Country-level Policy Research Articles

Current and Future Trends in Driver Behaviour and Traffic Safety Scholarship: An African Research Agenda

Road traffic accidents are strongly associated with driver behaviour. Africa, as a region, has the highest road accident fatality rate, but there is very little research dealing with this critical issue on the continent. This paper, therefore, sought to establish the state of driver behaviour and road safety scholarship in Africa to determine current research trends as well as potential future research directions. To this end, two bibliometric analyses were conducted, one which considered the issue from an African perspective and the other which considered the broader body of work. The analysis revealed a critical shortage of research related to driver behaviour in Africa. The existing body of research primarily focused on the identification of issues and tended to focus on narrow research problems within limited geographical areas. A need was identified for the collection of broader macro-level data and statistical analyses thereof to indicate regional traffic crash patterns; causes and effects; country-level studies, particularly countries with high traffic fatality rates and low levels of research; cross-country comparisons; and modelling. Future research directions should also include the link between driver behaviour, traffic safety and the sustainable developments goals, as well as policy-related research to determine current and potential future country-level policies.

Nexus between commodities and banking sector financial soundness: The role of general macroeconomic setting in Ghana

The level of causation and interdependencies among three commodities (cocoa, gold, and Brent crude oil), five banking sector performance indicators (Capital Adequacy Ratio (CAR), Non-Performing Loans (NPL), Return on Equity (ROE), Return on Assets (ROA) and Core Liquid assets to total assets (CLATA)), and three general macroeconomic indicators (Inflation, Exchange rate and Global Economic Policy Uncertainty) are explored in this study. As a result, the wavelet techniques are employed to investigate time-frequency and frequency-dependent nexus in the Ghanaian context. In terms of time-frequency, a mix of negative and positive bi-causality among commodities, banking sector performance indicators, and macroeconomic indicators are found. Outcomes from the wavelet multipleprovide that these variables are highly integrated, with the exchange rate leading in the long-run. Hence, implying that exchange rate in Ghana has a high susceptibility to shocks before the other variables in the study. We advocate Government of Ghana and policy-makers should fine-tune policies that take into account the impact on other economic factors. Policies should be initiated to minimise fluctuations in the exchange rate. To limit the adverse impact of inflation and GEPU, it is required that effective and efficient country-level policies geared towards stability be initiated to resuscitate the economy.

Economic policy uncertainties and institutional ownership in India

Extant literature has widely examined the role of various antecedents of institutional ownership across the world. Majorly, literature has examined the role of corporate governance and firm-level characteristics on institutional ownership. However, scarce empirical literature exists on the role of economic policy uncertainty (EPU) on institutional ownership. In this study, I examine the effect of various EPU measures on institutional ownership, using longitudinal data of Indian listed firms from 2001 to 2019. I find that the firm level exposure to both global and country-level economic policy uncertainties affect institutional ownership in India. Further, this study observes the contagion effect of uncertainties in developed economies like the USA and peer emerging economies like China on the institutional ownership in India. Various EPU measures are constructed following Baker et al. (2016). Further, I find that foreign institutional ownership in India is majorly driven by the global EPU.

The pricing of European airbnb listings during the pandemic: A difference-in-differences approach employing COVID-19 response strategies as a continuous treatment

The COVID-19 pandemic has been a major shock to the global tourism industry. Given its peculiarity, this paper analyzes one of the most intriguing questions in the Airbnb literature – the pricing of Airbnb listings – by taking advantage of a difference-in-differences methodology that largely draws on variations in country-level policy responses to the pandemic. Relying on a dataset containing weekly information from 130,999 continuously active listings across 27 European countries from 2019 to 2020, this study first investigates the exogenous impact of response policies (proxied by the COVID-19 Stringency Index) on demand. Secondly, accounting for the endogeneity of both demand and prices, this research analyzes pricing responses to demand variations. Results show that: i) increases in the COVID-19 Stringency Index cause significant declines in Airbnb demand; ii) increases in demand cause, on average, increases in Airbnb prices; and iii) pricing strategies between commercial and private hosts differ substantially.

