To estimate the overall level of acceptability of the Ebola vaccine and identify its determinants among populations in sub-Saharan Africa, highlighting its importance for public health.
Approach:
Key Findings:
Vaccine acceptability rates vary significantly across sub-Saharan Africa, influenced by sociodemographic factors, trust in health authorities, and perceived risk, with implications for public health interventions.
Reported acceptability rates range from 38% to 73%, with misinformation and distrust contributing to lower acceptance.
The WHO's '3Cs' model (Confidence, Complacency, Convenience) effectively frames the determinants of vaccine hesitancy.
Interpretation:
Understanding the factors influencing Ebola vaccine acceptance is crucial for designing effective public health interventions to improve vaccination coverage and epidemic preparedness in sub-Saharan Africa.
Limitations:
Variability in study designs and methodologies may affect the comparability of findings.
Exclusion of non-English and non-French studies may limit the comprehensiveness of the review, and potential biases in the studies reviewed should be considered.
Conclusion:
The study highlights the need for targeted interventions to address vaccine hesitancy and improve acceptance rates in the region, emphasizing the urgency of this issue.