Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review

The COVID-19 vaccination is a crucial public health intervention for controlling the spread and severity of the SARS-CoV2 virus. COVID-19 vaccines have been developed in record time, but their deployment has varied across countries, owing to differences in health system capacity, demand for the vacc...

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Main Authors: Sarah Nabia, Chizoba Barbara Wonodi, Alba Vilajeliu, Sabine Sussman, Katharine Olson, Rianna Cooke, Krishna Udayakumar, Claire Twose, Nwamaka Ezeanya, Adewumi Adetola Adefarrell, Ann Lindstrand
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/5/974
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author Sarah Nabia
Chizoba Barbara Wonodi
Alba Vilajeliu
Sabine Sussman
Katharine Olson
Rianna Cooke
Krishna Udayakumar
Claire Twose
Nwamaka Ezeanya
Adewumi Adetola Adefarrell
Ann Lindstrand
author_facet Sarah Nabia
Chizoba Barbara Wonodi
Alba Vilajeliu
Sabine Sussman
Katharine Olson
Rianna Cooke
Krishna Udayakumar
Claire Twose
Nwamaka Ezeanya
Adewumi Adetola Adefarrell
Ann Lindstrand
author_sort Sarah Nabia
collection DOAJ
description The COVID-19 vaccination is a crucial public health intervention for controlling the spread and severity of the SARS-CoV2 virus. COVID-19 vaccines have been developed in record time, but their deployment has varied across countries, owing to differences in health system capacity, demand for the vaccine, and purchasing power of countries. The aim of this rapid review is to summarize and synthesize experiences on COVID-19 vaccine service delivery and integration to inform future COVID-19 vaccination programming and contribute to the knowledge base for future pandemic management. A systematic search was conducted in PubMed, Scopus, and Global Index Medicus databases. Twenty-five studies were included in the analysis. Included studies spanned nine countries where COVID-19 vaccines were delivered through mass, mobile, and fixed-post vaccination service delivery models. There was limited evidence of integrating COVID-19 vaccines into routine services for pregnant women, people who inject drugs, and leveraging existing health programs to deliver COVID-19 vaccines to the general population. Common challenges reported were vaccine skepticism, lack of adequate health workers, and linguistic barriers to access. Partnerships with a variety of stakeholders and the involvement of volunteers were vital in overcoming barriers and contributed to the efficient functioning of COVID-19 vaccination programs.
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spelling doaj.art-fa52c754f78d40a0a92da0cd028da8662023-11-18T03:36:32ZengMDPI AGVaccines2076-393X2023-05-0111597410.3390/vaccines11050974Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic ReviewSarah Nabia0Chizoba Barbara Wonodi1Alba Vilajeliu2Sabine Sussman3Katharine Olson4Rianna Cooke5Krishna Udayakumar6Claire Twose7Nwamaka Ezeanya8Adewumi Adetola Adefarrell9Ann Lindstrand10USAID’s MOMENTUM Country and Global Leadership, International Vaccine Access Center (IVAC), Johns Hopkins University, Baltimore, MD 21231, USAUSAID’s MOMENTUM Country and Global Leadership, International Vaccine Access Center (IVAC), Johns Hopkins University, Baltimore, MD 21231, USADepartment of Immunization, Vaccines & Biologicals (IVB), World Health Organization, WHO, 1211 Geneva, SwitzerlandDuke-Robert J. Margolis, MD, Center for Health Policy, Washington, DC 20004, USADuke Global Health Innovation Center, Durham, NC 27701, USADuke Global Health Innovation Center, Durham, NC 27701, USADuke Global Health Innovation Center, Durham, NC 27701, USAWelch Medical Library, Johns Hopkins University, Baltimore, MD 21205, USADirect Consulting and Logistics Limited, Abuja 901101, Federal Capital Territory, NigeriaDirect Consulting and Logistics Limited, Abuja 901101, Federal Capital Territory, NigeriaDepartment of Immunization, Vaccines & Biologicals (IVB), World Health Organization, WHO, 1211 Geneva, SwitzerlandThe COVID-19 vaccination is a crucial public health intervention for controlling the spread and severity of the SARS-CoV2 virus. COVID-19 vaccines have been developed in record time, but their deployment has varied across countries, owing to differences in health system capacity, demand for the vaccine, and purchasing power of countries. The aim of this rapid review is to summarize and synthesize experiences on COVID-19 vaccine service delivery and integration to inform future COVID-19 vaccination programming and contribute to the knowledge base for future pandemic management. A systematic search was conducted in PubMed, Scopus, and Global Index Medicus databases. Twenty-five studies were included in the analysis. Included studies spanned nine countries where COVID-19 vaccines were delivered through mass, mobile, and fixed-post vaccination service delivery models. There was limited evidence of integrating COVID-19 vaccines into routine services for pregnant women, people who inject drugs, and leveraging existing health programs to deliver COVID-19 vaccines to the general population. Common challenges reported were vaccine skepticism, lack of adequate health workers, and linguistic barriers to access. Partnerships with a variety of stakeholders and the involvement of volunteers were vital in overcoming barriers and contributed to the efficient functioning of COVID-19 vaccination programs.https://www.mdpi.com/2076-393X/11/5/974COVID-19 vaccinesservice deliveryservice integrationvaccination strategies
spellingShingle Sarah Nabia
Chizoba Barbara Wonodi
Alba Vilajeliu
Sabine Sussman
Katharine Olson
Rianna Cooke
Krishna Udayakumar
Claire Twose
Nwamaka Ezeanya
Adewumi Adetola Adefarrell
Ann Lindstrand
Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
Vaccines
COVID-19 vaccines
service delivery
service integration
vaccination strategies
title Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
title_full Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
title_fullStr Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
title_full_unstemmed Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
title_short Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review
title_sort experiences enablers and challenges in service delivery and integration of covid 19 vaccines a rapid systematic review
topic COVID-19 vaccines
service delivery
service integration
vaccination strategies
url https://www.mdpi.com/2076-393X/11/5/974
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