@article{fdi:010085377, title = {{V}accine anxieties, vaccine preparedness : perspectives from {A}frica in a {C}ovid-19 era}, author = {{L}each, {M}. and {M}ac{G}regor, {H}. and {A}kello, {G}. and {B}abawo, {L}. and {B}aluku, {M}. and {D}esclaux, {A}lice and {G}rant, {C}. and {K}amara, {F}. and {N}yakoi, {M}. and {P}arker, {M}. and {R}ichards, {P}. and {M}okuwa, {E}. and {O}kello, {B}. and {S}ams, {K}elley and {S}ow, {K}.}, editor = {}, language = {{ENG}}, abstract = {{G}lobal debates about vaccines as a key element of pandemic response and future preparedness in the era of {C}ovid-19 currently focus on questions of supply, with attention to global injustice in vaccine distribution and {A}frican countries as rightful beneficiaries of international de-regulation and financing initiatives such as {COVAX}. {A}t the same time, vaccine demand and uptake are seen to be threatened by hesitancy, often attributed to an increasingly globalised anti-vaxx movement and its propagation of misinformation and conspiracy, now reaching {A}frican populations through a social media 'infodemic'. {U}nderplayed in these debates are the socio-political contexts through which vaccine technologies enter and are interpreted within {A}frican settings, and the crucial intersections between supply and demand. {W}e explore these through a 'vaccine anxieties' framework attending to both desires for and worries about vaccines, as shaped by bodily, societal and wider political understandings and experiences. {T}his provides an analytical lens to organise and interpret ethnographic and narrative accounts in local and national settings in {U}ganda and {S}ierra {L}eone, and their (dis)connections with global debates and geopolitics. {I}n considering the socially-embedded reasons why people want or do not want {C}ovid-19 vaccines, and how this intersects with the dynamics of vaccine supply, access and distribution in rapidly-unfolding epidemic situations, we bring new, expanded insights into debates about vaccine confidence and vaccine preparedness.}, keywords = {{C}ovid-19 ; {V}accination ; {H}esitancy ; {A}nxiety ; {P}reparedness ; {A}frica ; {OUGANDA} ; {SIERRA} {LEONE} ; {AFRIQUE}}, booktitle = {}, journal = {{S}ocial {S}cience and {M}edicine}, volume = {298}, numero = {}, pages = {114826 [10 p.]}, ISSN = {0277-9536}, year = {2022}, DOI = {10.1016/j.socscimed.2022.114826}, URL = {https://www.documentation.ird.fr/hor/fdi:010085377}, }