Supplemental Digital Content 1. 50 of 66 survey questions with response options administered to 564 households in rural Guatemala, September 2016. Questions on Norovirus and participant experience excluded.
Domain Questions Response Response Options
1. Demographics Where does the father work? Single Employed; Own Job;
Unemployed; Other How many years have you lived at your
current household?
Single < 12 months; 1 years; 2 years; 3 years; 4 years; >5 years
How many telephones are in the house? Numeric 2. Health History
and Sources of Information
Where do you obtain your health care? Multiple Private; Public; Pharmacy; Other Where do your children obtain healthcare? Multiple Private; Public; Pharmacy; Other Where do your children obtain vaccines? Single Private; Public health post;
Pharmacy; Public hospital; Other Have you ever had dengue? Single No; Yes; Do not know
Has anyone in your family had dengue? Single No; Yes; Do not know Have you ever had chikungunya? Single No; Yes; Do not know Has anyone in your family had chikungunya? Single No; Yes; Do not know
Have you ever had Zika? Single No; Yes; Do not know
Has anyone in your family had Zika? Single No; Yes; Do not know How often are mosquitos in your home? Single Never; Rarely; Regularly Where do you learn about vaccines? Multiple Radio; Television; Neighbors;
Ministry of Health; Newspaper;
Doctor; Friends; Internet; Other Where do you get your information about
dengue, chikungunya, and Zika?
Multiple Radio; Television; Neighbors;
Ministry of Health; Newspaper;
Doctor; Friends; Internet; Other Who do you trust the most for information
about dengue, chikungunya, and Zika?
Multiple Radio; Television; Neighbors;
Ministry of Health; Newspaper;
Doctor; Friends; Internet; Other 3. General
Vaccine Attitudes
Can vaccines prevent serious diseases? Single No; Yes; Do not know The majority of parents vaccinate their
children with all the recommended vaccines?
Single No; Yes; Do not know Have you ever been hesitant or resisted giving
a vaccine to your child?
Single No; Yes; Do not know Have you ever refused giving a vaccine to
your child?
Single No; Yes; Do not know The distance, the clinic hours, and the time
needed to transport or wait at the clinic is an impediment to vaccinating your child.
Single No; Yes; Do not know
Are there other pressures in your life that impede your ability to vaccinate your child?
Single No; Yes; Do not know Have you ever purchased a vaccine before? Single No; Yes; Do not know 4. Dengue
Knowledge
I am confident I can recognize dengue Single No; Yes; Do not know How is dengue usually transmitted? Single Mosquito; during pregnancy;
sexual; other; do not know When do mosquitos that transmit dengue
bite?
Single During the day; at night; at night and day; do not know
Where do the mosquitos that transmit dengue breed?
Multiple Standing water; trash; plants;
tires; ditches; washing sinks Can you get dengue more than once? Single No; Yes; Do not know 5. Arbovirus
Attitudes
Dengue Do you believe you live in an area where there is a lot of dengue?
Single No; Yes; Do not know How concerned are you about Dengue?
Numeric 1-5
1 “Not at all”, 5 “Very Concerned”
Chikungunya Do you believe you live in an area where there is a lot of chikungunya?
Single No; Yes; Do not know How concerned are you about chikungunya? Numeric
1-5
1 “Not at all”, 5 “Very Concerned”
Zika Do you believe you live in an area where there is a lot of zika?
Single No; Yes; Do not know How concerned are you about zika? Numeric
1-5
1 “Not at all”, 5 “Very Concerned”
6. Arbovirus Prevention Practices
Has the house been sprayed for mosquitoes in the last year?
Single No; Yes In the last month have you done any of the
following: (mark all that apply)
Multiple Sprayed insecticide in the house;
Used window screens; Emptied water containers; Covered water containers
Did you perform any of the following activities as a result of participating in the study?
Multiple Sprayed insecticide; Used window screens; Changed water
containers; Covered water containers; Emptied water containers Used bednets; Picked up trash; Do not know
What do you do to prevent mosquito bites? Multiple Nothing; Repellant; Screens on windows; Empty standing water;
Wear long clothes; Other 7. Arbovirus
Vaccine Acceptance and WTP
If there was a free vaccine that protected two out of four people from dengue, would you vaccinate your children?
Single No; Yes; Do not know
If there was a free vaccine that protected three out of four people from dengue, would you vaccinate your children?
Single No; Yes; Do not know
If a vaccine was not free, how much would you be willing to pay for your child to obtain it?
Single 0Q to 25Q; 26Q to 50Q; 51Q to 75Q; 76Q to4 100Q; More than 100Q
What population should be priority for a dengue vaccine?
Single Children<5; Children 5-<15; Adult women 15-45; Adult men 15-45;
Older adults >45; Do not know If there was a free vaccine that protected two
out of four people from chikungunya, would you vaccinate your children?
Single No; Yes; Do not know
If there was a free vaccine that protected three out of four people from chikungunya, would you vaccinate your children?
Single No; Yes; Do not know
If a vaccine was not free, how much would you be willing to pay for your child to obtain it?
Single 0Q to 25Q; 26Q to 50Q; 51Q to 75Q; 76Q to 100Q; More than 100Q
What population should be priority for a chikungunya vaccine?
Single Children<5; Children 5-<15; Adult women 15-45; Adult men 15-45;
Older adults >45; Do not know If there was a free vaccine that protected two
out of four people from Zika, would you vaccinate your children?
Single No; Yes; Do not know
If there was a free vaccine that protected three out of four people from Zika, would you vaccinate your children?
Single No; Yes; Do not know
If a vaccine was not free, how much would you be willing to pay for your child to obtain it?
Single 0Q to 25Q; 26Q to 50Q; 51Q to 75Q; 76Q to 100Q; More than 100Q
What population should be priority for a Zika vaccine?
Single Children<5; Children 5-<15; Adult women 15-45; Adult men 15-45;
Older adults >45; Pregnant women; Do not know