Spatial and temporal pattern of deficient Indian summer monsoon rainfall (ISMR): impact on Kharif (summer monsoon) food grain production in India.

Despite a significant increasing trend in historical food grain production (FGP) in India, deficient Indian summer monsoon rainfall (ISMR) often causes a reduction in FGP. The present study was carried out to understand temporal and spatial variations in deficient rainfall (drought) and their impact on national and regional FGP of India. Long-term (1901-2020) percentage departure in rainfall and drought areas over the country showed nonsignificant and significant trends, respectively. Subdivisional rainfall showed significant decreasing and increasing trends in 4 and 5 subdivisions, respectively. Drought years of high frequency (once in 3-4years) and 4 to 5 consecutive drought years (once in 120years) occurred in northwest and western subdivisions of India. Departure in de-trended production of All India Kharif food grains from its normal (DDP) showed significant quadratic relationship with departure in ISMR from its normal (DRF). Besides the quadratic equation, another multiple regression model taking de-trended crop area, DRF, and drought area as predictor variables was developed for predicting DDP. Both these models, with high R2 (0.8-0.88) between observed and predicted data and low RMSE (2.6-2.7%), can be employed for advanced estimation of DDP of the country and for taking country-level policy decisions by the Indian Government. For the first time, models were formulated to estimate state-wise departure in FGP (DP). In these models, novel indices viz., (i) rainfall departure and irrigation index (RDII) and (ii) physical and socio-economic index (PSEI), were used as predictor variables. These models, with R2 (0.71-0.75) and RMSE of 11.8-14.2(< SD of observed data), hold promise for advance estimation of production loss in states, useful for regional-level planning by the Government of India, and testing them in other countries.

Associations between punitive policies and legal barriers to consensual same-sex sexual acts and HIV among gay men and other men who have sex with men in sub-Saharan Africa: a multicountry, respondent-driven sampling survey

Few assessments of associations between structural-level factors and HIV among gay men and other men who have sex with men (MSM) have been conducted, especially in sub-Saharan Africa. Our objective was to examine HIV testing history, HIV status, and stigmas among MSM living in ten countries with heterogeneous legal environments. This study used pooled data from ten country-specific, cross-sectional studies done in 25 sites in Burkina Faso, Cameroon, Côte d'Ivoire, The Gambia, Guinea-Bissau, Nigeria, Senegal, Eswatini, Rwanda, and Togo. MSM were recruited by respondent-driven sampling and were eligible if they met country-specific requirements for age, area of residence, and self reported being assigned male sex at birth and having anal sex with a man in the past 12 months. Policy related to same-sex sexual behaviour for each country was categorised as not criminalised or criminalised. Countries were also categorised on the basis of recent reports of prosecutions related to same-sex sexual acts. Legal barriers were defined as those that legally prevented registration or operation of sexual orientation related civil society organisations (CSOs). Individual data on HIV testing history, HIV status, and stigma were collected via interviewer-administered sociobehavioural questionnaires and HIV testing. Multilevel logistic regression with random intercepts was used to assess the association between policies, recent prosecutions, legal barriers to CSOs, and HIV-related factors with adjusted odds ratios (aORs) and 95% CIs. Between Aug 3, 2011, and May 27, 2020, we recruited 8047 MSM with a median age of 23 years (IQR 21-27). 4886 (60·7%) lived in countries that criminalise same-sex sexual acts. HIV prevalence among MSM was higher in criminalised settings than non-criminalised settings (aOR 5·15, 95% CI 1·12-23·57); higher in settings with recent prosecutions than in settings without prosecutions (12·06, 7·19-20·25); and higher in settings with barriers to CSOs than without barriers to CSOs (9·83, 2·00-48·30). HIV testing or status awareness was not associated with punitive policies or practices. Stigma was associated with HIV status but did not consistently vary across legal environments. Disparities in HIV prevalence between MSM and other adult men were highest in punitive settings. Structural risks including discriminatory country-level policies, prosecutions, and legal barriers might contribute to higher HIV prevalence among MSM. Taken together, these data highlight the importance of decriminalisation and decreasing enforcement, alongside stigma reduction, as central to effective control for HIV. National Institutes of Health. For the French translation of the abstract see Supplementary Materials section.

