COVID-19 vaccine inequity in African low-income countries

被引:29
作者
Kunyenje, Chifundo Annessia [1 ]
Chirwa, Gowokani Chijere [2 ]
Mboma, Sebastian M. [1 ]
Ng'ambi, Wingston [1 ]
Mnjowe, Emmanuel [1 ]
Nkhoma, Dominic [1 ]
Ngwira, Lucky Gift [1 ]
Chawani, Marlen Stacey [1 ,3 ]
Chilima, Ben [4 ]
Mitambo, Collins [5 ]
Crampin, Amelia [6 ]
Mfutso-Bengo, Joseph [1 ]
机构
[1] Kamuzu Univ Hlth Sci KUHeS, Dept Hlth Syst, Hlth Econ & Policy Unit, Lilongwe, Malawi
[2] Univ Malawi, Chancellor Coll, Dept Econ, Zomba, Malawi
[3] Malawi Liverpool Wellcome Programme, Policy Unit, Lilongwe, Malawi
[4] Minist Hlth, Publ Hlth Inst Malawi, Lilongwe, Malawi
[5] Minist Heath, Res Directorate, Lilongwe, Malawi
[6] Malawi Epidemiol & Intervent Res Unit, Lilongwe, Malawi
基金
英国医学研究理事会;
关键词
COVID-19; vaccine; vaccine equity; vaccine coverage; distribution; uptake; low-income countries;
D O I
10.3389/fpubh.2023.1087662
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Equitable access and utilization of the COVID-19 vaccine is the main exit strategy from the pandemic. This paper used proceedings from the Second Extraordinary Think-Tank conference, which was held by the Health Economics and Policy Unit at the Kamuzu University of Health Sciences in collaboration with the Malawi Ministry of Health, complemented by a review of literature. We found disparities in COVID-19 vaccine coverage among low-income countries. This is also the case among high income countries. The disparities are driven mainly by insufficient supply, inequitable distribution, limited production of the vaccine in low-income countries, weak health systems, high vaccine hesitancy, and vaccine misconceptions. COVID-19 vaccine inequity continues to affect the entire world with the ongoing risks of emergence of new COVID-19 variants, increased morbidity and mortality and social and economic disruptions. In order to reduce the COVID-19 vaccination inequality in low-income countries, there is need to expand COVAX facility, waive intellectual property rights, transform knowledge and technology acquired into vaccines, and conduct mass COVID-19 vaccination campaigns.
引用
收藏
页数:7
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