Community Perceptions and Attitudes Toward Vaccination in Madagascar.

ABSTRACT: Background/Objectives: Low vaccination coverage and the persistence of zero-dose children remain the principal challenges for immunization efforts in Madagascar. To address these barriers, a socio-anthropological study was conducted to identify the determinants of both vaccination and non-vaccination in eight districts of the country. Methods: District selection was based primarily on immunization performance-specifically the proportion of zero-dose children-along with criteria of geographic and cultural diversity. A qualitative approach was employed, comprising 162 semi-structured individual interviews and 41 focus group discussions with key informants, including political-administrative, religious, and traditional authorities, healthcare workers, community hea

SUBMITTER: Ralambosoa M 

PROVIDER: S-EPMC12945292 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature