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COVID-19 Vaccination Coverage — World Health Organization African Region, 2021–2023 | MMWR – CDC

Discussion

Despite the improved supply of COVID-19 vaccine starting by late 2021, coverage in the African Region increased slowly. Regional coverage with a primary series reached 32% in 2023, with 38% of the population receiving ≥1 dose. Among the subset of countries that reported coverage for high-risk groups, 48% of health care workers and 52% of older adults received a primary series. Variation in coverage among countries was substantial. Four (9%) of the 47 countries in the region achieved the WHO target of 70% primary series coverage in the total population in 2022 (Liberia, Mauritius, Rwanda, and Seychelles); 29 (62%) countries reported primary series total population coverage <40%. Eritrea has not introduced COVID-19 vaccines, and Burundi delayed introduction in the general population and focused on vaccination of health care workers.

Several reasons likely account for low coverage with COVID-19 vaccines, including limited political commitment, logistical challenges, low perceived risk of COVID-19 illness, and variation in vaccine confidence and demand (3). Country immunization program capacity varies widely across the African Region. Challenges include weak public health infrastructure, limited number of trained personnel, and lack of sustainable funding to implement vaccination programs, exacerbated by competing priorities, including other disease outbreaks and endemic diseases as well as economic and political instability. The total population for each country was used as the denominator for vaccination coverage calculations. However, the eligible population for COVID-19 vaccination differed among countries; most countries targeted persons aged ≥16 or ≥18 years, but some countries vaccinated persons aged ≥5 years. In countries with large populations aged <18 years, meeting coverage targets was not possible (7).

Vaccination of high-priority groups remains critical for optimizing the impact of COVID-19 vaccines (4). Morbidity and mortality are highest among older adults and those with comorbidities (5), yet only two countries in the African Region have achieved >70% coverage among older age groups. The low coverage emphasizes the importance of targeted approaches to generate demand and address population concerns and of new delivery strategies to reach high-priority groups.

In May 2023, the public health emergency of international concern was officially declared over by WHO (8). In October 2023, SAGE recommended using a simplified primary vaccination series of a single dose of any COVID-19 vaccine and updated recommendations on revaccination for high-priority groups (5). SAGE recommended the continued prioritization of high-risk groups as described in the updated SAGE roadmap (5). The recommendations also reinforced the need for sustainable programs and COVID-19 vaccination integration into primary health care and other relevant services. The aim was to optimize resources and build sustainable immunization delivery platforms throughout the life course in alignment with the Immunization Agenda 2030 goals (9).

In November 2023, the Regional Immunization Technical Advisory Group for the African Region endorsed the SAGE recommendations, encouraging countries to continue COVID-19 vaccination as aligned with national priorities (10). Many countries in the African Region are integrating COVID-19 vaccination into their routine health services and exploring new entry points for vaccinating high-priority populations as part of primary care and other relevant services, including through multiantigen periodic intensified routine immunization activities.

Limitations

The findings in this report are subject to at least three limitations. First, immunization coverage estimates are based primarily on administrative data, which might contain inaccuracies resulting from errors in recording doses administered or in population estimates. Second, although reporting is highly encouraged, in 2023, many countries stopped reporting COVID-19 vaccination data because of competing priorities. In addition, fewer than one half of the countries are reporting doses administered among high-priority groups, including doses for health care workers and older persons. Finally, population estimates for high-priority groups are available only in some countries in the African Region, making assessing coverage challenging.

Implications for Public Health Practice

The African Region has low COVID-19 vaccination coverage. Community engagement is needed to better understand drivers of vaccine confidence and develop more targeted strategies to improve vaccine demand (4). Integration of COVID-19 vaccination into routine immunization and primary health care services would help build sustainability and support recovery of routine immunization services (9). Strengthening adult immunization platforms would contribute to pandemic preparedness and global disease prevention goals (4). To protect vulnerable populations and prevent additional COVID-19 morbidity and mortality in the African Region, progress must continue to be made in vaccination of priority populations at highest risk for disease.

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Middle East and north Africa | World – The Guardian

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Can drones and AI fly Africa to the next level? – SciDev.Net

Listen on Apple PodcastsListen on SpotifyListen on Google PodcastsListen on StitcherListen on OvercastListen on Amazon MusicListen on CastboxListen on Podcast AddictListen on Pocket CastsListen on iHeartRadioListen on PandoraRSS Feed


Season 4, Episode 37

In this Africa Science Focus episode, reporter Michael Kaloki discusses the relationship between artificial intelligence (AI), drone technology, and data analytics with information technology professionals.

Dennis Mutua, managing director of Geo-Cart, a Kenya-based surveying and drones solution company, says AI and drones could improve agriculture, engineering, and resource management.

AI and blockchain could shape the future of African businesses, says Bright Mawudor, regional lead at blockchain specialists Crystal Intelligence.

