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Key expressions
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| “You have to pay, it is difficult, not everyone has this access” (Citizen 4) |
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“Vaccines are expensive, it is not possible to have access if it is not through SUS” (Citizen 6) |
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“If there's no vaccine in the public system, you can find it in the private system, but people don't have money” (Citizen 7) |
| “It's more difficult for those who can't afford it” (Citizen 8) |
| “Those who have economic power can buy it, but those who don't have it – most population – won't buy it” (Citizen 19) |
| “Not accessible due to the price, many people are not vaccinated because of that” (Citizen 10) |
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“Access is important for prevention, but the population has not taken some precautions. The more research in this area, the better our prevention” (Citizen 11) |
| “The access is difficult, information is missing” (Citizen 12) |
| “It needs to evolve more, there is still a wide range of vaccines available in the private system, which the government doesn't provide for people” (Citizen 16) |
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“It is restricted and with flaws. The access via private system is expensive” (Citizen 17) |
| “Few people have access” (Citizen 20) |
Second central idea (n=10)
“The access is not for everyone, it depends on the economic power”
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Key expressions
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| “The access is not universal, people have to pay, and Brazil is a poor country; the population will never have access if they have to pay for the vaccine. And these vaccines are not cheap” (Physician 1) |
| “It is not for everyone, it is different for social classes with higher purchasing power. Vaccines are not cheap and seem to be a good deal, many clinics are emerging” (Physician 3) |
| “Those who have purchasing power will find it easy to buy it. It is difficult to reach patients who need it, especially underserved patients who live, for example, in a rural area” (Physician 4) |
| “Restricted, as it depends on the economic power” (Physician 5) |
| “It is a minority, a small percentage of the population has access” (Physician 6) |
| “The private system always works as a company and will sell the vaccine to people with higher purchasing power, this is an individual decision” (Physician 9) |
| “It is easier, but vaccines are expensive, then it depends on socioeconomic conditions” (Physician 10) |
| “It is still far from fulfilling the needs. The availability in most cases only in the private system generates a high cost for many people” (Physician 11) |
| “Few vaccines have been included in the Brazilian vaccination calendar and they are very important. So the access is impossible for the needy population; access is expected to be facilitated in the future. Besides, part of the population doesn't want to be vaccinated today, which is a disaster” (Physician 12) |
| “It has to be expanded. The access will be better when new vaccines are incorporated into SUS” (Physician 19) |
Third central idea (n=6)
“Poor access and lack of information about the purpose of vaccines”
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Key expressions
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| “The access is restricted, there are more vaccines than people aware of them” (Citizen 1) |
| “No, of course there is no access, I think (…) I don't understand much about these vaccine things” (Citizen 2) |
| “It can improve, not only risk groups should be immunized” (Citizen 14) |
| “The public system offer is large, good, but not enough. The population shows no interest” (Citizen 15) |
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“[The access is] reduced due to the fact that vaccines are given only at health centers and the lack of adherence by the population, people are not aware” (Citizen 18) |
| “Difficult, but effective within its limitations” (Citizen 19) |
Fourth central idea (n=4)
“There is no difference in the supply of vaccines when comparing the public and private sectors”
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Key expressions
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| “The private system advertises it way before the public system, and many people who sometimes would not have financial conditions to buy it end up buying because they think the public system would not be efficient. On the contrary, it would be as efficient, but it is not advertised” (Physician 2) |
| “I think both the private and public sectors are about the same in terms of supply of vaccines, I think there isn't a big difference” (Physician 7) |
| “Good, regarding epidemic diseases. But for diseases that are not reported, vaccines are available in the private system, and people should not get vaccines just because they exist” (Physician 13) |
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“Usually, vaccines that reach the private system have already been in the public system before. Sometimes there is a shortage in the public system, and the private system takes advantage of it” (Physician 17) |
Fifth central idea (n=3)
“There is low population adherence”
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Key expressions
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| “We could have more adherence in the public health system, in fact” (Physician 8) |
| “Few vaccines have been included in the Brazilian vaccination calendar and they are very important. So the access is impossible for the needy population; access is expected to be facilitated in the future. Besides, part of the population doesn't want to be vaccinated today, which is a disaster” (Physician 12) |
| “Really bad. There is resistance from the population to vaccines worldwide; the vaccination program is inadequate” (Physician 20) |
Sixth central idea (n=3)
“There is a good supply, but people need to be better informed”
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Key expressions
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“There is a big access, but there is a lack of information about the need for vaccination and explanations about side effects” (Physician 14) |
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“Everyone has access in the public sector, but building awareness is necessary” (Physician 15) |
| “It has improved, but information is still missing about distribution, need and functionality” (Physician 16) |
Seventh central idea (n=2)
“The supply is poor and needs improvement”
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Key expressions
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“Poor. Vaccines are only available in the public system during times of outbreak. The new ones also need to be made available to all population” (Physician 18) |
| “Really bad. There is resistance from the population to vaccines worldwide; the vaccination program is inadequate” (Physician 20) |
Eighth central idea (n=2)
“Vaccines will cause disadvantages”
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Key expressions
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“Some have no interest, others think it's bad, that they can die” (Citizen 3) |
| “Some people don't trust; some say they get sick, others say that [many people] have already died” (Citizen 5) |
Ninth central idea (n=1)
“Lack of knowledge about the subject”
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Key expressions
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| “I can't give an opinion, because I don't know anything about it” (Citizen 13) |
