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Socio-behavioural factors influencing childhood vaccination intentions and uptake: A systematic review of the literature.
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  • Judy Gichuki,
  • Ben Ngoye,
  • Donnie Mategula,
  • Francis Wafula
Judy Gichuki
Strathmore University Strathmore Business School

Corresponding Author:judy.gichuki@strathmore.edu

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Ben Ngoye
Strathmore University Strathmore Business School
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Donnie Mategula
Malawi-Liverpool-Wellcome Trust Clinical Research Programme
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Francis Wafula
Strathmore University Strathmore Business School
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Abstract Background: There has been a decline in childhood vaccination uptake, with reports indicating that 25 million children missed out on one or more doses in 2021 . There is a need to understand the socio-behavioural drivers of vaccination uptake and to identify contextual and emerging factors that can inform demand-creation interventions. Objective: This review examined the social and behavioural factors influencing childhood vaccination intentions and uptake globally. Methods: A comprehensive search was carried out for published studies that presented data on patterns of association between socio-behavioural factors and vaccination intentions and uptake in children under five years. Studies were screened for eligibility by two reviewers, and information was collected using a standard data abstraction form. Findings: Out of 4462 records identified in the search, 82 studies were included. Emerging factors influencing vaccination uptake included gender-based factors like the mother’s financial autonomy, the number of social and formal messengers recommending vaccination, the proportion of non-conforming social network members, and the role of decisional balance and conflict as a moderator of the vaccination intention and action pathway. Conclusion: The review identified multiple behavioural and social constructs influencing vaccination intentions and uptake. The diversity of influences underscores the complexity of relationships between social-behavioural factors and vaccination uptake, which may be contributing to low vaccination uptake. More context-specific research is required to extend the geographical base and depth of evidence and to evaluate highly localised socio-behavioural interventions.
23 May 2023Submitted to International Journal of Health Planning and Management
28 May 2023Review(s) Completed, Editorial Evaluation Pending
28 May 2023Assigned to Editor
28 May 2023Submission Checks Completed
24 Jun 2023Reviewer(s) Assigned