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Prioritizing Pregnant Women for Coronavirus Disease 2019 Vaccination in African Countries

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. Green open access

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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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