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Table 4 Examples of using qualitative evidence to populate the evidence-to-decision framework criterion on gender, health equity and human rights impacts – ‘indirect’ equity impacts

From: Qualitative Evidence Synthesis (QES) for Guidelines: Paper 2 – Using qualitative evidence synthesis findings to inform evidence-to-decision frameworks and recommendations

Guideline and framework Source of the findings Qualitative evidence synthesis summary findings Text developed from these finding/s for the equity criterion of the framework
Communication interventions to inform and educate caregivers on routine childhood vaccination in the African Region – Face-to-face interventions and community-aimed interventions (World Health Organization Regional Office for Africa: Guidance on Communication Interventions to Inform and Educate Caregivers on Routine Childhood Vaccination in the African Region, forthcoming) Existing synthesis [27] Synthesis finding 13 – Health workers are an important source of vaccination information for parents (high confidence in the evidence)
Synthesis finding 25 – Some parents distrusted or lacked confidence in information sources linked to the government. They considered these to be biased, to be withholding information or to be motivated by financial gain (moderate confidence)
Synthesis finding 36 – Parental misconceptions about vaccination were sometimes based on information that they had received from health workers (moderate confidence in the evidence)
Issues hypothesised from the evidence:
• The evidence shows that health workers are an important source of vaccination information for most parents. We can assume that population groups with poor access to health workers will also have less access to vaccination information. In addition, we can assume that the problem of vaccination misinformation from health workers is likely to be more common for people living in areas where it is difficult to recruit and retain well-trained health workers.
• The evidence shows that some parents distrust or lack confidence in information sources linked to the government. Where population groups have low levels of trust in the government, for instance, because of political tensions or ethnic conflict, we can assume that they may find it particularly difficult to trust information from government healthcare providers