Nachega, Jean B;
Sam-Agudu, Nadia A;
Siedner, Mark J;
Rosenthal, Philip J;
Mellors, John W;
Zumla, Alimuddin;
Hermans, Michel P;
... Mofenson, Lynne M; + view all
(2022)
Prioritizing Pregnant Women for Coronavirus Disease 2019 Vaccination in African Countries.
Clinical Infectious Diseases
, 75
(8)
pp. 1462-1466.
10.1093/cid/ciac362.
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Abstract
Coronavirus disease 2019 (COVID-19) in pregnancy is associated with excess maternal and infant morbidity and mortality in both African and higher-resource settings. Furthermore, mounting evidence demonstrates the safety and efficacy of COVID-19 vaccination for pregnant women and infants. However, national guidelines in many African countries are equivocal or lack recommendations on COVID-19 vaccine in pregnancy. We summarize key data on COVID-19 epidemiology and vaccination among pregnant African women to highlight major barriers to vaccination and recommend 4 interventions. First, policymakers should prioritize pregnant women for COVID-19 vaccination, with a target of 100% coverage. Second, empirically supported public health campaigns should be sustainably implemented to inform and support pregnant women and their healthcare providers in overcoming vaccine hesitancy. Third, COVID-19 vaccination for pregnant women should be expanded to include antenatal care, obstetrics/gynecology, and targeted mass vaccination campaigns. Fourth, national monitoring and evaluation of COVID-19 vaccine uptake, safety, surveillance, and prospective outcomes assessment should be conducted.
Type: | Article |
---|---|
Title: | Prioritizing Pregnant Women for Coronavirus Disease 2019 Vaccination in African Countries |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1093/cid/ciac362 |
Publisher version: | https://doi.org/10.1093/cid/ciac362 |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
Keywords: | Pregnancy, COVID-19, SARS-CoV-2, vaccination, sub-Saharan Africa |
UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL |
URI: | https://discovery.ucl.ac.uk/id/eprint/10153182 |
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