Evidence map›Paper›PMID 42646695›Full record

ArticleVaccines2026

From Confidence to Coverage: A Multi-Stakeholder Perspective on Vaccination in Central and Eastern Europe.

Teodor Cristian Blidaru, David Sinclair, Petr Smejkal, Yasmin Maor, Ernest Kuchar, Catherine Weil-Olivier, Mariano Votta, Luminița Vâlcea, Valeriu Gheorghiță

Abstract read
In one paragraph

Article in Vaccines, 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

9 authors.

Teodor Cristian BlidaruFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania.ORCID 0009-0007-6776-4709
David SinclairInternational Longevity Centre UK (ILC-UK), The Foundry, 17 Oval Way, London SE11 5RR, UK.
Petr SmejkalDepartment of Hygiene and Epidemiology, Institute for Clinical and Experimental Medicine (IKEM), Vídeňská 1958/9, 140 21 Prague, Czech Republic.
Yasmin MaorInfectious Disease Unit, E. Wolfson Medical Center, HaLochamim St. 62, Holon 5822012, Israel.ORCID 0000-0001-7258-3434
Ernest KucharDepartment of Paediatrics with Clinical Assessment Unit, Medical University of Warsaw, Żwirki i Wigury 63A, 02-091 Warsaw, Poland.ORCID 0000-0002-7883-2427
Catherine Weil-OlivierUniversité Paris Cité, 85 Boulevard Saint-Germain, 75006 Paris, France.ORCID 0000-0001-5271-1945
Mariano VottaActive Citizenship Network-Cittadinanzattiva, Via Imera 2, 00183 Rome, Italy.ORCID 0000-0001-7557-2546
Luminița VâlceaCOPAC-Coalition of Organisations of Patients with Chronic Diseases in Romania, Str. Țepeș Vodă 22, 021525 Bucharest, Romania.ORCID 0009-0000-4506-1737
Valeriu GheorghițăFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania.ORCID 0000-0002-7819-5464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central and Eastern Europe (CEE) carries some of the widest immunisation gaps in Europe, and improving coverage there is often treated as a problem of access infrastructure. On 14 May 2026, a multi-stakeholder meeting hosted at the Romanian Parliament brought together around twenty-five speakers, among some fifty participants in all, from Romania, Poland, the Czech Republic, and Bulgaria, together with international contributors, to agree which barriers to vaccine confidence matter most in the region, which interventions are deliverable within 12 to 24 months, and how responsibility for them should be divided among stakeholders. This Perspective synthesises that discussion as a set of strategies for coverage. Meeting-derived priorities are set against published coverage and confidence data for the region and against the published intervention literature. We argue that the central problem across the region is eroded trust rather than missing information, because misinformation succeeds mainly where trust has already broken down, a process deepened by a historically conditioned, post-communist distrust of public institutions. The two recommendations carried most strongly, as both high in expected impact and achievable within 12 to 24 months, were continuing professional education for primary care on vaccine communication and the resourcing of locally trusted community figures, including health mediators working with marginalised populations. We then show how system-design reforms already demonstrated in the region, in particular pharmacy-based vaccination, direct reimbursement, and targeted outreach to under-vaccinated and marginalised groups, turn restored confidence into measurable coverage while narrowing inequities. We close with a 12-to-24-month agenda for CEE, organised around a clear multi-stakeholder division of labour. These are stakeholder-derived priorities that now require implementation and evaluation.

Indexed as

Central and Eastern Europedigital healthhealth communicationhealth equityhealth policyhealth systemsimmunisation strategiesprimary carevaccine confidencevaccine coveragevaccine hesitancyvaccine uptake

Identifiers

PMID42646695
PMCPMC13517546

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.