Bruyère Research Institute

Exploring patterns of non-participation across multiple health campaigns: an exploratory study using qualitative methods in Ghana and Indonesia

Purpose and Objectives

This study will explore the potential that never treatment is a household phenomenon that spans more than one health domain (NTDs, vaccines, bed net use, Vitamin A supplementation, etc.) in selected regions of Ghana and Indonesia. It will address important gaps in our current understanding of the intersection of health system, community and community health volunteers during the delivery of public health campaigns. Due to the siloed nature of these public health campaigns, individual participation and hesitancy rates are rarely shared across disease control departments, limiting any efforts to strengthen campaign effectiveness. At the community level, we will document individual levels of ‘health hesitancy’ and associated factors to understand if there are certain types of individuals and/ or households who are consistently hesitant across campaigns. We hypothesize that the pattern of never treatment / zero dose / noncompliance is not random. 

Specific objectives

  1. Identify patterns of acceptability, availability, awareness, and hesitancy amongst community members across multiple public health campaigns (NTDs, malaria, vaccinations, Vitamin A supplementation, COVID-19 measures) 
  2. Explore reasons for nonparticipation across multiple public health campaigns (as above)
  3. Provide insights to ministries of health and regional health bodies to inform programmatic action to address never treatment / zero dose / noncompliance, including potential individual missed through the routine immunization services.

Expected outcomes

  • This study will provide a signal if this is a non-random phenomenon in regions of Ghana and Indonesia which could be followed up by more intensive and targeted implementation research approach to respond to bottlenecks or challenges of multi-campaign coverage. 
  • This study will inform action that can be taken to address those households that may be missed across multiple health domains, improving efficiency and effectiveness and working towards integration across these campaigns at the community level.
  • Research results would be of interest across multiple public health domains.
  • Results are expected to assist with integration across public health domains