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“Now that the baby is out, I can be vaccinated”: a qualitative study on COVID-19 vaccine hesitancy in pregnant women in Kilifi, Kenya

Article scientifique 2026 Anglais

Résumé

COVID-19 vaccines are safe and effective in pregnancy, but vaccine hesitancy limits uptake and effectiveness. This study explored COVID-19 vaccine hesitancy in pregnancy in Kilifi, coastal Kenya, to elicit reasons for vaccine hesitancy and acceptance, and to compile misconceptions around vaccination in pregnancy. Twenty-three in-depth interviews were conducted with pregnant women, mothers who had given birth in the previous 2 years and health workers (community health promoters, nurses, and supervisors). Data were analyzed using thematic template analysis based on the Vaccine Hesitancy Determinants Matrix. Concern about vaccine safety for the unborn baby was a major driver of hesitancy. Many pregnant women had limited knowledge of the potential benefits to the unborn baby, leading to postponing vaccination until after pregnancy. The initial government exclusion of pregnant women from vaccination led many to believe that vaccines were unsafe in pregnancy, long after the eligibility was revised. Aggressive promotion of the vaccine by the government was a source of mistrust and misconceptions. Integrating COVID-19 vaccination into routine antenatal care improved acceptance and development and dissemination of local guidelines boosted healthcare workers' confidence in offering vaccines to pregnant women. Future rollouts of vaccines for pregnant women should consider vaccination within antenatal care clinics alongside other routine pregnancy vaccines to enhance vaccine acceptance.

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Koech, A., Wanje, O., Mwashigadi, G., Katana, G., Mdindi, R., Mwangome, P., Craik, R., Vidler, M., Kinshella, M., Dadelszen, P., Doaré, K., Temmerman, M., Freyne, B., Kawaza, K., Lissauer, S., Sommerfelt, K., Etti, M., Mboizi, R., Cose, S., Nankabirwa, V., Hookham, L., Ouma, J., Rukondo, G., Cochet, M., Voysey, M., Cantrell, L., Okiro, P., Omuse, G., Dama, S., Barreh, N., Konde, S., Kombo, A., Maitha, G., Mukhanya, M., Okello, R., Gumbo, J., Mutunga, J., Mwaniki, I., Ochieng, M., Mwadime, E., D’Alessandro, U., Roca, A., Jah, H., Prentice, A., Martinez-Alvarez, M., Diallo, B., Sesay, A., Suso, S., Idris, Y., Njie, B., Touray, F., Kongira, F., Ndure, M., Gabbidon, G., Gibba, L., Bah, A., Bah, Y., Sevene, E., Tchavana, C., Macuácua, S., Valá, A., Boene, H., Quimice, L., Maculuve, S., Mandomando, I., Magee, L., Volvert, M., Mistry, H., Mendy, T., Russell, D., Makanga, P., Makacha, L., Mlambo, R., Poston, L., Tribe, R., Moore, S., Salisbury, T., Papageorghiou, A., Noble, A., Blencowe, H., Filippi, V., Lawn, J., Silver, M., Akuze, J., Gazeley, U., Cartwright, J., Whitley, G., Krishna, S., Li, J., Bone, J., Tu, D., Sandhu, A., Pickerill, K., Carillho, C., Barratt, B., Abubakar, A., Waljee, A. (2026). “Now that the baby is out, I can be vaccinated”: a qualitative study on COVID-19 vaccine hesitancy in pregnant women in Kilifi, Kenya. https://doi.org/10.3389/fpubh.2026.1730282

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Auteur(s)

Angela Koech Onesmus Wanje Grace Mkanjala Mwashigadi Geoffrey G. Katana Richmond Mdindi Peter Mwangome Rachel Craik Marianne Vidler Mai‐Lei Woo Kinshella Peter von Dadelszen Kirsty Le Doaré Marleen Temmerman Bridget Freyne Kondwani Kawaza Samantha Lissauer Kalvor Sommerfelt Melani Etti Robert B. Mboizi Stephen Cose Victoria Nankabirwa Lauren Hookham Joseph Ouma Gordon Rukondo Madeleine Cochet Merryn Voysey Liberty Cantrell Patricia Okiro Geoffrey Omuse Shilla Unda Dama Nathan Barreh Sharon Konde Alice Mnyazi Kombo Grace Maitha Moses W. Mukhanya Robin Okello Juma Gumbo Joseph M. Mutunga Isaac G. Mwaniki Marvin Ochieng Emily Mwadime Umberto D’Alessandro Anna Roca Hawanatu Jah Andrew Prentice Melisa Martinez-Alvarez Brahima Diallo Abdul Sesay Sambou M. S. Suso Yahaya Idris Baboucarr Njie Fatima Touray Fatoumata Kongira Modou F. S. Ndure Gibril Gabbidon Lawrence Gibba Abdoulie Bah Yorro Bah Esperança Sevene Corssino Tchavana Salésio Macuácua Anifa Valá Helena Boene Lazaro M. Quimice Sonia Maculuve Inácio Mandomando Laura Magee Marie‐Laure Volvert Hiten D. Mistry Thomas Mendy Donna Russell Prestige Tatenda Makanga Liberty Makacha Reason Mlambo Lucilla Poston Rachel H. Tribe Sophie Moore Tatiana Taylor Salisbury Aris Papageorghiou Alison Noble Hannah Blencowe Veronique Filippi Joy E. Lawn Matt Silver Joseph Akuze Ursula Gazeley Judith E. Cartwright Guy Whitley Sanjeev Krishna Jing (Larry) Li Jeffrey N. Bone Domena Tu Ash Sandhu Kelly Pickerill Carla Carillho Benjamin Barratt Amina Abubakar Akbar K. Waljee

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