{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:08:14Z","timestamp":1789103294836,"version":"build-2803163510"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UNICEF","award":["2250\/A0\/07\/881\/002\/003"],"award-info":[{"award-number":["2250\/A0\/07\/881\/002\/003"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Background\/Objectives: Catch-up vaccination is essential for reaching zero-dose and under-vaccinated children. However, community participation depends on several factors whose interactions remain insufficiently understood. This study aimed to analyze the dimensions structuring community participation in catch-up vaccination and to develop a conceptual framework describing their relationships. Methods: An analytical qualitative study was conducted between July and November 2025 in the health districts of Abobo and Yopougon, Abidjan, C\u00f4te d\u2019Ivoire. Data were gathered from 106 participants through 26 semi-structured individual interviews and eight focus group discussions involving 80 parents or caregivers of children aged 0\u201359 months. Interviews and focus group discussions were transcribed in French, and thematic analysis was conducted using NVivo 14 (Lumivero, Denver, CO, USA). A standardized thematic codebook with operational definitions was used by three coders to ensure consistent coding across transcripts. Results: Thematic analysis across participant groups identified seven components shaping community participation: exposure to information, understanding of the message, trust in actors and services, social acceptance, parents\u2019 availability and capacity, participation in the activity, and effective vaccination of the child. Five cross-cutting factors influenced progression along this pathway. Participation could break down when information was insufficient or unclear, trust was undermined by perceived costs or rumors, social acceptance was constrained, or parents faced competing work and time demands. These interactions informed the Community Participation Pathway for Catch-up Vaccination (CPP-CV), which identifies potential disruption points between information exposure and effective vaccination and highlights that non-participation may result from the interaction of informational, social, individual, structural, and organizational factors rather than vaccine hesitancy alone. Conclusions: The findings suggest that participation in catch-up vaccination goes beyond information alone and results from the interaction between community and organizational factors. Non-participation should not be treated as a single problem or assumed to reflect vaccine hesitancy. The CPP-CV provides a programmatically oriented framework for identifying where the pathway from information to vaccination breaks down and for tailoring catch-up strategies accordingly.<\/jats:p>","DOI":"10.3390\/vaccines14090786","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:55:46Z","timestamp":1788879346000},"page":"786","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Information to Vaccination: A Conceptual Framework for Understanding Community Participation in Catch-Up Vaccination for Children in Abidjan, C\u00f4te d\u2019Ivoire"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3533-424X","authenticated-orcid":false,"given":"Abdoul Gadiry","family":"Fadiga","sequence":"first","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF), Abidjan 04 BP 443, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ASM","family":"Shahabuddin","sequence":"additional","affiliation":[{"name":"Maternal, Newborn, Child and Adolescent Health Section, Global Health Practice, Child Survival Centre of Excellence, United Nations Children\u2019s Fund, Nairobi P.O. Box 44145\u201300100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin Sylvestre","family":"Yohou","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Soro","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathilde","family":"Manouan","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bognan Valentin","family":"Kone","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"N\u2019zi-Boa","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josette","family":"Dedoh","sequence":"additional","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF), Abidjan 04 BP 443, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akissi R\u00e9gine","family":"Attia-Konan","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"},{"name":"Faculty of Pharmaceutical and Biological Sciences, F\u00e9lix Houphou\u00ebt-Boigny University, Abidjan 01 BP V34, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Sackou-Kouakou","sequence":"additional","affiliation":[{"name":"National Institute of Public Health, Abidjan 01 BP V47, C\u00f4te d\u2019Ivoire"},{"name":"Faculty of Pharmaceutical and Biological Sciences, F\u00e9lix Houphou\u00ebt-Boigny University, Abidjan 01 BP V34, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2020). Immunization Agenda 2030: A Global Strategy to Leave No One Behind, World Health Organization."},{"key":"ref_2","unstructured":"World Health Organization, and United Nations Children\u2019s Fund (2025). Global Childhood Vaccination Coverage Holds Steady, Yet over 14 Million Infants Remain Unvaccinated, UNICEF."},{"key":"ref_3","unstructured":"World Health Organization (2021). Leave No One Behind: Guidance for Planning and Implementing Catch-Up Vaccination, World Health Organization."},{"key":"ref_4","unstructured":"World Health Organization, and United Nations Children\u2019s Fund (2023). The Big Catch-Up: An Essential Immunization Recovery Plan for 2023 and Beyond, World Health Organization."