10.17037/PUBS.00005262
The ultimate goal of the main study (which this preparatory study informed) was to identify modifiable structural, social and biological determinants of impaired vaccine impact in vulnerable African communities, and hence to develop integrated strategies to address them and to drive health equity.
This page contains three reports produced by the study team:
Through stakeholder meetings, community barazas, and guided walks, the team gathered vital data on how misinformation, geographic isolation, and limited healthcare infrastructure contribute to vaccine hesitancy.
The stakeholder consultation strategy employed interpersonal channels, consultative meetings with health managers, and participatory communication tools like radio programmes and folk media. Key categories for engagement include health-rights activists, front-line workers, religious and local leaders, community health volunteers, and civil society actors.
Kilifi County in Kenya and Koome main Island in Uganda
Population in Kilifi County in Kenya and Koome Island in Uganda
Vaccine hesitancy, Uganda, immunisation
English
| Project name | Funder/sponsor | Grant number |
| VAnguard social science and engagement study | NIHR (National Institute for Health and Care Research) | NIHR134531 |
| VAnguard community study | NIHR (National Institute for Health and Care Research) | NIHR134531 |
| Forename | Surname | Faculty / Dept | Institution | Role |
| Laureen | Kahunde | Uganda Virus Research Institute | Data Creator | |
| Winnie | Eoju | Uganda Virus Research Institute | Data Creator | |
| Flavia | Zalwango | Uganda Virus Research Institute | Data Creator | |
| Ludoviko | Zirimenya | MRC/UVRI & LSHTM Uganda Research Unit | Data Creator | |
| Denis | Nsubuga | MRC/UVRI & LSHTM Uganda Research Unit | Data Creator | |
| Maureen | Njue | KEMRI | Data Creator | |
| Esther | Awuor | KEMRI | Data Creator |
| Forename | Surname | Faculty / Dept | Institution | Role |
| Monica | Chibita | Journalism, Media and Communication | Uganda Christian University | Supervisor |
| Annet | Kezaabu | Journalism, Media and Communication | Uganda Christian University/Karamoja Peace & Technology University | Supervisor |
| David | Mafigiri | Social Sciences and Humanities | Makerere University | Supervisor |
| Henry | Luzze | Vaccines | Ministry of Health Uganda | Collaborator |
| Primus | Chi | KEMRI/Africa CDC | Supervisor | |
| Noni | Mumba | KEMRI | Supervisor | |
| Dorcas | Kamuya | KEMRI | Supervisor | |
| Alison | Elliot | London School of Hygiene & Tropical Medicine | VAnguard Project Lead |
VAnguard Community Engagement report
This report documents the actual field activities conducted in Koome Sub county in September 2023 to prepare for ethnographic research. The VAnguard study sought to identify the social, structural, and biological factors that determine vaccine access in vulnerable island populations.
Through stakeholder meetings, community barazas, and guided walks, the team gathered vital data on how misinformation, geographic isolation, and limited healthcare infrastructure contribute to vaccine hesitancy.
The findings highlight a significant disparity in immunisation coverage across different villages, often exacerbated by high transport costs and a lack of health education.
To address these gaps, the report recommends tailored communication strategies and the active involvement of local leaders and village health teams to foster trust. Ultimately, the document serves as a foundation for future ethnographic research aimed at promoting health equity and improving public health outcomes in the region.
Guide for Stakeholder Consultation and Categories
This document serves as a strategic manual for conducting consultations within the VAnguard project. Its primary themes include:
Stakeholder mapping and network analysis report
This report, dated May 2023, details a comprehensive mapping and network analysis for vaccine programmes in Uganda and Kenya.
Methodology: Using a tool called "GroupMap," stakeholders were plotted on a matrix based on their influence and interest.
Geographic Focus: The initial analysis specifically targets Kilifi County in Kenya and Koome main Island in Uganda.