Medical Dominance in Global Health Institutions as an Obstacle to Equity and Effectiveness Comment on "Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process".

Medical professionals exercised structural and productive power in the Global Fund's Country Coordinating Mechanism (CCM) in Nigeria, directly impacting the selection of approaches to HIV/AIDS care, as described in a case study by Lassa and colleagues. This research contributes to a robust scholarship on how biomedical power inhibits a holistic understanding of health and prevents the adoption of solutions that are socially grounded, multi-disciplinary, and co-created with communities. We highlight Lassa and colleagues' findings demonstrating the 'long arm' of global health institutions in country-level health policy choices, and reflect on how medical dominance within global institutions serves as a tool of control in ways that pervert incentives and undermine equity and effectiveness. We call for increased research and advocacy to surface these conduits of power and begin to loosen their hold in the global health policy agenda.

Familydemic Cross Country and Gender Dataset on work and family outcomes during COVID-19 pandemic

Here we present the Familydemic Cross Country and Gender Dataset (FCCGD), which offers cross country and gender comparative data on work and family outcomes among parents of dependent children, before and during the COVID-19 pandemic. It covers six countries from two continents representing diverse welfare regimes as well as distinct policy reactions to the pandemic outbreak. The FCCGD was created using the first wave of a web-based international survey (Familydemic) carried out between June and September 2021, on large samples of parents (aged 20–59) living with at least one child under 12 in Canada, Germany, Italy, Poland, Sweden, and the US. While individual datasets are not available due to country-level restriction policies, the presented database allows for cross-country comparison of a wide range of employment outcomes and work arrangements, the division of diverse tasks of unpaid labour (housework and childcare) in couples, experiences with childcare and school closures due to the pandemic and subjective assessments of changes to work-life balance, career prospects and the financial situation of families (234 variables).

PrEP policy implementation gaps and opportunities in Latin America and the Caribbean: a scoping review.

Pre-exposure prophylaxis (PrEP) is an important tool for HIV prevention in Latin America and the Caribbean (LAC). Yet, little is known about the PrEP policies landscape in the region. Addressing this gap, this scoping review assessed current PrEP policies throughout LAC to better understand existing PrEP implementation gaps and identify opportunities to improve access. We conducted a scoping review, using a modified PRISMA extension, through 28 July 2022, to identify country-level PrEP policies. Data were collected in English, Spanish, French, and Portuguese utilizing online platforms for screening and data extraction (Google Forms, Zotero, and Excel). Extracted data were divided by data source, including country-level government policies, gray literature, and peer-reviewed literature, with at least one full-text reviewer and data extractor per publication. An iterative summative content analysis was performed to compare and interpret themes across phases and data sources. Of the 33 countries in LAC, 22 (67%) had policies approving daily oral PrEP for HIV prevention, which outlined specific key populations, including men who have sex with men, transgender women, sex workers, and serodiscordant couples. Generic tenofovir disoproxil fumarate/emtricitabine has been approved in 15 of the 33 countries, and 13 of the 33 countries have incorporated PrEP into their public health system. No countries were found to have approved cabotegravir. Costing data were reported by only one country, Ecuador, in its national health ministry guidelines. Findings also document a lag between the media/gray-literature announcement of PrEP and implementation of policies. Findings underscore significant advances in PrEP policies in the region and signal opportunities for greater PrEP implementation. Since 2017, an increasing number of countries have begun to provide PrEP to communities at heightened need, although significant gaps remain. Policy approval is a key step to further increasing access to PrEP in LAC, necessary to reduce the burden of HIV in LAC, specifically among marginalized populations.

