Barriers and Enablers: Behavioral Dynamics of COVID-19 Vaccinations in Low- and Middle-Income Countries
The Digital Results Improve Vaccine Equity and Demand (DRIVE Demand) project is a two-year, US$5 million partnership implemented by PATH’s Digital Square initiative with social research support from Busara Center for Behavioral Economics to deploy and expand the use of digital health tools in Honduras, Mali, Tanzania, Thailand, Uganda, and Zambia. Through DRIVE Demand, the partners are aiming to help ministries of health (MOHs) use digital technologies to understand, track, and influence demand for immunizations. Ultimately, it will support target countries’ efforts to reach national COVID-19 and routine immunization targets while strengthening data-driven health systems in Asia, the Caribbean, and sub-Saharan Africa.
To understand the essential behavioral dynamics impacting COVID-19 vaccine uptake in low- and middle-income countries (LMICs), this literature review examined key barriers and levers influencing vaccine demand. Specific emphasis in this review has been placed on literature from the project’s four African exemplars: Mali, Tanzania, Uganda, and Zambia. This review included peer-reviewed, white, and gray literature but excluded blogs, opinion pieces, and news articles. In all, Busara reviewed 179 sources, scanning for key words and phrases.
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