 Influenza vaccination coverage has decreased in Peru despite its availability under the National Immunization Programme since 2008. A study conducted among four risk groups identified that vaccine confidence and complacency were positively associated with educational level, while complacency was the most efficient of the three CS, pregnant women and mothers were the most informed and least complacent among risk groups. Misconceptions about influenza risk and vaccinations role in preventing the disease were identified through focus groups, while interviews with officials revealed that most strategies are directed to convenience rather than community engagement. Communication strategies to increase perceptions of vaccine safety and effectiveness should be implemented to improve confidence and reduce complacency, and explicit incentives should also be considered for health personnel to increase vaccination uptake. This article was authored by Miguel Angel Gonzales Block, Juana Royal Laguna, Perénis Rodriguez C, and others.