Variations in the Corporate Social Responsibility-Performance Relationship in Emerging Market Firms

Corporate social responsibility (CSR) and its impact on performance have generated a debate that has evolved across several perspectives (shareholder, stakeholder, resource-based, and contingency). Building on the resource-based and contingency perspectives, we shed new light on this debate by analyzing the impact of CSR on performance in emerging market firms, advancing the idea that CSR is a mechanism that helps address market and government failures. We first argue that CSR’s three constituent dimensions (environmental, social, and governance) vary in their impact on performance because each dimension has a different mitigating effect on contextual failures that hobble emerging market firms. Specifically, we contend that social CSR has a larger effect on performance than either governance CSR or environmental CSR for emerging market firms, because the former helps build capabilities that more directly reduce the negative consequences of government failures in the provision of public goods and services that firms need to operate efficiently. We then provide additional depth to this idea by arguing that other mechanisms used for mitigating market failures in an emerging market context, namely firm-level business group affiliation and country-level government policy nudges, strengthen this differential influence of each of the three dimensions of CSR on performance. Analyses of a sample of 89 publicly traded Indian firms from 2007 to 2017 support these arguments. Funding: A. Cuervo-Cazurra thanks the Lloyd Mullin fellowship at Northeastern University for financial support. S. Purkayastha thanks Indian Institute of Management, Calcutta for financial support. Supplemental Material: The online appendix is available at https://doi.org/10.1287/orsc.2022.1639 .

Burden of diseases and injuries attributable to alcohol consumption in the Middle East and North Africa region, 1990–2019

Alcohol consumption is associated with a number of diseases and injuries, including cardiovascular diseases, cancers, mental and neurological disorders, as well as transport-related injuries. This article reports the alcohol-attributable burden of diseases and injuries at the regional and national levels in the Middle East and North Africa (MENA) region between 1990 and 2019, by sex, age, underlying cause, and Socio-demographic Index (SDI). The regional deaths and disability-adjusted life-years (DALYs) attributable to alcohol consumption were reported for the MENA region, between 1990 and 2019, using the methodological framework and analytical strategies adopted by the Global Burden of Disease (GBD) study 2019. The estimates were all reported as counts, population-attributable fractions, and age-standardised rates per 100,000 population, along with their corresponding 95% uncertainty intervals (UIs). Also, the average annual percentage changes were used to represent the trends of age-standardised rates. In 2019, there were an estimated 22.0 thousand deaths (95% UI: 16.1–29.4) and 1.1 million DALYs (0.8–1.3) attributable to alcohol consumption in the MENA region. The number of DALYs attributable to alcohol consumption were much higher in men (878.0 thousand, 691.4–1104.8) than among women (181.8, 138.6–232.0). The overall age-standardised death and DALY rates attributable to alcohol consumption decreased by 34.5% (13.2–48.3) and 31.9% (16.9–42.5), respectively, over the study period. Egypt (10.1 [5.7–16.6]) and Kuwait (1.1 [0.8–1.5]) had the highest and lowest age-standardised death rates attributable to alcohol consumption, respectively. In 2019, the number of deaths and DALYs in the MENA region were highest in those aged 60–64 and 50–54 years, respectively. A negative association was observed between a country’s SDI and their corresponding age-standardised DALY rates over the period 1990 to 2019. Digestive diseases were the main contributor to the alcohol-attributable burden. Over 1990–2019, the regional deaths and DALYs of diseases and injuries attributable to alcohol consumption decreased with AAPC of − 1.45 (− 1.78 to − 1.12) and − 1.31 (− 1.46 to − 1.15), respectively. The death and DALY rates attributable to alcohol consumption in the MENA region have decreased over the past three decades. Further decreases can be facilitated by implementing country-level policies and increasing public awareness.

