Table 2

List of domains, questions and probes in the Immunisation Caregiver Journey Interviews guide

DomainQuestionsProbes
Decision-making and preparation1) What were the things you took into consideration when thinking about taking your child to be vaccinated?a) How did you know when to take the child?
b) Who played a role in deciding to take the child for vaccination?
c) Who made the final decision to take the child for vaccination?
d) What did you anticipate or expect regarding the visit based on your experience from prior visits or things that people may have told you?
2) Once the decision was made to take the child for vaccination, please tell me about how you prepared for the visit.a) What did you do to remember the date?
b) How did you manage the visit with work or other duties?
c) What did you have to do to get to the health facility?
d) Did someone help you to get there or go with you? Please explain.
e) What did you have to do to get into the health facility?
Making the journey3) Please tell us about the health facility where you went for the last vaccination visit, and what was the journey like to get there?a) How far was it, and how did you get there?
b) What was the journey like to get there? Was it easy or challenging to get there and for what reasons?
c) How many times had you been to this facility in the past?
d) What do you think about the time it usually took before vaccination staff attended to your child?
e) Were there any costs associated with the immunisation services? If so, please explain:
  • Did you have to pay anyone to get your child vaccinated? If so, how much and to whom?

  • Did you have to provide any goods or materials to get your child vaccinated? If so, what did you provide and to whom?

Experiences during vaccination visit4) Please describe the overall experience during your last vaccination visit.a) What did you like about the visit and for what reasons?
b) What did you NOT like about the visit and for what reasons?
c) How did this experience make you want to return or NOT return for other vaccinations?
d) In the future, what can the staff at the vaccination site do to improve the experience for you and other caregivers?
5) Please describe your interactions with healthcare workers, including the vaccinator, during your last vaccination visit at the health facility.a) How would you describe your experience when interacting with the vaccination staff?
b) What do you think about how the vaccination staff that interacted with you?
  • How did the interaction make you feel?

  • What did you like about the interaction?

  • What did you NOT like about the interaction?


c) How does this experience make you want to return or NOT return? Please tell us more.
d) In the future, what can vaccination staff do to improve the experience for you?
6) Please describe your interactions with other caregivers while you were waiting to get your children vaccinated.a) What kind of interactions did you have with other caregivers?
b) What were caregivers saying? What were they doing?
c) Was there something that was done/said by other caregivers that may have encouraged or discouraged you to bring your child back for other vaccination? Please help us understand.
Postvaccination experiences7) Please tell us about what happened after the visit once you returned to your community.a) Did anyone ask you questions? If so, who asked about your experience? What did they ask? How did you reply? If not, what would you say if people asked about your experience?
b) How were other caregivers talking about their experiences (if applicable)?
c) In general, what do people in your community say about vaccination?
d) In general, what do people in your household say about vaccination?
8) Please tell us about how the last visit may be similar or different from your other prior visits for this child or your other children.a) How did your experiences change or remained the same over time? Please help us understand.
b) What experiences were similar? Please help us understand.
c) What experiences were different? Please help us understand.
9) Have you, or someone you know, ever had a child that experienced any adverse events after being vaccinated?a) Please describe exactly what happened (signs, symptoms, timeline, etc.) and the circumstances.
b) Who did what for the child? What was the outcome?
c) How did you feel about this experience?
d) What did you say to others about this experience?
e) How do other people in the household or community feel about the situation?
Intentions to return10) When is your child’s next visit for vaccination? You can check the Child Health Card if you have it (if respondent can’t read, check the date and tell her; then, ask the following questions)a) Do you plan to attend that next scheduled vaccination visit for this child?
b) If YES, what are the key reasons why you would return to the vaccination site?
c) If NO, what are the key reasons why you would NOT return to the vaccination site?
Demand promotion11) How is immunisation promoted in your community?a) What information are you provided, how frequent and by whom?
b) What do you think about the information?
c) What questions do you have about immunisation, if any?
d) Who do you usually trust to talk to you about the health of your child?
  • Who do you trust the most to talk to you about immunisation?

  • Who do you trust the least to talk to you about immunisation?


e) What do you think about how immunisation services are promoted in your community?
  • How do you think the promotion activities for immunisation can be improved