TABLE 2.

Key Challenges and Recommendations for Mitigating Vaccine Hesitancy

ChallengesRecommendations
Challenge 1: Lack of timely data on vaccine hesitancy
  • Include measurement of vaccine hesitancy in routine population-based surveys to enable timely data on hesitancy trends and reasons.

  • Conduct routine screening of vaccine-eligible populations for hesitancy in health care settings for proactive targeting of counseling interventions.

Challenge 2: Inadequate access to trusted sources of information
  • Incentivize providers to counsel hesitant individuals through reimbursement and use of quality metrics for value-based care.

  • Modify medical and continuing education curricula to train providers on vaccine hesitancy and effective communication strategies.

Challenge 3: Structural barriers to vaccination
  • Outreach to homes or community-based vaccination sites such as schools, churches, and pharmacies to increase vaccine access.

  • Strengthen public health infrastructure and linkages to local health departments/federally qualified health centers to bridge insurance and access gaps for rural populations.

Challenge 4: Ease of seeking exemptions
  • Reduce non-medical exemptions.

  • Increase oversight of vaccine mandates for homeschooling.

Challenge 5: Complacency toward vaccinations
  • Implement standing orders for routine and recommended vaccines in health care settings.

  • Use digital health reminder-recall interventions to support series completion and uptake of seasonal vaccines.