Informational and structural interventions as healthcare governance mechanisms in a post-pandemic world

Purpose A health pandemic has been very dangerous to global health, with far-reaching socioeconomic consequences in every country. Literature has witnessed disagreements on why some individuals refuse to be vaccinated from a hesitancy perspective. Hence, the study aims to investigate the vaccine hesitancy factors contributing to non-vaccination intention empirically. Design/methodology/approach The research used a quantitative research approach using a survey. A quota sampling method was chosen for this research. The collected data was analyzed by using PLS-SEM. Findings The statistical findings indicated that five out of six predictors, namely, confidence, complacency, calculation, collective responsibility and conspiracy beliefs, were statistically significant in explaining the vaccination intention phenomenon. Additionally, the moderating effect of the informational intervention and structural intervention was tested on the relationship between vaccination hesitancy and vaccination intention. Only structural intervention was found to have a moderating impact on this relationship. Originality/value The results were discussed in the theory and practice of vaccination intention. The findings have important theoretical implications in the literature on vaccination hesitancy and intention, as well as practical implications in the policy development area to improve vaccination intention in Malaysia. The theoretical model presented in this study is an extension of the existing model through the incorporation of additional predictors and more importantly, intervention moderators to bridge disagreements that persist in the literature. The insights gained through the proposed model stand out as an original incremental contribution and also offer a new direction for future studies within the vaccination intention domain.