What are the key determinants to fostering equity within coronavirus disease 2019(COVID-19)vaccination deployment initiatives in Nigeria?A scoping review  

作　　者：Asua Okolie Shahreen Rahman Anita Kothari Obidimma Ezezika 

机构地区：[1]Global Health&Innovation Lab,Faculty of Health Sciences,Western University,London,Canada [2]School of Health Studies,Faculty of Health Sciences,Western University,London,Canada

出　　处：《Global Health Journal》2025年第1期12-19,共8页全球健康杂志(英文)

摘　　要：Objective:This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019(COVID-19)vaccine distribution in Nigeria using the consolidated framework for implementation research(CFIR).Methods:A comprehensive search strategy was applied across five databases—Web of Science,MEDLINE,EMBASE,CAB Direct,and CINAHL.The search,conducted as part of a scoping review,yielded 2,751 citations.Seven studies met the inclusion criteria after screening.Data were extracted and analyzed using CFIR constructs to identify key barriers and facilitators to equitable vaccine distribution.Results:Six barriers were identified:limited physical and socioeconomic access,bribery,nepotism,and insufficient availability of translated information.Facilitators included community involvement as local monitoring agents,unannounced staff inspections,healthcare worker training tailored to community needs,and localized outreach strategies such as jingles and call-in programs.CFIR constructs,including Local Conditions,Tailoring Strategies,Available Resources,and Physical Infrastructure,provided a framework for analyzing the findings.Conclusion:This review highlights significant barriers and promising facilitators to equitable vaccine distribution in Nigeria.Targeted interventions,such as community engagement,anti-corruption measures,and culturally tailored strategies,are critical to addressing these challenges and improving access.These findings underscore the need for localized,equity-focused approaches to enhance vaccine distribution systems in Nigeria and other low-resource settings.

关 键 词：Coronavirus disease 2019(COVID-19) VACCINATION Vaccine equity NIGERIA Healthcare disparities Implementation science Health system strengthening Equity in vaccine distribution Socioeconomic barriers Geographic disparities Public health policy Community engagement Tailored outreach Consolidated framework for implementation research(CFIR)framework Vaccine hesitancy Health disparities in LMICs Global health equity 

分 类 号：R186[医药卫生—流行病学]