Vaccine preferences and their role for vaccine confidence and uptake: a meta-ethnography.
Jeniffer Landicho, Thea Andrea Bravo, Jonas Wachinger et al.
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In 30 seconds
This meta-ethnographic systematic review synthesized qualitative research on how vaccine preferences relate to confidence and uptake. Searches of seven databases identified 97 qualitative articles published between 2001 and 2023, screened from 5,528 studies. The synthesis grouped influences into four domains: Product, Place, Price, and Promotion. Preferences reflected perceptions of vaccine quality and safety, convenience of vaccination locations and delivery, vaccine and associated costs, and trusted information sources and communication methods. The review concludes that attending to these interconnected preferences may help make vaccination programmes more acceptable and support uptake.
Key findings
- The review synthesized 97 qualitative articles, identifying Product, Place, Price, and Promotion as four domains shaping vaccine preferences.
- Perceived vaccine quality and safety, sometimes linked to brand or origin, influenced preferences, particularly for novel vaccines.
- Convenient vaccination sites and delivery methods mattered; findings on preferred vaccine administrators were mixed.
- Vaccine and associated costs, along with information sources and promotional methods, shaped uptake considerations and decision-making.
Why it matters
Vaccine confidence and uptake are shaped by more than the vaccine itself. The review highlights practical and communication-related considerations that can affect acceptability, including access, costs, perceived quality, and trusted sources of information. Considering these factors when designing vaccination programmes may help align delivery and communication with community preferences.
What to keep in mind
The review synthesizes qualitative evidence, so it identifies themes and preferences but does not quantify their effects on vaccine uptake.