What are the key determinants to fostering equity within coronavirus disease 2019(COVID-19)vaccination deployment initiatives in Nigeria?A scoping review
10.1016/j.glohj.2025.02.008
- Author:
Okolie ASUA
1
;
Rahman SHAHREEN
;
Kothari ANITA
;
Ezezika OBIDIMMA
Author Information
1. Global Health & Innovation Lab,Faculty of Health Sciences,Western University,London,Canada
- Publication Type:Journal Article
- Keywords:
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;
Communit
- From:
Global Health Journal
2025;9(1):12-19
- CountryChina
- Language:English
-
Abstract:
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,EM-BASE,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 insuf-ficient 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.
