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. 2019 Apr 3;19(1):368.
doi: 10.1186/s12889-019-6706-4.

Religious and community leaders' acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study

Retna Siwi Padmawati  1 , Anita Heywood  2 , Mei Neni Sitaresmi  1 , Jarir Atthobari  1 , C Raina MacIntyre  3 , Yati Soenarto  1 , Holly Seale  3
Affiliations

Religious and community leaders' acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study

Retna Siwi Padmawati et al. BMC Public Health. .

Abstract

Background: In Indonesia, oral rotavirus vaccines are available but not funded on the National Immunization Program (NIP). New immunization program introduction requires an assessment of community acceptance. For religiously observant Muslims in Indonesia, vaccine acceptance is further complicated by the use of porcine trypsin during manufacturing and the absence of halal labeling. In Indonesia, religious and community leaders and the Majelis Ulama Indonesia (MUI) are important resources for many religiously observant Muslims in decisions regarding the use of medicines, including vaccines. This study aimed to explore the views of religious and community leaders regarding the rotavirus vaccine to inform future communication strategies.

Methods: Twenty semi-structured in-depth interviews were undertaken with religious leaders and community representatives from two districts of Yogyakarta Province, Indonesia. Thematic analysis was undertaken.

Results: Although there was recognition childhood diarrhoea can be severe and a vaccine was needed, few were aware of the vaccine. Participants believed a halal label was required for community acceptance, and maintenance of trust in their government and leaders. Participants considered themselves to be key players in promoting the vaccine to the community post-labeling.

Conclusions: This study highlights the need for better stakeholder engagement prior to vaccine availability and the potentially important role of religious and community leaders in rotavirus vaccine acceptability in the majority Muslim community of Yogyakarta, Indonesia. These findings will assist with the development of strategies for new vaccine introduction in Indonesia.

Keywords: Acceptance; Diarrhea; Halal; Immunization; Islam; Religious; Rotavirus; Rotavirus vaccine.

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Conflict of interest statement

Ethics approval and consent to participate

Ethics approval was sought and received from the Ethical Review Board of the Faculty of Medicines, UGM and the Human Research Ethics Committee, UNSW Sydney (HC13079). Written, informed consent was obtained from all participants prior to interview.

Consent for publication

Not applicable.

Competing interests

AEH has received grant funding for investigator driven research from GSK and Sanofi Pasteur. CRM has received funding from GSK for investigator-driven research on vaccines. HS has received grant funding for investigator driven research from bioCSL, GSK and Sanofi Pasteur. The other authors have no competing interests to declare.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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