Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

Budu, Eugene; Darteh, Eugene Kofuor Maafo; Seidu, Abdul‐Aziz; Dickson, Kwamena Sekyi

doi:10.1371/journal.pone.0239754

Cited by 30 publications

(38 citation statements)

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“…The results confirm those of other studies which found consistent associations between maternal characteristics and childhood vaccination. 41 46 49 50 As found in other studies, 33 41 46 exposure to mass media should be emphasised due to its significant positive association with complete vaccination. As a result, well-crafted and tailored information and sensitisation programmes and messages should be disseminated through radio stations, newspapers and television stations based on the positive outcomes from other studies.…”

Section: Discussionmentioning

confidence: 62%

“…This result confirms the association between PNC attendance and full or complete childhood vaccination as found in several studies. 33 38 42 47 It seems possible that the results could be attributed to the fact that early PNC provides an avenue to initiate vaccines such as BCG, Diptheria, Pertussis and Tetanus (DPT) and polio, which could later enhance compliance with the immunisation programme and also an opportunity to initiate vaccination among those not immunised. 47 Another possible explanation could be that during PNC, mothers are educated and counselled on the importance of immunising their children against vaccine-preventable diseases and deaths.…”

Section: Discussionmentioning

confidence: 99%

“… 47 Another possible explanation could be that during PNC, mothers are educated and counselled on the importance of immunising their children against vaccine-preventable diseases and deaths. 33 …”

Section: Discussionmentioning

confidence: 99%

“…The selection of these variables was guided by theoretical relevance and practical significance with complete childhood vaccination. [30][31][32][33][34] Statistical analyses Using Stata V.14.0, we first computed the prevalence of complete immunisation in SSA as well as the prevalence of each component of maternal healthcare service utilisation. Next, we calculated the proportions of complete immunisation across the independent and control variables using Χ 2 test of independence.…”

Section: Control Variablesmentioning

confidence: 99%

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Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

et al. 2021

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ObjectiveThe objective of the study was to examine the association between maternal healthcare utilisation and complete childhood vaccination in sub-Saharan Africa.DesignOur study was a cross-sectional study that used pooled data from 29 countries in sub-Saharan Africa.ParticipantsA total of 60 964 mothers of children aged 11–23 months were included in the study.Outcome variablesThe main outcome variable was complete childhood vaccination. The explanatory variables were number of antenatal care (ANC) visits, assistance during delivery and postnatal care (PNC).ResultsThe average prevalence of complete childhood vaccination was 85.6%, ranging from 67.0% in Ethiopia to 98.5% in Namibia. Our adjusted model, children whose mothers had a maximum of three ANC visits were 56% less likely to have complete vaccination, compared with those who had at least four ANC visits (adjusted OR (aOR)=0.44, 95% CI 0.42 to 0.46). Children whose mothers were assisted by traditional birth attendant/other (aOR=0.43, 95% CI 0.41 to 0.56) had lower odds of complete vaccination. The odds of complete vaccination were lower among children whose mothers did not attend PNC clinics (aOR=0.26, 95% CI 0.24 to 0.29) as against those whose mothers attended.ConclusionThe study found significant variations in complete childhood vaccination across countries in sub-Saharan Africa. Maternal healthcare utilisation (ANC visits, skilled birth delivery, PNC attendance) had significant association with complete childhood vaccination. These findings suggest that programmes, interventions and strategies aimed at improving vaccination should incorporate interventions that can enhance maternal healthcare utilisation. Such interventions can include education and sensitisation, reducing cost of maternal healthcare and encouraging male involvement in maternal healthcare service utilisation.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Control Variablesmentioning

confidence: 99%

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Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

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“…For instance, a qualitative study by Jalloh et al [15] indicates that perceived beliefs about the side effects coupled with concerns about receiving multiple vaccines on the same day were signi cant barriers to the uptake of childhood vaccination and its coverage. Also, other studies from Ghana [16] and Nigeria [17] suggest that urban residency and higher maternal education are associated with higher likelihoods of complete childhood vaccination coverage.…”

Section: Introductionmentioning

confidence: 92%

National trends of childhood vaccination coverage in Bangladesh: Understanding gaps from 2011, 2014 and 2017-18 Demographic and Health Surveys data

Kundu

Seidu

et al. 2021

Preprint

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Background Vaccination is a safe and cost-effective strategy for protecting children from life-threatening diseases. This study aimed to investigate the changes over time in proportion of vaccination coverage across demographic subgroups in Bangladesh. Method Vaccination coverage for children 12–59 months of age was obtained from Bangladesh’s 2011, 2014, and 2017-18 Demographic and Health Surveys. Three multivariable binary logistic regression models with complete vaccination status at each survey data were used to generate adjusted odds ratios to uncover immunization variations across socio-demographic categories. Further, to detect potential geographic disparities, changes over time were analyzed at both the country and district levels. Findings Vaccination coverage grew from 88.1% in 2011 to 89.2% in 2017–2018, indicating a gap of more than ten percent for complete immunization coverage among children aged 12–59 months. Children aged 23–35 were more likely to have full vaccination compared to those aged 12–23 in 2011 (AOR = 1.6, 95% CI = 1.3–1.9), 2014 (AOR = 1.6, 95% CI = 1.3-2.0), and 2017-18 (AOR = 1.4, 95% CI = 1.1–1.7). The likelihood of full vaccination of children increased with maternal education with the highest odds among women with higher education in 2011 (AOR = 7.2, 95% CI = 4.0-12.9), 2014 (AOR = 4.0, 95% CI = 2.7–5.9), and 2017-18 (AOR = 5.8, 95% CI = 3.5–9.6) compared to those with no formal education. Children born to mothers who lived in urban areas were more likely to have full vaccination in 2011 (AOR = 1.5, 95% CI = 1.3–1.8), 2014 (AOR = 1.4, 95% CI = 1.2–1.7), and 2017-18 (AOR = 1.4, 95% CI = 1.1–1.7) compared to those who lived in rural areas. Children born to mothers who had at least 4 ANC visits were more likely to have full vaccination compared to those with less than 3 ANC visits in 2011 (AOR = 1.6, 95% CI = 1.2-2.0), 2014 (AOR = 1.5, 95% CI = 1.2-2.0), and 2017-18 (AOR = 1.6, 95% CI = 1.2–2.1 During these three surveys, Rangpur division had the highest vaccine coverage rate, while Sylhet division had the lowest vaccination coverage. Conclusion Although there was an improvement in these nationally representative surveys from 2011 to 2017-18, a portion of children still needs to be vaccinated to ensure full immunization coverage. To achieve 100% immunization coverage for all Bangladeshi children, policymakers must integrate vaccine programs with personalized health messaging and assurances of health safety for impoverished children and low-educated mothers. Increased institutional deliveries and prenatal care visits by mothers could assist increase their children's vaccination coverage.

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Patterns of basic pneumococcal conjugated vaccine coverage in Ethiopia from 2015 to 2018; further analysis of Ethiopian DHS (2016–2019)

Gamachu,

Mussa,

Deressa

et al. 2024

Vaccine: X

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Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

Cited by 30 publications

References 22 publications

Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

National trends of childhood vaccination coverage in Bangladesh: Understanding gaps from 2011, 2014 and 2017-18 Demographic and Health Surveys data

Patterns of basic pneumococcal conjugated vaccine coverage in Ethiopia from 2015 to 2018; further analysis of Ethiopian DHS (2016–2019)

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