The potential acceptability of infant vaccination against malaria: A mapping of parental positions in Togo

Objective: To map the acceptability to parents in Togo of infant vaccination against malaria. Methods: From July to October 2014, a study of 209 parents of infants in Togo was conducted to assess their willingness to have their infants vaccinated against malaria. Participants were exposed to 48 vignettes, designed using the main constructs of health-protective theories. Results: Five qualitatively different positions were found, which were labeled Neighbors' Attitude (5%), Cost Only (21%), Neighbors' Attitude and Cost (22%), Risk and Cost (33%), and Always Vaccine (20%). Conclusion: The diversity of parental positions regarding vaccinating their infants against malaria implies that malaria vaccination campaigns in Togo, and possibly in other sub-Saharan African countries, must not be one size fits all, but must be tailored in design and implementation to match the diversity of parents' needs and views. (C) 2015 Elsevier Ltd. All rights reserved.