 Despite the availability of the COVID-19 vaccine, uptake among pregnant women in sub-Saharan Africa remains low. A recent scoping review found that knowledge, attitudes, and contextual factors are important determinants of vaccination decisions among this population. Researchers have focused primarily on knowledge and attitudes, but more comprehensive studies are needed to understand how these factors interact with other psychological and social constructs, such as perceived risk, trust, and cultural norms. Additionally, future studies should use longitudinal designs to better understand the causal pathways of vaccination determinants and uptake. This article was authored by Sylvia Aiko, Kimberly Baker, Sarah E. Messiah, and others.