Evaluation of the Ebola Vaccine's Acceptance Among Sub-Saharan African Communities: A Systematic Review and Meta-Analysis - Report - MDSpire

Evaluation of the Ebola Vaccine's Acceptance Among Sub-Saharan African Communities: A Systematic Review and Meta-Analysis

  • By

  • Beni Matangi

  • Placide Matondo

  • Brandon Kayembe

  • Axel Okolo

  • Dieudonné Tawaba

  • Amede Kinuka

  • Donat Mangala

  • Ossam Odio

  • Nadine Mayasi

  • Tuna Lukiana

  • Madone Mandina

  • Taylor Pindi

  • Murielle Longokolo

  • Marcel Mbula

  • Hippolyte Situakibanza

  • Ben Bepouka

  • February 6, 2026

  • 0 min

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Clinical Report: Evaluation of the Ebola Vaccine's Acceptance Among Sub-Saharan African Communities

Overview

This systematic review and meta-analysis assessed the acceptability of Ebola vaccination in sub-Saharan Africa, revealing significant variability in acceptance rates influenced by sociodemographic factors and trust in health authorities. The findings underscore the need for targeted interventions to enhance vaccine uptake in the region.

Background

Ebola virus disease (EVD) poses a severe public health threat, particularly in sub-Saharan Africa, where outbreaks have resulted in high mortality rates. Vaccination is a critical strategy for controlling EVD, yet vaccine hesitancy remains a significant barrier to achieving adequate coverage. Understanding the determinants of vaccine acceptance is essential for developing effective public health strategies.

Data Highlights

No numerical data available in the source material.

Key Findings

  • The average case-fatality rate of EVD is around 50%, with some outbreaks reaching up to 66%.
  • Reported acceptability rates for the Ebola vaccine vary widely, from 38% to 73%, influenced by factors such as fear of infection and trust in government response.
  • Key determinants of vaccine acceptance include sociodemographic factors, perceived risk, and access to information.
  • The WHO's SAGE recommends the single-dose rVSVΔG-ZEBOV-GP vaccine (Ervebo) for outbreak response.
  • Effective vaccination campaigns are crucial for preventing future outbreaks and ensuring community health.

Clinical Implications

Healthcare professionals should prioritize building trust in health authorities and addressing misinformation to improve vaccine acceptance. Tailored communication strategies that consider local sociodemographic factors can enhance the effectiveness of vaccination campaigns.

Conclusion

The findings highlight the critical need for targeted interventions to improve Ebola vaccine acceptance in sub-Saharan Africa, which is essential for effective outbreak control and public health safety.

References

  1. Author(s)/Org, Source, Year -- Title
  2. Efficacy and effectiveness of an rVSV-vectored vaccine in preventing Ebola virus disease: final results from the Guinea ring vaccination, open-label, cluster-randomised trial (Ebola Ça Suffit!) - ScienceDirect
  3. The Journal of Infectious Diseases — Innate and Cellular Immune Response to the Ebola Vaccine Ad26.ZEBOV, MVA-BN-Filo: An Ancillary Study of the EBL2001 Phase 2 Trial
  4. Infection — Efficacy, Safety, and Community Attitudes Towards Malaria Vaccines in Africa: A Comprehensive Review of Recent Empirical Research
  5. Drug Safety — Evaluating Adverse Reactions to COVID-19 Vaccines and Policy Implications for Safety Surveillance Funding in Low- and Middle-Income Nations: A Mixed Methods Analysis
  6. Open Forum Infectious Diseases — Long-Term Outcomes in Survivors of Ebola Virus Disease Treated with Anti-Ebola Therapies in the Democratic Republic of the Congo: A Prospective Cohort Analysis
  7. WHO SAGE Report on Ebola Vaccination
  8. Efficacy and effectiveness of an rVSV-vectored vaccine in preventing Ebola virus disease: final results from the Guinea ring vaccination, open-label, cluster-randomised trial (Ebola Ça Suffit!) - ScienceDirect
  9. Acceptability of the Ebola vaccine in the sub-Saharan African population: A systematic review and meta-analysis - PMC

Original Source(s)

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