ArticleBMJ open2022
Determinants of COVID-19 vaccine hesitancy and uptake in sub-Saharan Africa: a scoping review.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- [Associated factors with vaccine hesitancy in sub-Saharan Africa: a literature review].The Pan African medical journal · 2026Pooled it
- Examining determinants of COVID-19 vaccine hesitancy and acceptance among Arab university students: A regional scoping review.Human vaccines & immunotherapeutics · 2026Article
- Article
- Observational
- Qualitative exploration of factors associated with COVID-19 vaccination among pregnant women in Kenya.PLOS global public health · 2026Article
- Article
- A longitudinal study examining determinants of essential health services during the COVID-19 pandemic in regional referral hospitals across Uganda.Scientific reports · 2025Observational
- Quantitative Measurement of Individual and Contextual Determinants of COVID-19 Vaccination in General Population Samples: A Scoping Review.International journal of behavioral medicine · 2025Article
- Determinants maintaining healthcare personnel's motivation during COVID-19 pandemic in Uganda.Scientific reports · 2025Article
- SARS-CoV-2 and influenza vaccine hesitancy during the COVID-19 pandemic in a dynamic perspective.Human vaccines & immunotherapeutics · 2024Article
- Drivers of COVID-19 vaccine uptake among rural populations in Madagascar: a cross-sectional study.BMC public health · 2024Article
- The risk perception of COVID-19 and vaccine uptake among patients with chronic illnesses at a tertiary health facility in Nigeria.Ghana medical journal · 2024Article
- Social Vulnerability and Compliance With World Health Organization Advice on Protective Behaviors Against COVID-19 in African and Asia Pacific Countries: Factor Analysis to Develop a Social Vulnerability Index.JMIR public health and surveillance · 2024Article
- Building confidence in the COVID-19 vaccine in a polio-endemic country: strategic communication lessons from Pakistan.BMJ global health · 2024Article
- Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp.International journal of environmental research and public health · 2024Article
- Upstream factors impacting COVID-19 vaccination rates across Africa: A systematic review protocol.PloS one · 2024Article
- Four Years Since COVID-19 Day Zero: A Time to Evaluate Past and Future Pandemic Control Policies and Practices in Sub-Saharan Africa?Risk management and healthcare policy · 2024Article
- Vaccine inequity: a threat to Africa's recovery from COVID-19.Tropical medicine and health · 2023Review
- Validation of the vaccination attitudes examination scale in a South African context in relation to the COVID-19 vaccine: quantifying dimensionality with bifactor indices.BMC public health · 2023Article
- Correlates of COVID-19 Vaccine Acceptance and Hesitancy in Rural Communities in Western Kenya.Vaccines · 2023Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify, describe and map the research tools used to measure COVID-19 vaccine hesitancy, refusal, acceptance and access in sub-Saharan Africa (SSA).
designScoping review.
methodsIn March 2022, we searched PubMed, Scopus, Web of Science, Cochrane, Academic Search Premier, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Health Source Nursing, Africa Wide and APA PsychInfo for peer-reviewed literature in English related to COVID-19 vaccine hesitancy, refusal, acceptance and access in SSA. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews to guide evidence gathering and as a template to present the evidence retrieval process.
resultsIn the studies selected for review (n=72), several measurement tools were used to measure COVID-19 vaccine hesitancy, acceptance and refusal. These measurements were willingness and intent to vaccinate from the perspectives of the general population, special population groups such as mothers, students and staff in academic institutions and healthcare workers and uptake as a proxy for measuring assumed COVID-19 vaccine acceptance. Measurements of access to COVID-19 vaccination were cost and affordability, convenience, distance and time to travel or time waiting for a vaccine and (dis)comfort. Although all studies measured COVID-19 vaccine hesitancy, acceptance and refusal, relatively few studies (n=16, 22.2%) included explicit measurements of access to COVID-19 vaccination.
conclusionsBased on the gaps identified in the scoping review, we propose that future research on determinants of COVID-19 vaccination in SSA should further prioritise the inclusion of access-related variables. We recommend the development and use of standardised research tools that can operationalise, measure and disentangle the complex determinants of vaccine uptake in future studies throughout SSA and other low- and middle-income country (LMIC) settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.