Vaccination status of children aged 1–4 years in Afghanistan and associated factors, 2015

Shenton, Luke M.; Wagner, Abram L.; Carlson, Bradley F.; Mubarak, Muhammad; Boulton, Matthew L.

doi:10.1016/j.vaccine.2018.07.020

Cited by 12 publications

(21 citation statements)

References 20 publications

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“…Additionally, the mother's visitation to medical professionals before and after the births yields a high completion rate for basic vaccination. This finding is similar to the Afghanistan study, which proved that antenatal care visits to health facilities by the mother (Shenton et al, 2018) are associated with the increase of likeliness to complete immunization. The interaction with the medical professionals likely alters parents' negative beliefs on immunization as vaccination plans before pregnancy and delivery often lead to refusal or delay in vaccine administration (Glanz et al, 2013).…”

Section: Discussionsupporting

confidence: 89%

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

Prastyo

2021

JISDeP

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The 2017 diphtheria outbreaks in Indonesia shows the downside of inadequate immunization for certain group that could endanger public health. Despite years of government intervention on this vaccine-preventable disease, insofar mandating basic vaccination for children from an early age, ultimately, it is parents that will decide on having their children being immunized. Utilizing the 2017 Indonesia Demographic and Health Survey, this study aims to uncover the association between parents' decision-making processes and their demographic variables to their children's immunization completion status. Logistic regression suggests discussion between parents in household's major purchases, more likely to result in complete basic immunization for their children. Additionally, mothers' traits, which are education, frequency of access to mass media, and exposure to medical professionals, are positively associated with compliance with basic vaccines administration. Differences in compliance can also be observed in children's gender and order of birth.

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Section: Discussionsupporting

confidence: 89%

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

Prastyo

2021

JISDeP

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“…For healthcare characteristics, children of women who had a higher number of antenatal care visits during their pregnancy had higher basic vaccination coverage at 41% (39-44) for four or more visits and 11% (8.7-13) for no or unknown number of visits. More than half of all women gave birth at home, and basic vaccination coverage among these children was relatively lower at 20% (18)(19)(20)(21)(22) in comparison 47% (44)(45)(46)(47)(48)(49) among children born in a public or private clinical facility.…”

Section: Vaccination Coveragementioning

confidence: 99%

“…Figure 3 shows the basic vaccination coverage among children aged 12-23 months in Nigeria disaggregated by socioeconomic (household wealth, religion, ethnicity), geographic (region, place of residence), maternal (maternal age at birth, maternal education, maternal household head status), child (sex of child, birth order), and healthcare (antenatal care, birth setting) characteristics. For socioeconomic characteristics, children living in wealthier households had relatively higher basic vaccination coverage ranging from 17% (15)(16)(17)(18)(19)(20) to 49% (45)(46)(47)(48)(49)(50)(51)(52)(53) from the poorest to the richest wealth quintiles. For religion, basic vaccination coverage was higher among children of the Catholic faith at 49% (43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54) while most children (58%) were of Islam faith with relatively lower coverage of 23% (21)(22)(23)(24)(25).…”

Section: Vaccination Coveragementioning

confidence: 99%

Childhood vaccination coverage by socioeconomic, geographic, maternal, child, and healthcare characteristics in Nigeria: equity impact analysis

Williams

Akande

Abbas

2022

Preprint

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Background: Nigeria has a high proportion of underimmunised children in the world. We estimated the inequities in childhood immunisation coverage associated with socioeconomic, geographic, maternal, child, and healthcare characteristics among children aged 12-23 months in Nigeria using a social determinants of health perspective. Methods: We conducted a systematic review focused on inequities in childhood immunisation in low- and middle-income countries to identify the social determinants of childhood immunisation. Using these determinants, we analysed basic vaccination coverage in Nigeria (1-dose BCG, 3-dose DTP-HepB-Hib (diphtheria, tetanus, pertussis, hepatitis B and Haemophilus influenzae type B), 3-dose polio, and 1-dose measles) of 6,059 children aged 12-23 months using the 2018 Nigeria Demographic and Health Survey. Results: We identified social determinants of immunisation - household wealth, religion, and ethnicity (socioeconomic characteristics); region and place of residence (geographic characteristics); maternal age at birth, maternal education, and maternal household head status (maternal characteristics); sex of child, and birth order (child characteristics); antenatal care and birth setting (healthcare characteristics). While basic vaccination coverage was 31% (95% CI: 29-33), 19% (18-21) of children aged 12-23 months had received none of the basic vaccines. After controlling for background characteristics, there was a significant increase in the odds of basic vaccination by household wealth, living in an urban area, antenatal care, delivery in a health facility, maternal age and maternal education. Children of Fulani ethnicity in comparison to children of Igbo ethnicity had lower odds of receiving basic vaccinations. Discussion: Children of Fulani ethnicity, living in rural areas, born in home settings, with young mothers living in the poorest households with no formal education and no antenatal care visits were associated with lower rates of basic vaccination in Nigeria. We recommend a proportionate universalism approach with targeted vaccination programmes proportionate to the level of disadvantage for addressing the immunisation barriers.

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“…Another important consideration is how the relationship of socioeconomic status (SES) varies with vaccine hesitancy, and whether this is context-specific. Low vaccine uptake in LMICs has mostly been associated with individuals of lower SES [17][18][19][20][21], although this has been tied to disparities in access, affordability, and awareness, and less so on acceptance or hesitancy [22,23]. In contrast, more affluent individuals in high-income countries appear to be more vaccine hesitant and may have lower vaccine uptake [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

et al. 2019

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Vaccine hesitancy is a continuum of behaviors ranging from delay in receipt to vaccination refusal. Prior studies have typically focused on high-income countries, where vaccine hesitancy is particularly prevalent in more affluent groups, but the relationship between socioeconomic status and vaccine hesitancy in Low- and Middle-Income Countries (LMICs) is less clear. The aim of this study was to describe vaccine hesitancy in five LMICs. Mothers of children in Sirajganj, Bangladesh (n = 60), Shanghai, China (n = 788), Addis Ababa, Ethiopia (n = 341), Guatemala City and Quetzaltenango, Guatemala (n = 767), and Chandigarh, India (n = 309), completed a survey between 2016 and 2018 using the WHO’s 10-item Vaccine Hesitancy Scale. The scores of different constructs were compared across countries and by the mother’s education level using linear regression models with generalized estimating equations. Compared to mothers in China, mothers in Bangladesh perceived less vaccination benefit (β: 0.56, P = 0.0001), however, mothers in Ethiopia (β: −0.54, P < 0.0001) and Guatemala (β: −0.74, P = 0.0004) perceived greater benefit. Education level was not significantly linked with vaccine hesitancy. Local circumstances are important to consider when developing programs to promote vaccines. We did not find consistent associations between education and vaccine hesitancy. More research is needed to understand socio-cultural influences on vaccine decision-making.

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Vaccination status of children aged 1–4 years in Afghanistan and associated factors, 2015

Cited by 12 publications

References 20 publications

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

Childhood vaccination coverage by socioeconomic, geographic, maternal, child, and healthcare characteristics in Nigeria: equity impact analysis

Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

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Vaccination status of children aged 1–4 years in Afghanistan and associated factors, 2015

Cited by 12 publications

References 20 publications

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

The Influence of Father and Mother's Joint Decision Making on Children's Basic Immunization:Empirical Research on Indonesia's Demographic and Health Survey 2017

Childhood vaccination coverage by socioeconomic, geographic, maternal, child, and healthcare characteristics in Nigeria: equity impact analysis

Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

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Vaccination status of children aged 1–4 years in Afghanistan and associated factors, 2015