A Comparative Analysis on the Social Determinants of COVID-19 Vaccination Coverage in Fragile and Conflict Affected Settings and Non-fragile and Conflict Affected Settings

This study aimed to determine various factors influencing vaccine coverage in fragile and conflict-affected settings (FCS). Utilizing data from various open sources and the World Bank's classification of FCS states, the study modeled cross-country inequities in COVID-19 vaccine coverage using multi-variate log-linear regressions. Results showed that socioeconomic determinants (GDP per capita, socioeconomic resilience), health system determinants (human resources density, government health expenditure), and political determinants (government effectiveness, political stability) play pivotal roles in vaccine coverage. Higher belief in vaccine effectiveness was positively associated with coverage in FCS countries.

Sanjay Pattanshetty, Mantej Pardesi, Nachiket Gudi