Commons, communities and commodification: a review of reforms in land, water and local democracy in Kerala, India

ABSTRACT As India is releasing its third National Water Policy in the last 20 years, this paper seeks to review the earlier policies relevant to a critical yet under-studied surface water ecosystem of rural community ponds. The paper examines how the notion of commodification informed the policies on water, land and local democracy, impacting the governance of rural community ponds in the state of Kerala, India. The review shows that while earlier country-level policies largely showed a tendency to treat water as a commodity, decommodification tendencies are perceptible in the water policy of Kerala. Nonetheless, the land reforms in Kerala resulted in Dalit Bahujans being systematically excluded from accessing land, even though it ended the operation of commoditised human bodies, and enforced land ceilings. Huge tracts of plantations were kept out of the purview of land reforms, signifying the operation of commodification. A positive aspect of the land ceilings was that many private enclosures like rural ponds were transferred to the state. The reforms in local democracy, to a great extent, led to accessible policy-making. The framework of ‘double movement’ is useful in analysing the trends in environmental sociology and evaluating policies related to socio-ecological systems.

Grey relational analysis of country-level entrepreneurial environment: A study of selected forty-eight countries

The aim of this study is to evaluate the entrepreneurial environment of selected countries, and analyze and rank them on the basis of entrepreneurship related indicators. This study’s design comprises a review of the literature, extraction of secondary data on the phenomenon, and analysis. The research gap has been established through a review of the literature, leading toward the development of problem statement. The cross-sectional data, related to entrepreneurship indicators, is extracted from website of World Development Indicators (2021) for 48 selected countries. Using positivism as a research philosophy and deduction as a research approach, the data are analyzed through grey relational analysis (GRA). On the basis of grey relational grades, this study also classified the countries on the continuum of “much better” to “worse.” The results of the study show that the United States, United Kingdom, Japan, Australia, Hong Kong SAR, China, France and Canada attained the highest grey relational grades and are considered the countries having much better entrepreneurial environment; whereas Poland, Kuwait, Namibia and so on attained the lowest grey relational grades and are considered the countries having worst entrepreneurial environment. This research has several practical implications for different economies/countries, entrepreneurial ventures, aspiring entrepreneurial, and researchers. On the basis of findings of this study, policy makers should refine country-level entrepreneurial policies while keeping in view the respective grey relational grades.

“National context, school factors, and individual teacher characteristics: Which matters most for teacher collaboration?”

Merging the variables from the 2018 TALIS, the 2018 PISA, and the 2004 GLOBE study, the present research investigates the associations between contextual variables and teacher collaboration across national boundaries, which is essential to understand teacher collaboration in a broader context. Employing multi-level linear models, this study specified the variance in teacher collaboration related to teacher characteristics, school factors, and country policy and cultural variations, respectively. The results revealed that the teacher-level factors are associated with a significant proportion of variance in the outcome. Meanwhile, school culture, leadership, student composition, and country-level policy are influential for teacher collaboration.

Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention.

High sugar intake contributes to diet-related excess weight and obesity and is a key determinant for noncommunicable diseases (NCDs) in low- and middle-income countries (LMICs). The World Health Organization (WHO) gives specific advice on limiting sugar intake in adults and children. Yet, to what extent have policy ideas on sugar intake reduction originating at the global level found expression at lower levels of policymaking? A systematic policy document analysis identified policies issued at the African regional, South African national and Western Cape provincial levels between 2000 and 2020 using search terms related to sugar, sugar-sweetened beverages (SSBs), and NCDs. Forty-eight policy documents were included in the review, most were global and national policies and thus the focus of analysis. A policy transfer conceptual framework was applied. Global recommendations for effectively tackling unhealthy diets and NCDs advise implementing a mix of cost-effective policy options that employ a multisectoral approach. South African country-level policy action has followed the explicit global guidance, and ideas on reducing sugar intake have found expression in sectors outside of health, to a limited extent. As proposed in this paper, with the adoption of the SSB health tax and other policy measures, South Africa’s experience offers several learnings for other LMICs.

