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Table 3 Comparison of policy positions for all adults versus pregnant people as of March 2022 for countries with a restrictive policy position in pregnancy

From: Gender equity and COVID-19 vaccine policies for pregnant people: a global analysis

Country

Policy for all adults

Policy for pregnant people

GGGI score

Income Status

Afghanistan

All people above the age of 18 were permitted to receive the vaccine, from April 12, 2021. Pregnant women were explicitly excluded in MoPH announcement [45]

Not recommended

0.444

Low income

China

All people above the age of 18 were permitted to receive the vaccine from late March 2021. Pregnant women were still considered "contraindicated" at this date, from China CDC documents [46]

Not recommended

0.682

Upper middle income

Côte d'Ivoire

As of March 29, 2021, Cote d'Ivoire opened up their vaccination campaigns to any adult over the age of 18 [47]

Not recommended with exceptions

0.637

Lower middle income

Jordan

Jordan invited all residents of Jordan over the age of 18 to be vaccinated for COVID-19 when they initiated their vaccine campaign in January 2021[48]. Pregnant women were explicitly excluded from vaccination [49]

Not recommended

0.638

Upper middle income

Sierra Leone

In Sierra Leone's COVID-19 Strategic Plan, originally published June 2021 and updated September 2022, they list that Phase 3 prioritization for vaccination includes 'those aged 18–59, without comorbidities, not including pregnant women' [50]

Not recommended

0.655

Low income

Syria

As of early September 2021, Syria was conducting a vaccination campaign targeting all citizens over the age of 18. Pregnancy and lactation were explicitly called out as 'conditions that prevent vaccination' [51]

Not recommended

0.568

Low income

Timor-Leste

While it's not clear when Timor-Leste started vaccinating all adults over the age of 18, there is evidence that by August 2021, over half the population over 18 had received at least one dose, indicating all adults were eligible to receive the vaccine before August 2021 [52]

Not recommended

0.72

Lower middle income

United Arab Emirates

As of March 22, 2021, the UAE was administering vaccines to adults 18 years of age and older. Pregnant women continued to be excluded/exempted from vaccination in available policies [53]

Not recommended

0.716

High income