Health care workers and immunization program managers should recognize and address vaccination hesitancy at all levels while actively supporting immunization acceptors in order to build and support a community of immunization acceptors.

• Accepting vaccines does not necessarily mean hesitancy does not exist, so setting the social environment to accept vaccination is important.
• Specific complex strategies are more effective than single interventions addressed towards a broad population.
• Respecting and empathizing with those with different perspectives on immunizations are important regardless of the environment of the conversation (online, one one one in a clinic, or at a social event). This is because people are unlikely to change their opinions because someone is arguing aggressively with them.