We also hear from Nancy Kinyua, head of geospatial engineering and data analytics at Nairobi-based data analytics firm Statsspeak, Moses Kemibaro, founder of Dotsavvy digital marketing agency, and Addy Kimani, sales and marketing lead at Fahari Aviation, a company specialising in unmanned aircraft systems.

Do you have any comments, questions or feedback about our podcast episodes? Let us know at [email protected]

Africa Science Focus is produced by SciDev.Net and distributed in association with your local radio station.

This piece was produced by SciDev.Net’s Sub-Saharan Africa English desk.

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Persisting inequality has made many young South Africans question the choices made by Nelson Mandela – podcast – Modern Ghana

Some young South Africans have begun to question Nelson Mandela’s legacy, and the choices made in the transition to democracy after the end of apartheid in 1994. Some have even called him a “sellout”.

To mark 30 years since South Africa’s post-apartheid transition began, The Conversation Weekly podcast is running a special three-part podcast series, What happened to Nelson Mandela’s South Africa?

In this final episode of the series, we talk to two academics about the way Mandela is viewed by young South Africans today, and the challenges facing the African National Congress (ANC), which has governed the country for three decades, and its current president, Cyril Ramaphosa.

Young people make up 34% of South Africa’s population. Many of them were born after 1994.

Known as the “born free” generation, they never lived through the persecution of apartheid. And they’re not afraid to question the state of the country they’ve inherited.

“There’s this grappling of the new generation trying to understand why South Africa still looks the way that it does,” explains Sithembile Mbete, a lecturer in political science at the University of Pretoria.

I think that there’s a revision or a review of Nelson Mandela’s legacy, mainly just from a dissatisfaction with the present and seeing the persistence of inequality of all sorts of manifestations – of white supremacy and racism and then all of the big political issues that we have for young people… and you’ve seen then a backlash to that amongst young people who are, like, why can’t we criticise him? Why can’t we criticise the decisions that were made?

Principal among the issues facing young people, she says, is unemployment. At the end of 2023, the unemployment rate for young South Africans between the ages of 15 and 34 was 44%. Mbete says that young people are asking serious questions about the way the economy is structured, but they’re not yet playing enough of a role in shaping the country. She adds:

Our expectations of what could have been done in the past are too high, but then our expectations of what we should be re-imagining in the present for the future are too low.

Elections looming

South Africans head to the polls on 29 May in a closely fought election in which polls suggest the ANC may, for the first time since 1994, lose the electoral majority needed to form a government.

Says Richard Calland, an associate professor in public law at the University of Cape Town, who recently co-wrote a book assessing South Africa’s post-apartheid heads of state:

We’re coming to the end of that period of domination by the ANC now; we’re into the period of what I call the second transition.

Despite the electoral dominance of the ANC over the last 30 years, says Calland, the party has had leaders of very different character, from Mandela to Thabo Mbeki, Kgalema Motlanthe, Jacob Zuma and now Cyril Ramaphosa.

Ramaphosa has had the very difficult task of rebuilding the state, rebuilding confidence in public ethics. And it’s really a tough battle. It’s like Sisyphus pushing and pushing that big stone up the hill. And it’s going to take quite a long time, I think, to recover lost ground.

Listen to our interviews with Richard Calland and Sithembile Mbete on The Conversation Weekly in the third and final episode of our What happened to Nelson Mandela’s South Africa? series. And read more coverage of the 30th anniversary of South Africa’s democratic transition from The Conversation Africa.

A transcript of this episode will be available shortly.

Disclosure statement

Sithembile Mbete has received grant funding for research on South African foreign policy from the National Research Foundation, National Institute of Social Science and Social Science Research Council. She’s received research support on South African democracy from the Open Society Foundation and the Ford Foundation. Richard Calland is a partner at The Paternoster Group: African Political Insight. He is also a member of the Advisory Council of the Council for the Advancement of the South African Constitution.

Credits

Newsclips in this episode from ITV News, CNBC Africa and SABC News.

Special thanks for this series to Gary Oberholzer, Jabulani Sikhakhane, Caroline Southey and Moina Spooner at The Conversation Africa. This episode of The Conversation Weekly was written and produced by Mend Mariwany, with production assistance from Katie Flood. Gemma Ware is the executive producer. Sound design was by Eloise Stevens, and our theme music is by Neeta Sarl. Stephen Khan is our global executive editor, Alice Mason runs our social media and Soraya Nandy does our transcripts.

You can find us on Instagram at theconversationdotcom or contact the podcast team directly via email. You can also subscribe to The Conversation’s free daily email here.

Listen to The Conversation Weekly via any of the apps listed above, download it directly via our RSS feed or find out how else to listen here.

By Gemma Ware, Head of Audio And

Thabo Leshilo, Politics + Society

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