Face mask use during the COVID-19 pandemic: how risk perception, experience with COVID-19, and attitude towards government interact with country-wide policy stringency

BackgroundDuring the 2020 COVID-19 pandemic, governments imposed numerous regulations to protect public health, particularly the (mandatory) use of face masks. However, the appropriateness and effectiveness of face mask regulations have been widely discussed, as is apparent from the divergent measures taken across and within countries over time, including mandating, recommending, and discouraging their use. In this study, we analyse how country-level policy stringency and individual-level predictors associate with face mask use during the early stages of the global COVID-19 pandemic.MethodFirst, we study how (self and other-related) risk perception, (direct and indirect) experience with COVID-19, attitude towards government and policy stringency shape face mask use. Second, we study whether there is an interaction between policy stringency and the individual-level variables. We conduct multilevel analyses exploiting variation in face mask regulations across countries and using data from approximately 7000 students collected in the beginning of the pandemic (weeks 17 through 19, 2020).ResultsWe show that policy stringency is strongly positively associated with face mask use. We find a positive association between self-related risk perception and mask use, but no relationship of mask use with experience with COVID-19 and attitudes towards government. However, in the interaction analyses, we find that government trust and perceived clarity of communication moderate the link between stringency and mask use, with positive government perceptions relating to higher use in countries with regulations and to lower use in countries without regulations.ConclusionsWe highlight that those countries that aim for widespread use of face masks should set strict measures, stress self-related risks of COVID-19, and use clear communication.

An Exploratory Study of the Social Contract of Research and Innovation in Africa.

This exploratory study adds to the under-developed literature on a Research Topic that laden with epistemological, philosophical, and ideological overtones, and that begs many questions. The literature on political economy generally, and that for Africa, enjoys full disciplinary status. In contrast the political economy of research and innovation remains an emerging interdisciplinary field that examines the overlap between innovation studies and political economy. The pursuit of “science and technology” was expected to play its part in the imperialist and colonial agendas, and in the post-colonial project, when science and technology policy was a strong element in advocacy for Africa's post-independence development. What have the policies achieved, and what explains the shortfalls? What indeed is the relationship between industrial policy and research and innovation policy? What is the social contract with research and innovation? The study commences with a general overview of the social contract for science before turning to Africa's post-independence modernizing agenda, and the roles ascribed to industrial policy and research and innovation policy. An eclectic methodology drawing on Cloutier (2021) is deployed to characterize and measure the social contract between research and innovation. The methodology adapts Cloutier (2021) to the functionality of national innovation systems. The responsiveness of STI policy is further probed using Martin, 2015 categorization of innovation policy informed by Theory of Change. Where possible reference is made to conventional STI indicators. Research and innovation policy is then assessed at continental and national levels, with attention given to the extent of linkages in national innovation systems. Further to tease out the various forms of social contract, five country-level STI policies are analyzed using the Martin categorization and Theory of Change methodology. It will be argued that a binding, social contract for inclusive research and innovation policy is largely absent, so that the prospects for attaining the SDGs remain elusive. Post Glasgow COP-26, donor pressure might be re-oriented to promote engagement with the Sustainable Development Goals, though the upholding research sovereignty could mitigate against this. Africa might rightly chide against such pressure, given her experience of what has been labeled as “vaccine apartheid.”

Landscape divergence associated with international borders and economic asymmetries

Land cover divergences across international borders reflect how country-level policies influence ecological footprints on the landscape. We identified 30 abrupt transboundary divergences across the globe, with major land cover differences despite similar ecological conditions. Divergences were significantly associated with differences in Gross Domestic Product (GDP) between countries, not with demographic differences. In mountains, unsuitable for mechanized agriculture, wealthier countries have higher forest cover and urbanization, suggesting advanced ‘forest transitions’. Lowlands with rainfed agricultural potential showed more agriculture development on the wealthier side of the border, except when the country´s economy was not based on agriculture. In drylands, wealthier countries showed much more irrigation-based agriculture. Despite globalization, transboundary divergences are unlikely to disappear and may even intensify, thus meriting increased research attention as a distinctive feature of Anthropocene ecology.

