title: Sociocultural determinants of anticipated vaccine acceptance for acute watery diarrhea in early childhood in Katanga Province, Democratic Republic of Congo.
abstract: Rotavirus and oral cholera vaccines have the potential to reduce diarrhea-related child mortality in low-income settings and are recommended by the World Health Organization. Uptake of vaccination depends on community support, and is based on local priorities. This study investigates local perceptions of acute watery diarrhea in childhood and anticipated vaccine acceptance in two sites in the Democratic Republic of Congo. In 2010, 360 randomly selected non-affected adults were interviewed by using a semi-structured questionnaire. Witchcraft and breastfeeding were perceived as potential cause of acute watery diarrhea by 51% and 48% of respondents. Despite misperceptions, anticipated vaccine acceptance at no cost was 99%. The strongest predictor of anticipated vaccine acceptance if costs were assumed was the educational level of the respondents. Results suggest that the introduction of vaccines is a local priority and local (mis)perceptions of illness do not compromise vaccine acceptability if the vaccine is affordable.
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. sonja.merten@unibas.ch
authors.forename: Sonja
authors.initials: S
authors.lastname: Merten
authors.forename: Christian
authors.initials: C
authors.lastname: Schaetti
authors.forename: Cele
authors.initials: C
authors.lastname: Manianga
authors.forename: Bruno
authors.initials: B
authors.lastname: Lapika
authors.forename: Raymond
authors.initials: R
authors.lastname: Hutubessy
authors.forename: Claire-Lise
authors.initials: CL
authors.lastname: Chaignat
authors.forename: Mitchell
authors.initials: M
authors.lastname: Weiss
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D022121:Cholera Vaccines / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D003967:Diarrhea / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012111:Residence Characteristics; D012401:Rotavirus; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*; D014765:Viral Vaccines / Q000627:therapeutic use; D014944:World Health Organization; D055815:Young Adult
chemical_list: D022121:Cholera Vaccines; D014765:Viral Vaccines