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NISH (NITAG Support Hub) 2: Covid-19 vaccine hesitancy/confidence in Africa

This Library Guide contains published and unpublished information on vaccine hesitancy and related issues in the context of COVID-19 vaccination in Subsaharan Africa

Pubmed : Covid-19 AND "vaccine hesitancy" AND Uganda

Puleh, S.S., Kigongo, E., Opio, I.O., Akech, S.I., Opollo, M.S., Achan, E., Acen, J., Anyolitho, M.K., Acup, W. and Kabunga, A., 2023. Parents’ Readiness to Vaccinate Their Children Aged 5 to 17 Years Against Covid-19 and Its Associated Factors in Lira District, Uganda. Pediatric Health, Medicine and Therapeutics, pp.131-139.
 
Mbah, C., Iroka, O.R., Nwosu, C.P., Idowu, B.M., Nwankwo, F.M., Nwosu, I.A., Ololo, K. and Iwuala, H.O., 2023. Population and vaccine hesitancy: a demographic and Socio-behavioural examination of a barrier to Covid-19 herd immunity in Nigeria. Scientific African19, p.e01508.
 
Nalubega, P., Namugumya, R., Zalwango, F., Ssali, A., Mboizi, R., Hookham, L., Seeley, J. and Le Doare, K., 2023. COVID-19 disease and vaccination in pregnancy: understanding knowledge, perceptions and experiences among pregnant women and community leaders in Uganda. Transactions of The Royal Society of Tropical Medicine and Hygiene, p.trad028.
 
Kawuki, J., Nambooze, J., Chan, P.S.F., Chen, S., Liang, X., Mo, P.K. and Wang, Z., 2023. Differential COVID-19 Vaccination Uptake and Associated Factors among the Slum and Estate Communities in Uganda: A Cross-Sectional Population-Based Survey. Vaccines11(2), p.440.
 
Logie, C.H., Okumu, M., Berry, I., McAlpine, A., Musoke, D.K., Hakiza, R., Perez-Brumer, A., Baral, S. and Kyambadde, P., 2023. Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda. Global public health18(1), p.2185800.
Ndejjo, R., Chen, N., Kabwama, S.N., Namale, A., Wafula, S.T., Wanyana, I., Kizito, S., Kiwanuka, S.N., Sambisa, W., Tsai, L.L. and Wanyenze, R.K., 2023. Uptake of COVID-19 vaccines and associated factors among adults in Uganda: a cross-sectional survey. BMJ open13(3), p.e067377.
 
Puleh, S.S., Kigongo, E., Opio, I.O., Akech, S.I., Opollo, M.S., Achan, E., Acen, J., Anyolitho, M.K., Acup, W. and Kabunga, A., 2023. Parents’ Readiness to Vaccinate Their Children Aged 5 to 17 Years Against Covid-19 and Its Associated Factors in Lira District, Uganda. Pediatric Health, Medicine and Therapeutics, pp.131-139.
 
Nalubega, P., Namugumya, R., Zalwango, F., Ssali, A., Mboizi, R., Hookham, L., Seeley, J. and Le Doare, K., 2023. COVID-19 disease and vaccination in pregnancy: understanding knowledge, perceptions and experiences among pregnant women and community leaders in Uganda. Transactions of The Royal Society of Tropical Medicine and Hygiene, p.trad028. (Not OA)
 
Ouni, P.D., Namulondo, R., Wanume, B., Okia, D., Olupot, P.O., Nantale, R., Matovu, J.K., Napyo, A., Lubaale, Y.A.M., Nshakira, N. and Mukunya, D., 2023. COVID-19 vaccine hesitancy among health workers in rural Uganda: a mixed methods study. Vaccine: X, p.100260.
 
Muhindo, R., Okoboi, S., Kiragga, A., King, R., Arinaitwe, W.J. and Castelnuovo, B., 2022. COVID-19 vaccine acceptability, and uptake among people living with HIV in Uganda. Plos one, 17(12), p.e0278692.
 
Ssanyu, J.N., Kiguba, R., Olum, R., Kiguli, J. and Kitutu, F.E., 2022. Using community influencer groups to address COVID-19 misinformation and vaccine hesitancy in Uganda: a protocol for a prospective quasi-experimental study. BMJ open, 12(8), p.e057994.
 
