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Rapid Review: Perceptions of COVID-19 Vaccines in South Africa | Institute of Development Studies
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Published on 18 February 2021
Ahead of World Social Justice Day (20 February), IDS researchers Melissa Leach, Hayley MacGregor, Ian Scoones and Annie Wilkinson review the lessons from Covid-19 for development practices in a new journal article and why political, economic and social transformations are needed to tackle injustices and inequalities, and prepare for the future.
The pandemic has highlighted the intense fragilities of systems that assure health and wellbeing, food supplies, sustainable livelihoods and resilient economies. Covid-19 has had far deeper impacts on those already experiencing poverty and inequality, with the effects of the health crisis felt unevenly across geographies, income bands, gender, ethnicity and age. The assertion that ‘we’re all in this together’ is truly a myth, as highlighted in a recent Oxfam report.
Review: Broader health impacts of vertical responses to COVID-19 in low- and middle-income countries
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The COVID-19 pandemic has undermined capacity and efforts to address other health needs that are just as pressing as the virus itself, particularly in low- and middle-income countries (LMICs). Pressure on governments to act on COVID-19 now to save ‘immediately identifiable lives’ rather than ‘statistical lives at risk’ has had and will continue to have harmful short- and long-term consequences for other areas of health.
This paper reviews the effects of vertical responses to COVID-19 on health systems, services, and people’s access to and use of them in LMICs, where historic and ongoing under-investments heighten vulnerability to a multiplicity of health threats. We use the term ‘vertical response’ to describe decisions, measures and actions taken solely with the purpose of preventing and containing COVID-19, often without adequate consideration of how this aff
Institute of Development Studies [V]accine hesitancy is shaped by additional and complex dimensions beyond information alone. Consideration of the communities and contexts in which vaccination occurs, and what motivates people to participate, will be important considerations for COVID-19 vaccines. Evidence suggests that vaccine hesitancy, a delay in acceptance or refusal of an available vaccine, threatens to undermine the public health benefits of COVID-19 vaccination. This Social Science in Humanitarian Action Platform (SSHAP) brief draws on social science literature and informal interviews with experts to illustrate that vaccine hesitancy is complex and context-specific, and often reflects diverse, everyday anxieties - not just, or even primarily, exposure to misinformation or anti-vaccine campaigners. Based on this analysis, the brief proposes strategies to guide those involved in vaccine development, communication, and deployment to boost confidence in COVID-19 vaccines.
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