{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:20:07Z","timestamp":1771489207798,"version":"3.50.1"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:00:00Z","timestamp":1654646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"US National Institutes of Health (NIH)\/Fogarty International Center","award":["1R25TW011217-01"],"award-info":[{"award-number":["1R25TW011217-01"]}]},{"name":"African Forum for Research and Education in Health;"},{"name":"co\u2013principal investigators"},{"DOI":"10.13039\/100007921","name":"University of Pittsburgh","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007921","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Stellenbosch University Faculty of Medicine and Health Sciences"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coronavirus disease 2019 (COVID-19) in pregnancy is associated with excess maternal and infant morbidity and mortality in both African and higher-resource settings. Furthermore, mounting evidence demonstrates the safety and efficacy of COVID-19 vaccination for pregnant women and infants. However, national guidelines in many African countries are equivocal or lack recommendations on COVID-19 vaccine in pregnancy. We summarize key data on COVID-19 epidemiology and vaccination among pregnant African women to highlight major barriers to vaccination and recommend 4 interventions. First, policymakers should prioritize pregnant women for COVID-19 vaccination, with a target of 100% coverage. Second, empirically supported public health campaigns should be sustainably implemented to inform and support pregnant women and their healthcare providers in overcoming vaccine hesitancy. Third, COVID-19 vaccination for pregnant women should be expanded to include antenatal care, obstetrics\/gynecology, and targeted mass vaccination campaigns. Fourth, national monitoring and evaluation of COVID-19 vaccine uptake, safety, surveillance, and prospective outcomes assessment should be conducted.<\/jats:p>","DOI":"10.1093\/cid\/ciac362","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T20:07:11Z","timestamp":1651781231000},"page":"1462-1466","source":"Crossref","is-referenced-by-count":13,"title":["Prioritizing Pregnant Women for Coronavirus Disease 2019 Vaccination in African Countries"],"prefix":"10.1093","volume":"75","author":[{"given":"Jean B","family":"Nachega","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Infectious Diseases and Microbiology, and Center for Global Health, University of Pittsburgh , Pittsburgh, Pennsylvania , USA"},{"name":"Departments of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland , USA"},{"name":"Department of Medicine, Division of Infectious Diseases, Stellenbosch University Faculty of Medicine and Health Sciences , Cape Town , South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia A","family":"Sam-Agudu","sequence":"additional","affiliation":[{"name":"International Research Center of Excellence, Institute of Human Virology Nigeria , Abuja , Nigeria"},{"name":"Institute of Human Virology, University of Maryland School of Medicine , Baltimore, Maryland , USA"},{"name":"Department of Paediatrics and Child Health, University of Cape Coast School of Medical Sciences , Cape Coast , Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J","family":"Siedner","sequence":"additional","affiliation":[{"name":"Harvard Medical School and Massachusetts General Hospital , Boston, Massachusetts , USA"},{"name":"Mbarara University of Science and Technology , Mbarara , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip J","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of California, San Francisco , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W","family":"Mellors","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alimuddin","family":"Zumla","sequence":"additional","affiliation":[{"name":"Center for Clinical Microbiology, Division of Infection and Immunity, University College London , London , United Kingdom"},{"name":"National Institutes of Health and Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel P","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Cliniques Universitaires St-Luc , Brussels , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukanire B","family":"Ntakwinja","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Panzi Hospital and Universit\u00e9 Evangelique en Afrique , Bukavu , Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis M","family":"Mukwege","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Panzi Hospital and Universit\u00e9 Evangelique en Afrique , Bukavu , Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"Langenegger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Stellenbosch University Faculty of Medicine and Health Sciences , Cape Town , South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne M","family":"Mofenson","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation , Washington, District of Columbia , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the African Forum for Research and Education in Health (AFREhealth) Research Collaboration on COVID-19 and Pregnancy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,8]]},"reference":[{"key":"2022101219173742000_ciac362-B1","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.15585\/mmwr.mm6944e3","article-title":"Update: characteristics of symptomatic women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status\u2014United States, January 22\u2013October 3, 2020","volume":"69","author":"Zambrano","year":"2020","journal-title":"MMWR Morb Mortal 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