NDLI: COVID-19 vaccine acceptance and hesitancy in Cameroon: a systematic review and meta-analysis

Content Provider	Springer Nature : BioMed Central
Author	Cheuyem, Fabrice Zobel Lekeumo Amani, Adidja Nkodo, Iyawa Clarisse Alma Boukeng, Lionel Bethold Keubou Edzamba, Michel Franck Nouko, Ariane Guissana, Edwige Omona Ngos, Christelle Sandrine Achangwa, Chabeja Mouangue, Christian
Abstract	Background The development of effective vaccines was a promising tool for ending the pandemic. However, the success of a vaccination programme hinges on achieving substantial community acceptance. In Cameroon, numerous studies have investigated the level of acceptance, hesitancy, and perception of COVID-19 vaccines, with mixed results. To provide a comprehensive understanding of these parameters, this meta-analysis aimed to estimate the pooled proportion of COVID-19 vaccine acceptance, hesitancy and perception in Cameroon. Methods A systematic search of online databases, including PubMed, Google Scholar, and ScienceDirect, was conducted to identify relevant research articles. This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The extracted data were compiled in a Microsoft Excel spreadsheet and analyzed using R statistical software (version 4.3.3). The pooled proportion of COVID-19 vaccine acceptance, hesitancy, and perception was calculated using a random-effects meta-analysis. Funnel plots, Egger’s, and Begg’s tests were used to assess publication bias. Results Of the 1,346 records identified through the database search, 20 research articles were included in the systematic review and meta-analysis. The random-effects model showed that approximately 31.21% (95% CI: 23.49–38.94) of the participants was willing to accept the COVID-19 vaccine. More than two-thirds of the population (68.49%; 95% CI: 60.65–76.34) were vaccine hesitant. Half of the participants (51.81%; 95% CI: 42.70-60.93), had a negative perception of the COVID-19 vaccine. The acceptance rate progressed from the first semester of 2021 (27.21%; 95% CI: 10.38–44.05) to the first semester of 2022 (45.56%; 95% CI: 25.00-66.12). The pooled vaccine acceptance rate was 29.29% (95% CI: 19.86–38.72) for the general population and 39.24% (95% CI: 22.84–55.64) for healthcare workers. The pooled vaccine hesitancy rate was 70.39% (95% CI: 61.30–79.80) for the general population and 57.42% (95% CI: 4.05–71.80) for healthcare workers. Conclusion Although progress in vaccine acceptance, targeted interventions remain necessary to address vaccine hesitancy in the country. Strategies such as enhancing access to accurate information, fostering trust in institutions, and strengthening community engagement remain crucial for increasing COVID-19 vaccine uptake.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-025-22195-4.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-025-22195-4
Journal	BMC Public Health
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-03-17
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health COVID-19 vaccine Acceptance Hesitancy Perception Cameroon Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

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