Enablers of childhood vaccination–Western Area Urban, Sierra Leone, 2018
| Meaning unit | Category | Sub-themes | Theme |
| Responsibility to ensure full vaccination | Parental responsibility | Emotional enablers of childhood vaccination | Enablers of childhood vaccination |
| Obligation to do the right thing | |||
| Immunisation as a requirement | |||
| Immunisation is important for baby’s health | Wanting a ‘strong and healthy baby’ | ||
| Wanting ‘strong baby’ | |||
| ‘Health is wealth’ | |||
| Defaulting on vaccination risks baby’s life | |||
| Vaccination benefits the parent later in life | Parental anticipation of reciprocal benefit | ||
| Taking care of parents when old | |||
| Immunisation card is important | Diversity of immunisation reminders | Practical enablers of childhood vaccination | |
| Campaign as reminder | |||
| Reminders by health workers at vaccination visit | |||
| Husband as reminder | |||
| Immunisation card as reminder | |||
| Other family member as reminder | |||
| Nurses should lead | Information access and information trust | ||
| Nurses more trusted than CHWs | |||
| Same information from different sources | |||
| Immunisation promotion through radio/tv | |||
| Immunisation promotion by health workers | |||
| Immunisation promotion through leaders | |||
| Immunisation promotion by NGOs | |||
| Mothers take the child to the clinic | Getting fathers more involved | ||
| Fathers rarely involved | |||
| Father received an award for involvement | |||
| Cordial relationship with nurses | Positive experiences with health worker | ||
| Good care by nurses | |||
| HWs encourage seeking care at HF | |||
| Giving money to health worker as token of appreciation | |||
| Husband asking about the visit | Post-vaccination information sharing | ||
| Informing husband of next visit | |||
| Telling husband about visit expenses | |||
| Immunisation is a ‘learning process’ | |||
| Sharing experiences with neighbours or friends | |||
| Other family members asking about the visit |
CHWs, community health workers; HF, Health facility; HWs, Health workers; NGOs, Non-governmental organisations.