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Fig. 1 | International Journal for Equity in Health

Fig. 1

From: Determinants of COVID-19 vaccination acceptance based on the novel Omale INDEPT FORCIS Framework and recommendations for subsequent pandemics: a qualitative study among community members in Ebonyi state, Nigeria

Fig. 1

Individual Experiences and Perceptions and Complacency, Confidence, Convenience, and Compulsion (Four ‘Cis’) – INDEPT FORCIS – Determinants of Vaccination Acceptance Conceptual Framework (Omale INDEPT FORCIS Framework). *Is about an individual, including a parent or primary caregiver of individual children (minors) and consists of primary factors (experiences, perceptions or expectations, knowledge, and cultural/religious beliefs) and secondary factors (information sources, sociodemographic, professional attributes, individual’s condition). ^Including the health workers giving and the govt providing the vaccination and source of the vaccine (country, company). ARegarding the disease and vaccine/vaccination, including information and communication being good or bad and its adequacy, consistency, and duration at the Local, National, International, and Global (LONING) levels. BThe enforcement and non-enforcement or termination of the policies/measures at the LONING levels (e.g. lockdowns, social/physical distancing, use of face mask, etc. and the policy that the vaccinated should still observe other preventive measures against the disease). CInclude mandatory and prohibitive vaccination policies, regulations like work-free vaccination days etc. by govt, community leaders, employers etc. at the LONING levels. DFinancial and non-financial incentives e.g. by govt, community leaders, employers etc. 1Experiences regarding the disease and its attributes (e.g. about fear, cases, severe cases, deaths); perceptions about the disease and its attributes and perceived possibility of having the (severe) disease; and knowledge of the disease and its attributes. 2Experiences and perceptions or expectations and knowledge about the vaccine and vaccination attributes including level of trust in the health workers giving the vaccination, in the govt providing the vaccination, and in the source of the vaccine. 3Experiences and perceptions and knowledge about the vaccination process and system attributes (including, for e.g. local availability, stockouts or no stockouts, distance, waiting time, attitude of the health workers, cost (direct and or indirect), vaccination site(s) etc.). 4Gender, age, education, occupation, income, residence (rural vs. urban) etc. 5Type and nature of work, place of work, practising experience (in years) etc. 6Including pregnancy, breastfeeding a child, health status etc. and having contraindications to the vaccination. 7Experiences and perceptions or expectations and knowledge about the disease, vaccine/vaccination, and vaccination process/system (and their attributes) and the actions about the disease and the vaccination. 8Also include the request from members and heads of families/households. 9Include vaccination mandates and prohibitions by heads of families/households

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