The impact of COVID-19 on general vaccine acceptance in low- and middle-income countries: a systematic review
This systematic review illustrates how the COVID-19 pandemic influenced vaccine acceptance and decision-making in complex, context-dependent ways, impacting people's thinking and feeling, motivations, practical issues, and social processes around vaccination. The findings highlight the need to understand the specific drivers of vaccine acceptance to design more effective, targeted strategies to improve immunization uptake. The insights from this study can be used to inform evidence-based vaccination catch-up strategies to regain pandemic losses and mitigate factors that deter individuals from seeking vaccination.
Authors
- Madeleine Blunt (ORCID: https://orcid.org/0000-0001-7441-8029)
- Andrés Esteban Ochoa Toasa
- Kathryn L. Hopkins (ORCID: https://orcid.org/0000-0003-2809-3686)
- Alina Velias (ORCID: https://orcid.org/0000-0002-2447-6332)
- Ibrahim Dadari (ORCID: https://orcid.org/0000-0003-3759-6357)
- Deepa Risal Pokharel
- Amaya Gillespie (ORCID: https://orcid.org/0000-0003-2884-0936)
- Talya Underwood (ORCID: https://orcid.org/0000-0002-3261-2453)
- Robert Kanwagi
- Gloria Lihemo
- Smita Singh
- Angus Thomson
Institutions
- United Nations Children's Fund (US)
- Gavi (CH)
- Johns Hopkins University (US)
- London School of Hygiene & Tropical Medicine (GB)
- Sabin Vaccine Institute (US)
- United Nations Children's Fund India (IN)
- London School of Economics and Political Science (GB)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2026-02-23
- DOI
- https://doi.org/10.3389/fpubh.2026.1764389
- Primary Topic
- Vaccine Coverage and Hesitancy
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- GAVI Alliance
- UNICEF
- London School of Economics and Political Science