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

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Objective:

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.

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