Onyango, J., Mukunya, D., Napyo, A., Nantale, R., Makoko, B.T., Matovu, J.K., Wanume, B., Okia, D., Okello, F., Okware, S. and Olupot-Olupot, P., 2022. Side-Effects following Oxford/AstraZeneca COVID-19 Vaccine in Tororo District, Eastern Uganda: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(22), p.15303.
 
Kisaakye, P., Bukuluki, P. and Matovu, J.K., 2022. COVID-19 vaccine acceptance among refugees in Bidibidi refugee settlement, Northern Uganda. Journal of Global Health Reports, 6, p.e2022013.
 
Sallam, M., Al-Sanafi, M. and Sallam, M., 2022. A Global Map of COVID-19 Vaccine Acceptance Rates per Country: An Updated Concise Narrative Review. Journal of Multidisciplinary Healthcare, 15, p.21.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760993/

Otiti-Sengeri, J., Andrew, O.B., Lusobya, R.C., Atukunda, I., Nalukenge, C., Kalinaki, A., Mukisa, J., Nakanjako, D. and Colebunders, R., 2022. High COVID-19 Vaccine Acceptance among Eye Healthcare Workers in Uganda. Vaccines, 10(4), p.609.

https://www.mdpi.com/2076-393X/10/4/609

Taylor-Robinson, S.D., Morgan, M.Y., Spearman, C.W., Suliman, A.A., Corrah, T., Oleribe, O.O. and Taylor-Robinson, A.W., 2022. Why SARS-CoV-2 vaccination still matters in Africa. QJM: An International Journal of Medicine, 115(3), pp.191-192. (Not OA)
Abstract:

We are now 2 years into the pandemic caused by SARS-CoV-2 infection. The virus has spread globally to all countries and territories, excepting a few isolated Pacific islands where entry criteria have remained strict. Africa was relatively spared from the magnitude of confirmed infections and deaths experienced in other parts of the world in the initial stages of the pandemic,1 a situation that has not been maintained more recently.2 The upsurge in clinical case reports in the latter half of 2021 has brought into sharp relief the pressing need for the continent not to be lapped in the race to vaccinate the global community.

Leach, M., MacGregor, H., Akello, G., Babawo, L., Baluku, M., Desclaux, A., Grant, C., Kamara, F., Nyakoi, M., Parker, M. and Richards, P., 2022. Vaccine anxieties, vaccine preparedness: Perspectives from Africa in a Covid-19 era. Social science & medicine, 298, p.114826. (Not OA)
Abstract:
Global debates about vaccines as a key element of pandemic response and future preparedness in the era of Covid-19 currently focus on questions of supply, with attention to global injustice in vaccine distribution and African countries as rightful beneficiaries of international de-regulation and financing initiatives such as COVAX. At the same time, vaccine demand and uptake are seen to be threatened by hesitancy, often attributed to an increasingly globalised anti-vaxx movement and its propagation of misinformation and conspiracy, now reaching African populations through a social media ‘infodemic’. Underplayed in these debates are the socio-political contexts through which vaccine technologies enter and are interpreted within African settings, and the crucial intersections between supply and demand. We explore these through a ‘vaccine anxieties’ framework attending to both desires for and worries about vaccines, as shaped by bodily, societal and wider political understandings and experiences. This provides an analytical lens to organise and interpret ethnographic and narrative accounts in local and national settings in Uganda and Sierra Leone, and their (dis)connections with global debates and geopolitics. In considering the socially-embedded reasons why people want or do not want Covid-19 vaccines, and how this intersects with the dynamics of vaccine supply, access and distribution in rapidly-unfolding epidemic situations, we bring new, expanded insights into debates about vaccine confidence and vaccine preparedness.

