Methods of adjustment for public health and social measures in post-licensure vaccine studies in children in sub-Saharan Africa: a systematic review
This systematic review of 64 post-licensure vaccine studies in sub-Saharan Africa reveals that none accounted for concurrent public health and social measures, highlighting a critical gap in study design that may compromise the interpretability of vaccine effectiveness estimates, particularly for pathogens like pneumococcus where results showed substantial heterogeneity.