Stigmatizing Policies Interact with Mental Health and Sexual Behaviours to Structurally Induce HIV Diagnoses Among European Men Who Have Sex with Men

Structural stigma shapes men who have sex with men’s (MSM’s) mental health and sexual behaviours. The aim of this study was to examine how stigmatizing policies interact with downstream anxiety/depression and sexual behaviours to structurally pattern HIV disparities among European MSM. We conducted a secondary data analysis of the European Men-who-have-sex-with-men Internet Survey (EMIS) from 2017. We included a total of 98,600 participants living in 39 European countries. We used the Rainbow Index, a score given to countries based on their sexual and gender minority policies as the predictor of HIV diagnosis. We conducted adjusted random intercept and slope multi-level logistic regressions. In adjusted models, higher Rainbow Index scores was associated with lower predictive probabilities of diagnosed HIV, regardless of the number of condomless intercourse partners. The predictive probability of HIV diagnosis was also lower, regardless of severity of anxiety/depression, where the Rainbow Index score was better. Country-level policies interact with downstream sexual behaviours and anxiety/depression to structurally influence HIV diagnosis among MSM in Europe.

Access to COVID-19 vaccination for displaced Venezuelans in Latin America: a rapid scoping review

BackgroundVenezuelan migration is the second largest international displacement in contemporary history. Yet, amid global calls for the inclusion of migrants and refugees in COVID-19 vaccination priority groups, little is known about how Latin American countries are prioritising COVID-19 vaccination for Venezuelans. This rapid scoping review addresses this gap, taking up a Latin American Social Medicine approach to assess the region's sociopolitical context and explore the extent to which Venezuelan migrants are considered in COVID-19 vaccination strategies in Latin America. MethodsWe conducted a three-phased rapid scoping review assessing peer-reviewed literature, gray literature, and government documents addressing COVID-19 vaccine access for displaced Venezuelans in Latin America. Documents published in English, Spanish, or Portuguese between January 2020 and June 2021 were included. Peer-reviewed literature search yielded 142 results and 13 articles included in the analysis; Gray literature screening resulted in 68 publications for full-text review and 37 were included; and official Ministry of Health policies in Argentina, Brazil, Chile, Colombia, Ecuador, and Peru were reviewed in-depth. Screening and data extraction used a combination of online platforms (Covidence, Google Forms, Zotero, and Excel) and the team met twice weekly to review, compare, discuss, analyse, and interpret data across a 6-week period. FindingsFindings from country-level policies revealed a heterogeneous and shifting policy landscape amid the COVID-19 pandemic, which strongly juxtaposed calls for a rights-based, social justice approach to COVID-19 vaccination evidenced in the peer-reviewed and gray literature. For example, under extreme resource constraints resulting from a chronically underfunded health system and mass Venezuelan migration. Colombia's vaccination plan excluded migrants with irregular migration status. Countries prioritised COVID-19 vaccines to certain “at-risk” groups defined by individual epidemiological factors rather than social vulnerability, limiting vaccine access for displaced Venezuelans in the region. Country-level policies differentiated, at times arbitrarily, between refugees, irregular migrants, and regular migrants, with important implications for vaccine access. While international right to health legislation prohibits discrimination based on migration status and urges states to refrain from denying access to preventive health services, these results suggest the need for further guidance on terminology to better contend with migrants' social vulnerabilities. InterpretationCOVID-19 is rapidly evolving and there is an urgent need for rights-based approaches to vaccination that consider sociopolitical contexts, especially impacts of mass migration. Findings underscore the need to better integrate Venezuelan migrants into vaccination strategies, not only as a matter of social justice, but a pragmatic public health strategy. FundingFunding provided by the Canadian Social Sciences and Humanities Research Council Insight Development Grant.