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Stoop); International Food Policy Research Institute ( Hirvonen); Université catholique de Louvain, or UCLouvain ( Maystadt); Lancaster University ( Maystadt) Recognising the extent to which a lack of institutional trust jeopardises vaccination campaigns is crucial to improve immunisation rates. While the persistence of subnational pockets of low vaccination coverage in Africa has been attributed to societal, cultural, and religious considerations, as well as to limited access to vaccination services and to caregiver knowledge gaps, researchers are increasingly pointing to the role of vaccine hesitancy in hindering progress towards universal child immunisation coverage. Qualitative evidence suggests that lack of trust in local and national authorities is linked to vaccine hesitancy and refusal across the continent. For example, lack of trust in governments has been found to lead parents to question the vaccine information they receive from health authorities and thus affect

Jean francois maystadtUclouvain maystadtDemographic health surveysResearch foundation flandersInternational food policy research institute hirvonenUniversity of antwerp stoopUniversity of leuven stoopLancaster university maystadtInternational food policy research instituteLancaster universityFonds de la recherche scientifiqueEastern africaWest africaமக்கள்தொகை ஆரோக்கியம் ஆய்வுகள்ஆராய்ச்சி அடித்தளம் ஃப்ல்யாஂட்ஸ்சர்வதேச உணவு பாலிஸீ ஆராய்ச்சி நிறுவனம்