“It was <i>tidak cocok</i> (incompatible)”: Incompatibility, Decoloniality, and Vaccine Hesitancy in Banda Aceh, Indonesia

In 2018, vaccine hesitancy marked the nationwide measles-rubella vaccination campaign in the Indonesian province of Aceh. The hesitancy, which was supported by the provincial government, stemmed from concerns over porcine contamination in the vaccine product. "Tidak cocok" (incompatible) became a pervasive statement used to rationalize the refusal to participate in the vaccination program, permeated personal narratives, public responses to a vaccine allergy case, and an official meeting to determine the vaccination campaign's future. In this article, I theorize incompatibility as a lexical item of decoloniality. Incompatibility fosters a sense of liberation, paving a pathway to refuse tools and systems considered unfit according to locally situated knowledge and historical experience. It further reclaims what has been marginalized, delegitimized, and ignored by dominant epistemic and political structures. I also suggest that many Islamic expressions arising during the vaccine hesitancy have given a distinct local flavor to the decolonial critique on vaccination. [Aceh, decoloniality, incompatibility, Indonesia, Islam, vaccine hesitancy].

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Journal
Medical Anthropology Quarterly
Published
2025-10-20
DOI
https://doi.org/10.1111/maq.70024
Primary Topic
Vaccine Coverage and Hesitancy
Type
article
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article

“It was tidak cocok (incompatible)”: Incompatibility, Decoloniality, and Vaccine Hesitancy in Banda Aceh, Indonesia

Dimas Iqbal Romadhon
Medical Anthropology Quarterly
Vaccine Coverage and Hesitancy
article

“It was tidak cocok (incompatible)”: Incompatibility, Decoloniality, and Vaccine Hesitancy in Banda Aceh, Indonesia

Dimas Iqbal Romadhon
article en

Abstract

In 2018, vaccine hesitancy marked the nationwide measles-rubella vaccination campaign in the Indonesian province of Aceh. The hesitancy, which was supported by the provincial government, stemmed from concerns over porcine contamination in the vaccine product. "Tidak cocok" (incompatible) became a pervasive statement used to rationalize the refusal to participate in the vaccination program, permeated personal narratives, public responses to a vaccine allergy case, and an official meeting to determine the vaccination campaign's future. In this article, I theorize incompatibility as a lexical item of decoloniality. Incompatibility fosters a sense of liberation, paving a pathway to refuse tools and systems considered unfit according to locally situated knowledge and historical experience. It further reclaims what has been marginalized, delegitimized, and ignored by dominant epistemic and political structures. I also suggest that many Islamic expressions arising during the vaccine hesitancy have given a distinct local flavor to the decolonial critique on vaccination. [Aceh, decoloniality, incompatibility, Indonesia, Islam, vaccine hesitancy].

Medical Anthropology Quarterly
University of California, Davis (US)
Openalex Percentile: Top 63%
Vaccine Coverage and Hesitancy
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“It was <i>tidak cocok</i> (incompatible)”: Incompatibility, Decoloniality, and Vaccine Hesitancy in Banda Aceh, Indonesia — Dimas Iqbal Romadhon · Medical Anthropology Quarterly (2025) | TGRS Research Map | TGRS