The 5As: A practical taxonomy for the determinants of vaccine uptake

Thomson, Angus, Robinson, Karis and Vallee-Tourangeau, Gaelle (2016) The 5As: A practical taxonomy for the determinants of vaccine uptake. Vaccine, 34(8), pp. 1018-1024. ISSN (print) 0264-410X

Full text available as:
[img]
Preview
Text
Vallee-Tourangeau-G-33629-VoR.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (446kB) | Preview
[img]
Preview
Text
Vallée-Tourangeau-G-33629-AAM.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (494kB) | Preview

Abstract

Suboptimal vaccine uptake in both childhood and adult immunisation programs limits their full potential impact on global health. A recent progress review of the Global Vaccine Action Plan stated that "countries should urgently identify barriers and bottlenecks and implement targeted approaches to increase and sustain coverage". However, vaccination coverage may be determined by a complex mix of demographic, structural, social and behavioral factors. To develop a practical taxonomy to organise the myriad possible root causes of a gap in vaccination coverage rates, we performed a narrative review of the literature and tested whether all non-socio-demographic determinants of coverage could be organised into 4 dimensions: Access, Affordability, Awareness and Acceptance. Forty-three studies were reviewed, from which we identified 107 different determinants of vaccination uptake. We identified a fifth domain, Activation, which captured interventions such as SMS reminders which effectively nudge people towards getting vaccinated. The 5As taxonomy captured all identified determinants of vaccine uptake. This intuitive taxonomy has already facilitated mutual understanding of the primary determinants of suboptimal coverage within inter-sectorial working groups, a first step towards them developing targeted and effective solutions.

Item Type: Article
Uncontrolled Keywords: vaccine hesitancy, vaccine acceptance, vaccination coverage, vaccine uptake, immunisation rates
Research Area: Allied health professions and studies
Business and management studies
Psychology
Faculty, School or Research Centre: Faculty of Arts and Social Sciences > School of Psychology, Criminology and Sociology (from November 2012)
Faculty of Business and Law > Kingston Business School (Department of Management) (from August 2013)
Faculty of Business and Law
Related URLs:
Depositing User: Gaelle Vallee-Tourangeau
Date Deposited: 21 Jan 2016 12:47
Last Modified: 09 Oct 2016 12:27
URI: http://eprints.kingston.ac.uk/id/eprint/33629

Actions (Repository Editors)

Item Control Page Item Control Page