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Vaccine Volume 36, Issue 35, 23 August 2018, Pages 5273-5281 Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala Author links open overlay panelGretchen J.DomekabSean T.O'LearyacSheanaBullbdMichaelBronsertbcIngrid L.Contreras-RoldaneGuillermo AntonioBolaños VenturafAllisonKempeacEdwin J.Asturiasabg https://doi.org/10.1016/j.vaccine.2018.07.046Get rights and content Under a Creative Commons license open access Highlights • The Vaccine Hesitancy Survey (VHS) was field tested in urban and rural Guatemala. • Vaccine shortages and access in LMICs are important structural issues to consider. • Participants had difficulty understanding and using the Likert scale format. • Factor analysis showed a two-factor structure within the VHS Likert scale items. • More work is needed to refine this survey for improved global utility.