What does this research mean for the field?

In settings of political transition and conflict like Ukraine, trust in childhood vaccination is deeply intertwined with broader perceptions of state institutional legitimacy, where corruption undermines trust while accountability reforms and crisis-induced civic responsibility can strengthen it. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the evolving interactions among health system governance, institutional trust, and childhood vaccination across periods of reform and conflict in Ukraine.

August 27, 2026The International Journal of Health Planning and ManagementOpen Access

Political Transition, Health System Reform and Trust in Childhood Vaccination in Ukraine: A Qualitative Case Study

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Authors

HDHarriet DwyerLondon School of Hygiene & Tropical Medicine JPJennifer PalmerLondon School of Hygiene & Tropical Medicine LELuisa EnriaLondon School of Hygiene & Tropical Medicine

Discussion

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Implication

Qualitative case study explores childhood vaccination trust during health reforms and conflict, highlighting state legitimacy's role in health system engagement.

Key Points

To describe the evolving interactions among health system governance, institutional trust, and childhood vaccination across periods of reform and conflict in Ukraine.
Qualitative case study design.
Conducted qualitative in-depth interviews with key informants and Ukrainian parents.
Trust in childhood vaccination was closely tied to perceptions of state institutional legitimacy and service quality, which were historically undermined by corruption and weak governance.
Health system reforms enhanced trust by increasing accountability and patient choice.
The 2022 full-scale invasion disrupted healthcare delivery while simultaneously strengthening civic responsibility and engagement with public health.

Cite This Study

Dwyer et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe99e10c91c1e92621589 https://doi.org/10.1002/hpm.70128

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Implication

Qualitative case study explores childhood vaccination trust during health reforms and conflict, highlighting state legitimacy's role in health system engagement.

Political Transition, Health System Reform and Trust in Childhood Vaccination in Ukraine: A Qualitative Case Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Political Transition, Health System Reform and Trust in Childhood Vaccination in Ukraine: A Qualitative Case Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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