Kanyike, A.M., Olum, R., Kajjimu, J., Ojilong, D., Akech, G.M., Nassozi, D.R., Agira, D., Wamala, N.K., Asiimwe, A., Matovu, D. and Nakimuli, A.B., 2021. Acceptance of the coronavirus disease-2019 vaccine among medical students in Uganda. Tropical medicine and health, 49(1), pp.1-11.                                                                                                                                                                                 https://pubmed.ncbi.nlm.nih.gov/33985592/

Kanyanda, S., Markhof, Y., Wollburg, P. and Zezza, A., 2021. Acceptance of COVID-19 vaccines in sub-Saharan Africa: Evidence from six national phone surveys. BMJ open, 11(12), p.e055159.                                                                         https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678558/

Bono, S.A., Faria de Moura Villela, E., Siau, C.S., Chen, W.S., Pengpid, S., Hasan, M.T., Sessou, P., Ditekemena, J.D., Amodan, B.O., Hosseinipour, M.C. and Dolo, H., 2021. Factors affecting COVID-19 vaccine acceptance: an international survey among low-and middle-income countries. Vaccines, 9(5), p.515.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8157062/

Kitonsa, J., Kamacooko, O., Bahemuka, U.M., Kibengo, F., Kakande, A., Wajja, A., Basajja, V., Lumala, A., Ssemwanga, E., Asaba, R. and Mugisha, J., 2021. Willingness to participate in COVID-19 vaccine trials; a survey among a population of healthcare workers in Uganda. PloS one, 16(5), p.e0251992.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251992

Echoru, I., Ajambo, P.D., Keirania, E. and Bukenya, E.E., 2021. Sociodemographic factors associated with acceptance of COVID-19 vaccine and clinical trials in Uganda: a cross-sectional study in western Uganda. BMC Public Health, 21(1), pp.1-8.

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11197-7

Kanyike, A.M., Olum, R., Kajjimu, J., Ojilong, D., Akech, G.M., Nassozi, D.R., Agira, D., Wamala, N.K., Asiimwe, A., Matovu, D. and Nakimuli, A.B., 2021. Acceptance of the coronavirus disease-2019 vaccine among medical students in Uganda. Tropical medicine and health, 49(1), pp.1-11.

https://tropmedhealth.biomedcentral.com/articles/10.1186/s41182-021-00331-1

Dadari, I., Higgins-Steele, A., Sharkey, A., Charlet, D., Shahabuddin, A., Nandy, R. and Jackson, D., 2021. Pro-equity immunization and health systems strengthening strategies in select Gavi-supported countries. Vaccine, 39(17), pp.2434-2444. (Not OA)
Abstract:
Background Achieving universal immunization coverage and reaching every child with life-saving vaccines will require the implementation of pro-equity immunization strategies,especially in poorer countries. Gavi-supported countries continue to implement and report strategies that aim to address implementation challenges and improve equity. This paper summarizes the first mapping of these strategies from country reports. Methods Thirteen Gavi-supported countries were purposively selected with emphasis on Gavi's priority
 
Bongomin, F., Olum, R., Andia-Biraro, I., Nakwagala, F.N., Hassan, K.H., Nassozi, D.R., Kaddumukasa, M., Byakika-Kibwika, P., Kiguli, S. and Kirenga, B.J., 2021. COVID-19 vaccine acceptance among high-risk populations in Uganda. Therapeutic Advances in Infectious Disease, 8, p.20499361211024376.
 
Bono, S.A., Siau, C.S., Chen, W.S., Low, W.Y., Faria de Moura Villela, E., Pengpid, S., Hasan, M.T., Sessou, P., Ditekemena, J.D., Amodan, B.O. and Hosseinipour, M.C., 2021. Adults’ acceptance of COVID-19 vaccine for children in selected lower-and middle-income countries. Vaccines, 10(1), p.11.
 
Abila, D.B., Dei-Tumi, S.D., Humura, F. and Aja, G.N., 2020. We need to start thinking about promoting the demand, uptake, and equitable distribution of COVID-19 vaccines NOW!. Public Health in Practice, 1, p.100063.
 
 

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WHO Africa

WHO Builds trust for COVID-19 Vaccination and Addresses Hesitancy in West Nile Sub Region. 2021.

https://www.afro.who.int/news/who-builds-trust-covid-19-vaccination-and-addresses-hesitancy-west-nile-sub-region

Frontline Health workers in Hoima District (Uganda) Hesitate about COVID-19 vaccination, then Embrace it after WHO Assurance - April 2021.
 

Countries collaborating with Uganda

Countries not yet collaborating with Uganda