Factors Underlying Vaccine Hesitancy and Their Mitigations in Saudi Arabia: Protocol for a Systematic Review

Author:

Kanan MohammedORCID,Abdulrahman SamarORCID,Alshehri AbdulazizORCID,AlSuhaibani RenadORCID,Alotaibi Nawaf MORCID,Alsaleh AzharORCID,Nasser BushraORCID,Baowaydhan RanaORCID,Alredaini IbrahimORCID,Khalid TaifORCID,Almukhtar FatimaORCID,Altoaimi NourahORCID,Alhneshel AlmahaORCID,Alanazi ShouqORCID,Algmaizi ShahadORCID

Abstract

Background Vaccine hesitancy is a growing concern in Saudi Arabia, impacting even well-educated parents. The decision-making process involves various factors such as accessibility, trustworthy information, and the influence of social networks, reflecting a complex interplay of emotional, cultural, social, spiritual, and political dimensions. Objective This review seeks to evaluate the prevalence and trends of vaccine hesitancy, identify contributing factors, and explore potential solutions to enhance immunization rates. This review aligns with global concerns, as the World Health Organization has identified vaccine hesitancy as a top global health threat. Methods Our systematic review will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and PICOS (Population, Intervention, Comparison, Outcomes, and Study) criteria for comprehensive assessment. We will conduct a thorough search across various databases, encompassing a wide range of vaccines, and pay special attention to vaccination campaigns and refusals. Inclusion criteria involve descriptive, observational, and analytical studies focusing on factors influencing vaccine acceptance or hesitancy. The study will use the Crowe Critical Appraisal Tool for quality assessment and perform a narrative synthesis to summarize findings thematically. Results This systematic review is expected to unveil the prevalence and trends of vaccine hesitancy in diverse populations in Saudi Arabia, shedding light on cultural, religious, and social factors contributing to hesitancy. It aims to assess the effectiveness of implemented strategies, enable regional and global comparisons, and provide implications for tailored vaccination policies. Additionally, the review may pinpoint research gaps, guiding future investigations to address and mitigate vaccine hesitancy effectively. Conclusions The findings are expected to have direct policy implications and guide interventions to strengthen vaccination programs and improve public health outcomes. International Registered Report Identifier (IRRID) PRR1-10.2196/54680

Publisher

JMIR Publications Inc.

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