Addressing Disparities in HIV Vaccine Awareness in Low-Resource Settings: A Call to Action

Authors

  • Abdullahi Hassan Elmi Department of Nursing, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia

Keywords:

Awareness, HIV, Low Resource Setting, Vaccine

Abstract

The global fight against HIV continues to depend not only on scientific breakthroughs but also on equitable dissemination of information, particularly in low-resource settings. While promising HIV vaccine candidates (e.g., mRNA-based platforms and long-acting injectable regimens) bring renewed optimism, awareness of these developments remains starkly uneven. This disparity risks exacerbating existing inequities in uptake and trust. Through a comprehensive literature review, this paper identifies structural, socio-cultural, and educational barriers to vaccine awareness; examines case studies illustrating successful community-led communication strategies; and underscores the ethical imperative of inclusive outreach. We recommend a multi-pronged approach: co-design of awareness campaigns with local stakeholders, integration of vaccine literacy into education and health systems, leveraging digital and mobile platforms, sustained community governance, and systematic monitoring. Ultimately, closing the awareness gap is not ancillary to scientific progress, it is foundational. Unless addressed explicitly and urgently, disparities in HIV vaccine awareness will undermine both ethics and efficacy in global health initiatives.

References

Associated Press. (2024, December 5). A twice yearly shot could help end AIDS. But will it get to everyone who needs it? Associated Press.

Bhattacharya, G., Smith, P., & Nall, M. (2023). Impact of school-based HIV education programs in low- and middle-income countries: A comparative review. Global Public Health, 18(5), 845–860.

BRILLIANT Consortium. (2018). Building Research Implementation Leadership in Vccinology in Everyday Networks: Project governance model. BRILLIANT Consortium.

Coleman Taylor, J., & Stryker, J. (2020). Effectively communicating about HIV disparities and stigma. Frontiers in Communication, 5, 539174. https://doi.org/10.3389/fcomm.2020.539174

Johnson, C. E., Hayes, R., & Zuccaro, P. (2012). Community Liaison Program for HIV vaccine awareness among minority groups. Health Education Research, 27(4), 746–754. https://doi.org/10.1093/her/cys056

Lund, S., Rasch, V., & Hemed, M. (2014). Mobile phone messaging for facilitating antenatal care and vaccination—a randomized trial. PLOS ONE, 9(4), e97269. https://doi.org/10.1371/journal.pone.0097269

Martinez, J., Smith, L. M., & Lakshmi, S. (2023). Youth-centric HIV messaging and preferences for long-acting injectable regimens. Journal of Adolescent Health, 72(3), 364–372. https://doi.org/10.1016/j.jadohealth.2022.09.005

National Institutes of Health. (2022). Advancing communication strategies to support future HIV vaccine use (R01 clinical trial optional). U.S. Department of Health & Human Services. https://grants.nih.gov

Obeagu, E. I. (2024). Education as prevention in low-resource settings. Asian Journal of Dental and Health Sciences, 4(4), 31–34.

Perceived benefits and barriers to the use of long-acting injectable antiretroviral treatment among adolescents and young people living with HIV in Western Kenya. (2025). Frontiers in Medicine. https://doi.org/10.3389/fmed.2025.xxxxx

Praekelt Foundation. (2024). mHealth campaigns in South Africa: Scaling “Please Call Me”. Praekelt Foundation

Reuters. (2025, May 16). Health rounds: Novel approach to HIV vaccine shows early promise. Reuters.

Reuters. (2025, February 28). USAID pauses HIV vaccine trial funding amid policy review. Reuters. https://www.reuters.com/

Smit, J., Middelkoop, K., Myer, L., et al. (2005). Socio-behaviour challenges to phase III HIV vaccine trials in Sub-Saharan Africa. African Health Sciences, 5(3), 198–206.

Scott, G. Y., & Worku, D. (2024). HIV vaccination: Navigating the path to a transformative breakthrough—a review of current evidence. Health Science Reports, 7(9), e70089. https://doi.org/10.1002/hsr.70089

Schmidt, B. M., Tucker, T., & Ndung’u, T. (2018). Strengthening community engagement in vaccine trials: QES and case studies from South Africa. EDCTP.

UNESCO. (2009). Literature review: HIV/AIDS education and marginalization. UNESCO

Wits University. (2016). ALIVE: African Leadership in Vaccinology Expertise. Wits University.

White, R., Govender, K., Corrigan, C., et al. (2014). Potential future impact of a partially effective HIV vaccine in a Southern African setting. PLOS ONE, 9(10), e110213. https://doi.org/10.1371/journal.pone.0110213.

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Published

2025-10-11

How to Cite

Elmi, A. H. E. (2025). Addressing Disparities in HIV Vaccine Awareness in Low-Resource Settings: A Call to Action. International Journal of Public Health and Nursing, 1(1), 13–15. Retrieved from https://journals.e-palli.com/home/index.php/ijphn/article/view/5148