Strengthening confidence in vaccines, demand for immunization and addressing vaccine hesitancy

Considerations for frontline health workers

Arina, 6, is receiving her routine vaccination. at polyclinic #1 in Vanadzor.


To increase confidence in childhood vaccines and demand for immunization, UNICEF ECARO (Europe and Central Asia Regional Office) has created a training package on IPC for immunization. The training package, developed and tested in collaboration with John Hopkins Centre for Communication Programmes in 2018, aims to strengthen the capacity of health care professionals to understand and affect positive change in demand for immunization. The training modules are designed to address health workers bias, build on participants’ experiences, promote step-by-step skill building, and reinforce skills and self-efficacy through practice. 

Although there may be a multitude of factors leading to vaccine hesitancy among caregivers/ vaccine recipients, health workers have the power to influence some of these factors. For example, health workers can address knowledge gaps, attitudes, concerns and beliefs; improve service delivery; improve communication and engagement; address and decrease immunization related concerns (such as pain); and reorganize services (such as scheduling, waiting time, and reminders) to make them more accessible and meet caregivers’/vaccine recipients’ needs and expectations. 

In this guidance you will find information along with tips and techniques of what health workers can directly do to strengthen confidence, decrease hesitancy, and support demand for immunizations.

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