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Bate Papo Vacina! (Let’s Talk About Vaccines!)

This study seeks to amplify the voices of caregivers and health workers and uncover new insights by using principles of community-based participatory research and human-centered design.




Not Affiliated to a Solution


Infectious disease




In Zambézia Province, Mozambique, only half of children were fully vaccinated as recently as 2015. Bate-Papo Vacina (Let’s get Vaccinated!) is a VillageReach research initiative that prioritizes caregiver and health worker voices to help explore the drivers and potential solutions for vaccine dropouts in children under the age of two. Research methods included photovoice interviews with caregivers, interviews with health care workers via SMS and human centered design workshops.

How it

Our next step is to complete an expansion study in Zambézia Mozambique & Malawi to: identify and describe the primary drivers of why some children under two are not completing their full immunization schedule; Identify potential community driven solutions to improve full immunization of children under two within and across geographies; and Implement and evaluate community identified solutions in both Mozambique and Malawi.



Report  |  2022

Bate-Papo Vacina!

Report  |  2022

Let’s Talk About Vaccines Study Overview

Research  |  2022

Determinants of immunisation dropout among children under the age of 2 in Zambézia province, Mozambique

Research  |  2021

Reducing missed opportunities for vaccination in Mozambique: cross-sectional assessment (2017)

Program Impact

Phase 1 Findings:

Bate-Papo Vacina is a qualitative study to examine drivers of and potential solutions to immunization dropout among children below two years. 

Preliminary findings suggest there are four factors in vaccine dropouts: (1) social dynamics between patients and health workers at the health facility prevent mothers from advocating for immunizations; (2) reduced trust in health system due to barriers encountered trying to access services; (3) mothers lack of social support; and (4) concerns around side-effects of vaccines, particularly if the child has started to fall out of schedule.



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