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Increasing and sustaining acceptance of and demand for vaccination

Gaps in vaccination coverage exist in nearly every country. The reasons can be varied and may include challenges with vaccine acceptance and demand. National immunization programmes, health professionals and political leaders all have a vital role in building and maintaining public confidence in vaccines and vaccination.

Efforts to address disparities in vaccination coverage among different groups and to encourage vaccine uptake require insights into the reasons for why some people are not vaccinated. Understanding the drivers of and barriers to vaccination among specific groups can help inform local solutions that build vaccine confidence, increase vaccine uptake at all ages, and achieve immunization equity.

Achieving and sustaining high vaccination coverage across all populations is a priority of immunization programmes in the WHO European Region as outlined in the European Immunization Agenda 2030. In support of this objective, WHO/Europe’s Vaccine-Preventable Diseases and Immunization Programme provides technical support to health authorities, partners and other stakeholders to:

  • identify drivers of and barriers to vaccination and inform tailored interventions to increase vaccine uptake;
  • strengthen the health care workforce to recommend and deliver vaccination;
  • engage communities with information and education on vaccination;
  • develop the capacity of national authorities to manage crisis communication and deliver timely and effective responses to events that may erode trust in vaccines; and
  • support national immunization programmes in introducing new vaccines with insights into vaccination-related behaviours, education, and communication activities.

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Training materials

Communicating with health workers about COVID-19 vaccination

Health Workers (HWs) are a priority group for the COVID19 vaccine. This training module is designed to equip HWs with knowledge and communication skills...

Facilitator’s guide: communicating with health workers about COVID-19 vaccination

This guide is designed to accompany the training module, Communicating with health workers about COVID-19 vaccination. It provides detailed explanations,...

Facilitator’s guide: communicating with patients about COVID-19 vaccination

This guide is designed to accompany the training module, Communicating with patients about COVID-19 vaccination. It provides detailed explanations, resources...

Communicating with patients about  COVID-19 vaccination

This training module is designed to equip health workers (HWs) with knowledge, skills, confidence and resources to help them in their role to recommend...

Communication materials

Risk communication and community engagement for COVID-19 vaccination: implementation tool

The introduction of COVID-19 vaccines happens in the context of overall pandemic response, often including staff that has not worked in immunization...

Vaccine crisis communication manual: step-by-step guidance for national immunization programmes

This manual was developed to support countries in effectively responding to events which may erode the public’s trust in vaccines and the authorities...

How to respond to vocal vaccine deniers in public: best practice guidance

This guidance document provides basic principles for a spokesperson of any health authority on how to respond to vocal vaccine deniers. The suggestions...

Effective communication of immunization data

The aim of this document is to encourage and support effective communication of data related to vaccine-preventable diseases, vaccines and immunization.It...

A field guide to qualitative research for new vaccine introduction: step-by-step instructions to help immunization programmes understand their target audiences before communicating about the introduction of a new vaccine (who.int)

Expanding a national routine immunization schedule to include a new vaccine is a positive step forward in reducing a country’s burden of disease....

Four immediate steps when responding to an event that may erode trust: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Checklist for preparedness: are you prepared for an event that may erode public trust in immunization? World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Safety events: planning the immediate media response: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Vaccination and trust: how concerns arise and the role of communication in mitigating crisis

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Strategies used by journalists during interviews or press conferences: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

How to ensure a context-specific response to events that may erode trust: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Four critical elements in the ongoing work to build and maintain confidence: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

How to prepare a press release

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Setting the media agenda: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Crisis communications plan template: World Health Organization vaccine safety supporting document

This document provides guidance on the essential elements of an immunization communications plan, with special emphasis on elements that relate to...

Tips for spokespersons: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Stakeholder management: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

The questions journalists always ask in a crisis: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

How to monitor public opinion: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

New vaccine introduction: checklist for planning communication and advocacy: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

How to prepare a message map: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Key principles for presenting data: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Societal benefits of immunization: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Myths and facts about immunization: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

How to respond to concerns about vaccination: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Risk scales: benefits of vaccines far outweigh the risks: World Health Organization vaccine safety supporting document

The risk of adverse events following vaccination needs to be compared with the risk associated with the disease. The risk of side-effects of the treatment...

Vaccine safety messages (‎frequency of AEFIs)‎: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

Vaccine safety events: managing the communications response: a guide for Ministry of Health EPI managers and health promotion units

This guide provides informative strategies and tools to support effective communication planning and management in response to vaccine safetyevents....

Publications

Force of the future: co-creating youth action on immunization: meeting report, 8 December 2023, Copenhagen, Denmark

The Force of the Future: Co-creating youth action on immunization meeting was held in Copenhagen, Denmark on 8 December 2023. The meeting was co-developed...

Questions and answers about human papillomavirus, second edition

This document provides evidence-based answers to frequently asked questions related to human papillomavirus (‎HPV)‎, HPV vaccines, and prevention...

Tailoring Immunization Programmes (‎TIP)‎ in the Federation of Bosnia and Herzegovina, Bosnia and Herzegovina (‎BIH)‎. Final report

The aim of this TIP project was to identify the factors related to the declining and sub-optimal routine vaccination uptake in Federation of Bosnia...

Rapid qualitative research to increase COVID-19 vaccination uptake: a research and intervention tool

This qualitative tool provides step by step guidance on how to design and conduct rapid qualitative research with different target groups to understand...

Tailoring immunization programmes for seasonal influenza (‎TIP FLU)‎: understanding health care workers’ uptake of seasonal influenza vaccination in Montenegro: a case study for policy-makers and programme managers

Seasonal influenza vaccination of health care workers is recommended to protect them and their patients from infection and to reduce the risk of hospital-...

Operational guidance: acceptance and uptake of COVID-19 vaccines, January 2021

This document is part of a series of operational guidance modules developed to support WHO Member States in the European Region in preparing for and...

TIP: tailoring immunization programmes

Vaccination is an excellent health intervention, saving millions of lives and even more pain and suffering. It can reduce inequalities, increase access...

Vaccine safety and false contraindications to vaccination: training manual

Health professionals are the single most important influence on whether individuals decide to havethemselves or their children vaccinated; therefore,...

Tailoring immunization programmes for seasonal influenza (‎TIP FLU)‎: a guide for promoting uptake of maternal influenza vaccination

WHO recommends seasonal influenza vaccination of pregnant women to protect them and their newborn babies from infection, and to reduce the risk of influenza-related...

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