Contact us

Addressing MMR vaccine hesitancy in underserved communities

Helping families in Hull to make informed decisions on booking and going to vaccinations.

Scroll to content

The challenge: reaching underserved communities with trusted MMR information

Hull City Council wanted to increase awareness of the MMR vaccine and reduce vaccine hesitancy in communities identified as facing barriers to accessing vaccinations, whether through choice, lack of awareness, or gaps in trusted information.

This was not a one message fits all challenge. Different communities had different concerns, experiences, and practical barriers. So we designed a multilingual vaccination campaign that made it easier to understand the facts, feel seen, and take the next step to book a vaccine.

Hull City Council Logo

Date
February 2024

Client
Hull City Council

Scope of work

  • Behavioural Insights
  • Digital Engagement
  • Digital Strategy

Our approach: multilingual by design, not as an add on

We co-produced a campaign focused on simple behavior change. We helped families make informed decisions, then made booking a vaccine clear and immediate.

That meant:

  • A translated landing page designed as the campaign call to action, tailored around “book your vaccine” and supported with clear benefits and guidance
  • Animated videos in multiple languages (English, Polish, Romanian, Kurdish) that explained the disease, the vaccine, eligibility, where to get vaccinated, and where to find more information
  • A hyper targeted digital media plan across Meta (Facebook, Instagram, Messenger) and YouTube using postcode targeting and language targeting to reach communities where they live and in the language they use
Laptop screen with campaign landing page

MMR vaccine animated video

What made this campaign different: we led with real world barriers

For commissioners planning public health campaigns across diverse communities, this was the key learning: translation alone is not enough.

We worked to understand how vaccine hesitancy shows up differently across communities, then shaped the content so that the most relevant barriers appeared first in each video edit. Insight gathered during campaign planning highlighted that different communities face different barriers to engaging with vaccination information. We used this learning to edit each language version so that key concerns were prioritised at the start of the film. For example, we focused early on access and how to use local services, while also providing clear reassurance about eligibility and free vaccination. In addition, we addressed common myths before introducing broader health messaging.Ultimately, this ensured the videos felt immediately relevant rather than just translated.

What we delivered

Multilingual animations for community use and digital channels

We produced a suite of short animated videos (English, Polish, Romanian, Kurdish) covering:

  • The disease, symptoms, and risk
  • The vaccine and who is eligible
  • Where to get the vaccine
  • Where to find more information

The videos were designed to work in community conversations as well as paid digital placements.

animation stills showing translations
Translated web pages

A translated, action-focused campaign landing page

We built a landing page to act as the campaign conversion point, designed around the call to action “book your vaccine” and translated to mirror the campaign languages.

Hyper-targeted Meta and YouTube advertising

To reach the right audiences efficiently, we combined:

  • Postcode targeting based on population data and where communities live
  • Language targeting based on languages listed in user profiles
  • Platform choice designed to match real media behaviours

Meta campaign delivery included English, Arabic, Polish, and Romanian ad sets and targeted Hull postcodes. They included HU1, HU2, HU3, HU5, HU6, HU7, HU9 (by language group). YouTube followed the same structured targeting approach across the same language sets and locations.

Results and impact

The results showed how culturally tailored, multilingual creative combined with precise digital targeting can deliver cost-effective reach and meaningful engagement in underserved communities.

7,463

7,463 people reached the campaign landing page in the first month from priority audiences through paid digital activity.

£0.22

£0.22 cost per click on Meta, almost half the average Meta benchmark (£0.40), demonstrating strong value for money.

Kurdish

Kurdish language ads were the strongest performers, driving higher engagement and follow-on action than other language variants.

Images of people, with the words 'we can take care of each other'

What we learned

1) “Multilingual” needs cultural tailoring, not just translation
The evaluation shows very different contexts and barriers across communities, reinforcing why tailored messaging matters.

2) Meta is a reliable driver for multilingual public health traffic
Meta generated the highest volume of cost effective clicks and is recommended as the priority channel for future activity with these audiences.

3) Use comments and engagement as insight, not noise

Audience responses varied by language group. For example, the evaluation observed more negative sentiment in comments on the Polish language advert and recommends further work with that group as a priority.

This kind of feedback helps shape the next wave of creative, community engagement, and myth busting content.

Why this matters for commissioners

If you are commissioning a vaccination campaign (or any public health behaviour change campaign) across diverse communities, Hull’s MMR work shows what improves reach and relevance:

  • Create assets that communities can use in conversation, not just in ads
  • Design the landing page around one clear action
  • Translate content, then tailor the narrative to reflect the barriers people actually face
  • Target by place and language to reduce wasted spend and improve relevance

Want to plan a multilingual public health campaign?

We help councils, NHS teams, and purpose led organisations design behaviour change campaigns rooted in evidence, co production, and clear creative.

If you are exploring a campaign around vaccination uptake, health protection, or reducing health inequalities, we would love to talk.

Get in touch

Back to top