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Review
. 2022 Jan 11:15:21-45.
doi: 10.2147/JMDH.S347669. eCollection 2022.

A Global Map of COVID-19 Vaccine Acceptance Rates per Country: An Updated Concise Narrative Review

Malik Sallam  1   2   3 , Mariam Al-Sanafi  4   5 , Mohammed Sallam  6
Affiliations
Review

A Global Map of COVID-19 Vaccine Acceptance Rates per Country: An Updated Concise Narrative Review

Malik Sallam et al. J Multidiscip Healthc. .

Abstract

The delay or refusal of vaccination, which defines vaccine hesitancy, is a major challenge to successful control of COVID-19 epidemic. The huge number of publications addressing COVID-19 vaccine hesitancy necessitates periodic review to provide a concise summary of COVID-19 vaccine acceptance rates worldwide. In the current narrative review, data on COVID-19 vaccine acceptance rates were retrieved from surveys in 114 countries/territories. In East and Southern Africa (n = 9), the highest COVID-19 vaccine acceptance rate was reported in Ethiopia (92%), while the lowest rate was reported in Zimbabwe (50%). In West/Central Africa (n = 13), the highest rate was reported in Niger (93%), while the lowest rate was reported in Cameroon (15%). In Asia and the Pacific (n = 16), the highest rates were reported in Nepal and Vietnam (97%), while the lowest rate was reported in Hong Kong (42%). In Eastern Europe/Central Asia (n = 7), the highest rates were reported in Montenegro (69%) and Kazakhstan (64%), while the lowest rate was reported in Russia (30%). In Latin America and the Caribbean (n = 20), the highest rate was reported in Mexico (88%), while the lowest rate was reported in Haiti (43%). In the Middle East/North Africa (MENA, n = 22), the highest rate was reported in Tunisia (92%), while the lowest rate was reported in Iraq (13%). In Western/Central Europe and North America (n = 27), the highest rates were reported in Canada (91%) and Norway (89%), while the lowest rates were reported in Cyprus and Portugal (35%). COVID-19 vaccine acceptance rates ≥60% were seen in 72/114 countries/territories, compared to 42 countries/territories with rates between 13% and 59%. The phenomenon of COVID-19 vaccine hesitancy appeared more pronounced in the MENA, Europe and Central Asia, and Western/Central Africa. More studies are recommended in Africa, Eastern Europe and Central Asia to address intentions of the general public to get COVID-19 vaccination.

Keywords: SARS-CoV-2; intention to vaccinate; vaccine hesitance; vaccine rejection; vaccine resistance; willingness to vaccinate.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
The classification of countries into seven world regions which formed the basis for this narrative review. Countries/territories in white color were not screened in the review. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 2
Figure 2
COVID-19 vaccine acceptance rates in countries from Eastern and Southern Africa. The included countries were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 3
Figure 3
COVID-19 vaccine acceptance rates in countries from Western and Central Africa. The included countries were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys; DRC: Democratic Republic Of The Congo. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 4
Figure 4
COVID-19 vaccine acceptance rates in countries/territories from Asia and the Pacific. The included countries/territories were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 5
Figure 5
COVID-19 vaccine acceptance rates in countries/territories from Eastern Europe and Central Asia. The included countries/territories were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 6
Figure 6
COVID-19 vaccine acceptance rates in countries/territories from Latin America and the Caribbean. All data were collected from the study by Urrunaga-Pastor et al. The included countries/territories were numbered, with COVID-19 vaccine acceptance rates. All surveys were conducted during January–February 2021. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 7
Figure 7
COVID-19 vaccine acceptance rates in countries/territories from the Middle East and North Africa. The included countries/territories were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys; HCWs: Healthcare workers; UAE: United Arab Emirates. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 8
Figure 8
COVID-19 vaccine acceptance rates in North America. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 9
Figure 9
COVID-19 vaccine acceptance rates in countries from Central and Western Europe. The included countries were numbered, with COVID-19 vaccine acceptance rates shown besides the dates of surveys; HCWs: Healthcare workers; UK: United Kingdom. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 10
Figure 10
The global rates of COVID-19 vaccine acceptance. The map was generated in Microsoft Excel, powered by Bing, © GeoNames, Microsoft, Navinfo, TomTom, Wikipedia. We are neutral with regard to jurisdictional claims in this map.
Figure 11
Figure 11
The percentage of studies on COVID-19 vaccine acceptance among different countries in different world region.
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