Evidence map›Paper›PMID 40118700›Full record

ArticleVaccine2026

Challenges and enablers to establishing COVID-19 vaccine effectiveness studies in the World Health Organization Africa region: A mixed-methods evaluation of the African region monitoring vaccine effectiveness (AFRO-MoVE) network.

Adam W Crawley, Katherine Murphy, Ian D Plumb, Grace Adjoa Ocansey, Isaac Baffoe-Nyarko, Norman Nyazema, Sibongile Walaza, Eva Leidman

Abstract read
In one paragraph

Article in Vaccine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adam W CrawleyNational Center for Immunizations and Respiratory Diseases, US Centers for Disease Control & Prevention, 1600 Clifton Rd, Atlanta, GA 30329, USA. Electronic address: qyi4@cdc.gov.
Katherine MurphyNational Center for Immunizations and Respiratory Diseases, US Centers for Disease Control & Prevention, 1600 Clifton Rd, Atlanta, GA 30329, USA. Electronic address: onj9@cdc.gov.
Ian D PlumbNational Center for Immunizations and Respiratory Diseases, US Centers for Disease Control & Prevention, 1600 Clifton Rd, Atlanta, GA 30329, USA. Electronic address: ydk9@cdc.gov.
Grace Adjoa OcanseyGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, P.O. Box LG13, Accra, Ghana.
Isaac Baffoe-NyarkoGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, P.O. Box LG13, Accra, Ghana. Electronic address: isaac.baffoe-nyarko@ghs.gov.gh.
Norman NyazemaDepartment of Pharmacy, University of Limpopo, University Rd, Mankweng-B, Mankweng, 0727, South Africa.
Sibongile WalazaCentre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases (NICD) of the National Health Laboratory Service (NHLS), 1 Modderfontein Road, Sandringham, 2192 Johannesburg, South Africa. Electronic address: sibongilew@nicd.ac.za.
Eva LeidmanNational Center for Immunizations and Respiratory Diseases, US Centers for Disease Control & Prevention, 1600 Clifton Rd, Atlanta, GA 30329, USA. Electronic address: wzu0@cdc.gov.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe African Region Monitoring Vaccine Effectiveness network (AFRO-MoVE) was established by the World Health Organization Regional Office for Africa in March 2021 to support implementation of COVID-19 vaccine effectiveness studies in the region.

objectivesPrimary goals of the evaluation were to assess how AFRO-MoVE addressed its objectives supporting regional vaccine effectiveness (VE) studies, to describe challenges and opportunities, and make recommendations to strengthen future efforts related to regional VE research.

methodsFrom September 2023 through June 2024, a mixed-methods approach was employed to synthesize information from: (1) documentation provided by AFRO-MoVE; (2) a standardized study review tool; (3) an electronic stakeholder survey; and (4) a series of key informant interviews. Data were collected and exported via REDCap and summarized using Microsoft Excel. Thematic analysis was used to analyse the qualitative data. Perceived challenges were summarized together with perceived support by the network in addressing each challenge.

resultsAFRO-MoVE provided support to ten VE studies, including support for protocol development, study implementation, data management, and analysis, while also facilitating knowledge exchange and experience sharing among study implementers. While respondents reported strengthened capacity for VE studies at the national and regional levels in these areas, enrollment of SARS-CoV-2 positive cases was challenging, due to a decline in reported cases in network countries in mid-2022, when many studies were launched. These challenges contributed to a lack of published VE estimates from network study sites in time to inform vaccine policy.

conclusionAFRO-MoVE technical assistance and financial support was viewed positively by network members and contributed to increased capacity for conducting VE studies in the region. Publication of study results would further bolster the impact of the network. These finding underscore opportunities to enhance capacity for rapid VE generation and support preparedness for future pandemics.

Indexed as

COVID-19COVID-19 VaccinesVaccine EfficacyAfricaHumansSARS-CoV-2World Health OrganizationCOVID-19 VaccinesCOVID-19Regional networkSARS-CoV-2Sentinel surveillanceTechnical assistanceVaccine effectivenessVaccine policy

Identifiers

PMID40118700
PMCPMC12468252

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Registered trials

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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.