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Patterns of vaccination acceptance


  • Streefland, Pieter
  • Chowdhury, A. M. R.
  • Ramos-Jimenez, Pilar


Immunization is one of the major public health interventions to prevent childhood morbidity and death. The Expanded Programme on Immunization has gathered momentum worldwide since 1974. The range of vaccines in the programme is being expanded in the years to come. All across the globe, a high level of vaccination coverage has been reached and now needs to be sustained. In part, the coverage has been made possible by the broad acceptance of vaccinations, although there are variations resulting in different configurations of fully, partially and non-immunized children. Using the results of studies carried out by the Social Science and Immunization Project in Bangladesh, Ethiopia, India, Malawi, the Netherlands and the Philippines, this article describes and discusses patterns of vaccination acceptance and non-acceptance. It shows how context affects acceptance of vaccinations, and analyses the underlying reasons behind refusal and resistance. The article also develops conceptual tools for the analysis of acceptance and non-acceptance and discusses explanatory theoretical perspectives.

Suggested Citation

  • Streefland, Pieter & Chowdhury, A. M. R. & Ramos-Jimenez, Pilar, 1999. "Patterns of vaccination acceptance," Social Science & Medicine, Elsevier, vol. 49(12), pages 1705-1716, December.
  • Handle: RePEc:eee:socmed:v:49:y:1999:i:12:p:1705-1716

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    Cited by:

    1. Geelen, Els & van Vliet, Hans & de Hoogh, Pieter & Horstman, Klasien, 2016. "Taming the fear of voice: Dilemmas in maintaining a high vaccination rate in the Netherlands," Social Science & Medicine, Elsevier, vol. 153(C), pages 12-19.
    2. Poltorak, Mike & Leach, Melissa & Fairhead, James & Cassell, Jackie, 2005. "'MMR talk' and vaccination choices: An ethnographic study in Brighton," Social Science & Medicine, Elsevier, vol. 61(3), pages 709-719, August.
    3. repec:eee:socmed:v:188:y:2017:i:c:p:1-10 is not listed on IDEAS
    4. Parashar, Sangeeta, 2005. "Moving beyond the mother-child dyad: Women's education, child immunization, and the importance of context in rural India," Social Science & Medicine, Elsevier, vol. 61(5), pages 989-1000, September.
    5. Casiday, Rachel Elizabeth, 2007. "Children's health and the social theory of risk: Insights from the British measles, mumps and rubella (MMR) controversy," Social Science & Medicine, Elsevier, vol. 65(5), pages 1059-1070, September.
    6. Streefland, Pieter H., 2001. "Public doubts about vaccination safety and resistance against vaccination," Health Policy, Elsevier, vol. 55(3), pages 159-172, March.
    7. Blume, Stuart, 2006. "Anti-vaccination movements and their interpretations," Social Science & Medicine, Elsevier, vol. 62(3), pages 628-642, February.
    8. Jane Hall & Patricia Kenny & Madeleine King & Jordan Louviere & Rosalie Viney & Angela Yeoh, 2002. "Using stated preference discrete choice modelling to evaluate the introduction of varicella vaccination," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 457-465.
    9. Luyten, Jeroen & Dorgali, Veronica & Hens, Niel & Beutels, Philippe, 2013. "Public preferences over efficiency, equity and autonomy in vaccination policy: An empirical study," Social Science & Medicine, Elsevier, vol. 77(C), pages 84-89.
    10. Naoko Ueada, 2018. "The Hearts, Minds, and Sentiments: The Volunteers Program in the Immunization Program in Bangladesh and the Chagas Diseases Control Project of Honduras," Working Papers 162, JICA Research Institute.


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