},{"key":"ref_5","unstructured":"Institut National de la Statistique (INS), Minist\u00e8re de la Sant\u00e9, de l\u2019Hygi\u00e8ne Publique et de la Couverture Maladie Universelle (MSHPCMU), and ICF (2022). Enqu\u00eate D\u00e9mographique et de Sant\u00e9 de C\u00f4te d\u2019Ivoire 2021."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4161","DOI":"10.1016\/j.vaccine.2015.04.036","article-title":"Vaccine hesitancy: Definition, scope and determinants","volume":"33","author":"MacDonald","year":"2015","journal-title":"Vaccine"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1080\/21645515.2018.1459252","article-title":"Measuring trust in vaccination: A systematic review","volume":"14","author":"Larson","year":"2018","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00038-015-0715-6","article-title":"Exposing concerns about vaccination in low- and middle-income countries: A systematic review","volume":"60","year":"2015","journal-title":"Int. J. Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1177\/1529100618760521","article-title":"Increasing vaccination: Putting psychological science into action","volume":"18","author":"Brewer","year":"2017","journal-title":"Psychol. Sci. Public Interest"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Majola, T.N., Blose, N., Chikovore, E.S., Mtwane, Z., Africa, A., Burnett, J.M., Mudau, M., Ndlovu, N., Motloung, B., and Simon-Meyer, J. (2026). Barriers to Childhood Immunisation in Selected Zero-Dose Communities in Gauteng Province: A Qualitative Study. Vaccines, 14.","DOI":"10.3390\/vaccines14050439"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"127754","DOI":"10.1016\/j.vaccine.2025.127754","article-title":"Barriers and enablers to childhood immunization in high zero-dose burden communities in Kano and Lagos states, Nigeria","volume":"64","author":"Bolarinwa","year":"2025","journal-title":"Vaccine"},{"key":"ref_12","unstructured":"World Health Organization (2022). Behavioural and Social Drivers of Vaccination: Tools and Practical Guidance for Achieving High Uptake, World Health Organization."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement. Sci."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ. Behav. Hum. Decis. Process."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s13149-012-0212-6","article-title":"Complete immunization coverage and reasons for non-vaccination in a periurban area of Abidjan","volume":"105","author":"Sackou","year":"2012","journal-title":"Bull. Soc. Pathol. Exot."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Ekezie, W., Igein, B., Varughese, J., Butt, A., Ukoha-Kalu, B.O., Ikhile, I., and Bosah, G. (2024). Vaccination Communication Strategies and Uptake in Africa: A Systematic Review. Vaccines, 12.","DOI":"10.3390\/vaccines12121333"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.socscimed.2013.05.005","article-title":"How do you measure trust in the health system? A systematic review of the literature","volume":"91","author":"Ozawa","year":"2013","journal-title":"Soc. Sci. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/109019818801500401","article-title":"An ecological perspective on health promotion programs","volume":"15","author":"McLeroy","year":"1988","journal-title":"Health Educ. Q."},{"key":"ref_21","unstructured":"World Health Organization (2022). Understanding the behavioural and social drivers of vaccine uptake: WHO position paper\u2014May 2022. Wkly. Epidemiol. Rec., 97, 209\u2013224."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Burnett, J.M., Myende, N., Africa, A., Kamupira, M., Sharkey, A., Simon-Meyer, J., Bamford, L., Guo, S., and Padarath, A. (2024). Barriers to Childhood Immunisation and Local Strategies in Four Districts in South Africa: A Qualitative Study. Vaccines, 12.","DOI":"10.3390\/vaccines12091035"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"128062","DOI":"10.1016\/j.vaccine.2025.128062","article-title":"Geospatial inequalities in zero-dose vaccination and structural determinants: Insights from sub-Saharan Africa (2015\u20132023)","volume":"71","author":"Wand","year":"2026","journal-title":"Vaccine"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"127328","DOI":"10.1016\/j.vaccine.2025.127328","article-title":"Childhood vaccination catch-up and recovery plans for mitigating immunity gap post the COVID-19 pandemic: A case study of selected African countries","volume":"61","author":"Sayem","year":"2025","journal-title":"Vaccine"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"100454","DOI":"10.1016\/j.jvacx.2024.100454","article-title":"In-depth reasons for the high proportion of zero-dose children in underserved populations of Ethiopia: Results from a qualitative study","volume":"16","author":"Biks","year":"2024","journal-title":"Vaccine X"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"126173","DOI":"10.1016\/j.vaccine.2024.126173","article-title":"The use of community-oriented primary care (COPC) model to generate vaccine demand: The case of a remote fishing community in Cameroon","volume":"42","author":"Sangwe","year":"2024","journal-title":"Vaccine"}],"container-title":["Vaccines"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-393X\/14\/9\/786\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:40:35Z","timestamp":1789101635000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-393X\/14\/9\/786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":26,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["vaccines14090786"],"URL":"https:\/\/doi.org\/10.3390\/vaccines14090786","relation":{},"ISSN":["2076-393X"],"issn-type":[{"value":"2076-393X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]}}}