Factors influencing vaccination coverage among children age 12–23 months in Afghanistan: Analysis of the 2015 Demographic and Health Survey

Aalemi, Ahmad Khalid; Shahpar, Karimullah; Mubarak, Muhammad

doi:10.1371/journal.pone.0236955

Cited by 39 publications

(47 citation statements)

References 20 publications

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“…Children living in urban areas have been reported to have better vaccination status compared with their rural areas. This finding supports studies in Ethiopia [ 12 ] and Afghanistan [ 11 ], total vaccination level in urban residence was always higher than in rural residence. This might be due to the fact that urban areas have better access to health facilities and health care practitioners than rural areas.…”

Section: Discussionsupporting

confidence: 91%

Individual and community-level determinants of childhood vaccination in Ethiopia

Fenta

2021

Arch Public Health

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Background Vaccines are one of our most important tools for preventing outbreaks and keeping the world safe. Most unvaccinated children live in the poorest countries including Ethiopia. Therefore, this study aimed to identify the determinants of vaccination coverage among children aged12–23 months in Ethiopia. Methods A cross-sectional secondary data were obtained from the 2016 Ethiopian Demographic and Health Survey data (EDHS). A total of 1929 children were included. A Multilevel Proportional Odds Model was used to identify the individual and community-level factors associated with child vaccination. Result Among 1, 929 children, only 48.6% (95% CI: 46.3 to 50.8%) were fully vaccinated while 37.8% (95% CI: 35.7 to 40.1%) were partially vaccinated.. The multilevel ordinal logistic regression model reveled that housewife mother (AOR =1.522, 95%CI: 1.139, 2.034), institutional delivery (AOR =2.345, 95%CI: 1.766, 3.114),four or above antenatal care visits (AOR = 2.657; 95% CI: 1.906, 3.704), children of mothers with secondary or higher education (AOR = 2.008; 95% CI: 1.209, 3.334),Children whose fathers primary education (AOR = 1.596; 95% CI: 1.215, 2.096), from the rich households (AOR = 1.679; 95% CI: 1.233, 2.287) were significantly associated with childhood vaccination. Conclusion Child vaccination coverage in Ethiopia remains low. Therefore, there is a need to increase child vaccination coverage by promoting institutional delivery and prenatal care visits, as well as maternal tetanus immunization. Besides, public initiatives needed to improve child vaccination coverage, women’s and husband’s education, poor women, and further advancement of health care services for poor women, housewife women, women living in remote areas should be made to maintain further improvements in child vaccination. Furthermore, policies and programs aimed at addressing cluster variations in child vaccination need to be formulated and their implementation must be strongly pursued.

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Section: Discussionsupporting

confidence: 91%

Individual and community-level determinants of childhood vaccination in Ethiopia

Fenta

2021

Arch Public Health

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“…However, being children to the category of richest household was not statistical signi cant, this may be due to small observations. These results seems in line with previous studies (20,22). These relationships may partly be explained by; Women in higher territory of wealth are likely to empowered and less likely to confront challenge of transportation fee to take their child to vaccination site.…”

Section: Discussionsupporting

confidence: 92%

“…The current study found that children born from mothers who had at least four ANC visits are 10 folds more likely to be fully vaccinated than not vaccinated compared to no ANC visits, and had ve times higher relative risk of partially vaccinated than not vaccinated children compared to who had no visits. This nding is consistent with research done in Ethiopia (18), Bangladesh (19), Afghanistan (20) and Senegal (13). The same pattern of association was observed among women who had one to three antenatal care visits.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with vaccination status among children age 12–23 months in Ethiopia, based on 2016 EDHS: logit based multinomial logistic regression analysis

Enyew

Tareke²

2021

Preprint

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Background: Childhood immunization is one of the most cost-effective prevention measures for children's mortality and morbidity, saving 2–3 million lives per year. Therefore, the aim of this study was to identify factors associated with vaccination status among children 12–23 months of age in Ethiopia.Method: A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS). A total weighted sample of 1911 children age 12–23 months of age were included in the study. Logit based Multinomial logistic regression analysis was computed to distinguish factors associated with routine vaccination of children aged 12-23 months. P-value less than 0.05 was used to declare statistical significance of each independent variables, and adjusted Relative risk ratio (RRR) with 95% confidence interval were used to present the result and STATA 14 was utilized for data management and analysis. Result: Overall the prevalence of full vaccinated children was 35%, while 49% of children were partially vaccinated and 16% were non-vaccinated. In multinomial analysis, having focused ANC (at least four visits) contrasted to no ANC visits at all had 9.7 higher relative risk of being fully vaccinated than not vaccinated [RRR= 9.74, 95% CI=3.52-26.94], and 5 times higher relative risk of being partially vaccinated than not vaccinated [RRR=4.97, 95% CI=2.00-12.33]. Conclusion: The present study found that childhood full vaccination status was low compared with the World Health Organization targets. Frequency of ANC visit and visited by field worker were significantly associated both partially and full vaccination whereas, visited health facility last 12 months and wealth status were significantly associated with childhood full vaccination.

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“…11 In Afghanistan with its already low general coverage of vaccination, that is, 39%, people's willingness and hesitancy toward COVID-19 vaccine is of particular importance. 13 To make sure the vaccination efforts succeed and the coverage required to reach herd immunity will be achieved, policy makers need to be informed about public willingness to take the COVID-19 vaccine. Therefore, this study aims to evaluate the willingness and hesitancy of Afghanistan population toward the COVID-19 vaccine.…”

Section: Introductionmentioning

confidence: 99%

Public Willingness and Hesitancy to Take the COVID-19 Vaccine in Afghanistan

Nemat

Bahez

Salih

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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COVID-19 has been causing a global threat to almost all countries for more than one year. Vaccination of the majority of any country’s population is considered to be an effective way of controlling the spread and mortality of this infection. Therefore, it is important to assess the public’s willingness to be vaccinated against COVID-19. In this study, we evaluated the public willingness and hesitancy to take the vaccine in Afghanistan, during December 2020 and January 2021. Sociodemographic data, awareness on vaccine production, vaccine availability, willingness and hesitancy to take the COVID-19 vaccine were collected. The Statistical Package for Social Studies (SPSS) version 25 was used for data analysis. A total of 806 complete responses were received. Majority of the respondents were ≤ 40 years old (89.8%) and male (72.7%). Less than two-thirds (509; 63%) of the participants reported willingness to take the vaccine when it becomes available, whereas almost one-third (297; 37%) of them were hesitant to take the COVID-19 vaccine. More female than male respondents were willing to take the vaccine (χ2 = 13.176, P value = 0.001). A significant portion of the public were not willing to take the COVID-19 vaccine. In a country like Afghanistan, which already has a low coverage of vaccination, this could pose a challenge for the vaccination program against COVID-19 to be effective. The Ministry of Public Health should work on public trust and change people’s mindset about vaccine reality and efficacy to prevent the rejection of this health intervention.

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Factors influencing vaccination coverage among children age 12–23 months in Afghanistan: Analysis of the 2015 Demographic and Health Survey

Cited by 39 publications

References 20 publications

Individual and community-level determinants of childhood vaccination in Ethiopia

Individual and community-level determinants of childhood vaccination in Ethiopia

Factors associated with vaccination status among children age 12–23 months in Ethiopia, based on 2016 EDHS: logit based multinomial logistic regression analysis

Public Willingness and Hesitancy to Take the COVID-19 Vaccine in Afghanistan

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