 7G9, Canada. Electronic address:
Department of Pediatrics, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12e Avenue Nord, Sherbrooke, Quebec J1H 5N4, Canada. Electronic address:
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA. Electronic address:
BeCHANGE Research Group, Institute of Public Communication, Faculty of Communication Sciences, Università della Svizzera italiana, via G. Buffi 13, Lugano, Switzerland; Swiss School of Public Health (SSPH+), Zurich, Switzerland; Institute for Global Health Innovation, Imperial College London, United Kingdom. Electronic address:
Sanofi Pasteur, 14 Espace Henry Vallee, 69007 Lyon, France. Electronic address:


Suboptimal vaccination uptake may be associated with outbreaks of vaccine-preventable diseases in many parts of the world. Researchers and practitioners working on improving vaccine acceptance and uptake gathered together for the fifth annual meeting on vaccine acceptance, organized by the Fondation Mérieux at its conference centre in Veyrier-du-Lac, France, to share their experiences in building, improving and sustaining vaccine confidence and uptake. The importance and value of truly listening to people and seeking to understand the perspectives of vaccine hesitant people was emphasized throughout the meeting. The benefits of social marketing, which can be used to influence behavior that benefit individuals and communities for the greater social good, and its integration into strategies aimed at improving vaccine acceptance and uptake, were discussed. Healthcare professionals (HCPs) need tools and training to help them engage effectively in vaccination acceptance conversations with parents and other patients. Two potential tools, motivational interviewing (MI) and AIMS (Announce, Inquire, Mirror, Secure), were presented. Examples of MI approaches that have successfully improved vaccination acceptance and uptake included a project in Canada aimed at parents just after the birth of their baby. The role of mandates to increase vaccination uptake in the short-term was discussed, but to achieve sustainable vaccination uptake this must be complemented with other strategies. These annual meetings have led to the creation of an informal community of practice that facilitates cross-pollination between the various disciplines and different settings of those involved in this area of research and implementation. It was agreed that we must continue our efforts to promote vaccine acceptance and thus increase vaccination uptake, by fostering more effective vaccination communication, monitoring of the media conversation on vaccination, designing and rigorously evaluating targeted interventions, and surveillance of vaccine acceptance and uptake with pertinent, reliable measures.


Health communication; Motivational interviewing; Vaccination; Vaccine acceptance; Vaccine uptake

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