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“Vaccination has had a positive impact on public health, but maintaining high uptake rates is difficult. Researchers in Europe have devised a person-centered approach to address hesitancy.”
Vaccination is a highly successful strategy in the control and prevention of infectious diseases and represents an important aspect of both individual and public health. Nevertheless, a worrying trend of increasing vaccine hesitancy is emerging around the world, particularly in Europe.
The WHO recently issued an alert calling attention to the measles outbreak and highlighting the need for urgent action. The VAX-TRUST project is Recommendations to address the phenomenon of vaccine hesitancy both at national and European level.

After extensive research conducted in seven countries (Belgium, Czech Republic, Finland, Italy, United Kingdom, Poland and Portugal), a Delphi survey involving 112 pediatric vaccination experts was created to assess vaccine hesitancy. published 16 comprehensive recommendations to address. .
These recommendations served as the basis for six key dimensions to effectively address vaccination hesitancy in Europe: awareness, support, training, ownership, awareness, and engagement. These are collectively known as ASTARE models.
This approach aims to establish itself as a comprehensive reference framework, providing guidance to health professionals, organizations and authorities to address vaccination hesitancy.
- consciousness is dedicated to disseminating clear, accurate, evidence-based information to improve understanding of immunization.
- support It focuses on the implementation of organizational and institutional mechanisms that facilitate communication between health professionals and specific populations.
- training We advocate strengthening the scientific and technical preparation of health care workers so that they can more effectively communicate with vaccine-hesitant parents.
- agency It emphasizes the importance of recognizing and adapting vaccination strategies based on children’s individual needs and characteristics.
- recognition We acknowledge and respect parents’ perspectives in managing their children’s health according to their lifestyle.
- engagement Facilitate the development of a collaborative partnership by integrating the specific physical and emotional needs of both children and parents into the vaccination process.

of astare model Through an inter-expert consensus on childhood immunization in Europe, we promote a person-centred approach to care by recognizing the different needs and perspectives of the different actors involved in the immunization process.
The dimensional complexity of the ASTARE model, the integrated recommendations, and the comprehensive results of the VAX-TRUST project were presented in the European Policy Brief published here and discussed at the final meeting in Finland.
About the author:
Ana Patricia Hilario and Fabio Rafael Augusto from the Institute of Science and Society at the University of Lisbon are part of the research consortium that implemented the VAX-TRUST project.
VAX-TRUST was funded by the European Union’s Horizon 2020 research and innovation program (grant agreement number 965280).
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