Table 1 Example from an intervention mapping matrix (Bristol English Gypsy/Irish Traveller community)
Barrier | Concerns about specific vaccines: Whooping cough - fear of brain damage in child, view that pregnancy should be natural HPV – belief that girls don’t need it as don’t have sex until married, so vaccine is seen as inappropriate and offensive | Low levels of literacy: meaning that information about immunisations is difficult to understand |
Objective to address barrier | Develop good understanding of specific vaccines amongst GRTs whilst mindful of culturally-based concerns | Develop good understanding of immunisations amongst GRTs |
Target: | Community Primary Care Schools | Community Primary Care |
SEM level | Intrapersonal Interpersonal Institutional Community | Intrapersonal Institutional |
Ideas for Intervention | Verbal explanation from a health professionala Community Championsa Social media with accurate messagesa Work with school nurses to change the way the HPV jab is presented to adolescent girls i.e. about cancer and when it is important to have itb Cultural competence training; Work with targeted groups e.g. pregnant women, fathers, adolescent girlsc Support adolescent girls to speak with their eldersc Involve the community in developing culturally relevant informationc | Explain things clearly and where information is written keep it simple using picturesa,b Involve the community in developing accessible informationc Improve access/retention at schoolc |