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September 10, 2026The Egyptian Journal of Critical Care MedicineOpen Access

Challenges to equitable COVID-19 vaccine distribution in Ethiopia: lessons and recommendations for future pandemic preparedness

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Authors

SASenait AlemayehuABAnene Tesfa BerhanuMDMosisa Bekele Degefa

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Overview

Qualitative study reveals infrastructure, logistical, and socio-cultural barriers to immunization among health stakeholders, highlighting the need for gender-sensitive pandemic preparedness.

Key Points

  • To examine stakeholder perspectives on COVID-19 vaccine distribution challenges, delivery mechanisms, and strategies to ensure equitable access during public health emergencies.
  • Conducted a qualitative study using purposive sampling with key informants (N=21), including government officials, NGO representatives, and civil society actors in Ethiopia.
  • Collected data through face-to-face and online interviews, followed by verbatim transcription, English translation, and thematic analysis using NVivo 12.
  • Global supply inequities, inadequate health infrastructure, logistical bottlenecks, limited cold chain capacity, and vaccine hesitancy substantially obstructed distribution.
  • Geographical barriers, ongoing conflict, and restrictive gender norms exacerbated inequities, leaving rural populations and women disproportionately underserved.
  • Cross-sector collaboration, political commitment, and public-private partnerships facilitated rollout, underscoring the need for upgraded cold chain systems and gender-sensitive outreach.

Cite This Study

Alemayehu et al. (2026) studied this question.

synapsesocial.com/papers/6aa27ae958559d80afc73d20https://doi.org/10.1007/s44349-026-00061-5
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