Table 2 Factors affecting acceptability of communicable disease control and elimination programmes identified in papers reviewed and ranked in order of extent of influence.
Factors affecting acceptability ranked in order of proposed degree of influence on participation | References |
|---|---|
1. Lack of perceived risk of the disease | [104] |
2. Inadequate knowledge about the reasons for and safety of the interventions | |
3. Inconsistency in service provision or doubts about the quality or usefulness of the service | |
4. Cost and side effects of interventions | |
5. Pervasive beliefs that the interventions have been introduced to intentionally cause harm or control populations (linked to abortion, infertility, brainwashing tool for communism) | |
6. Gender - i.e. acceptability of malaria services by women in a programme where almost all volunteers are men | [84] |
7. Concerns about environmental contamination | [103] |
8. Persistent fears of recurrence of previous colonial disease control practices such as house and body burnings. | [79] |