Beyond Access: A Qualitative Exploration of the Social and Behavioural Drivers of Routine Childhood Immunisation in the Solomon Islands

Background/objectives

Gaps in routine childhood immunisation coverage persist in the Solomon Islands, with completion of the vaccination schedule varying considerably between remote and geographically isolated communities. While structural and logistical barriers to immunisation, such as vaccine supply constraints and inadequate cold chain infrastructure, are frequently documented in such settings, far less is known about the attitudes, norms, and relationships that shape caregiver and community engagement with immunisation services. This study aimed to apply the WHO Behavioural and Social Drivers of Vaccination (BeSD) framework to generate locally grounded evidence on the drivers of routine childhood immunisation in the Solomon Islands.

Methods