Vaccine non-receipt and refusal in Ethiopia: The expanded program on immunization coverage survey, 2012

Porth, Julia M.; Wagner, Abram L.; Teklie, Habtamu; Abeje, Yemesrach; Moges, Beyene; Boulton, Matthew L.

doi:10.1016/j.vaccine.2019.02.045

Cited by 24 publications

(39 citation statements)

References 36 publications

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“…Delivery at health facility enhances full immunization [18,20,22,27,28,40,48]. Long waiting time at health facilities was frequently and consistency noted [11,12,31,35,36,45]. Providers' hostility and rude attitudes to mothers were also a reported immunization barrier in this review [15, 16, 24, 30-33, 36, 45, 52, 53].…”

Section: Resultsmentioning

confidence: 88%

“…Forty-eight articles met all inclusion criteria for this study; 28 articles were excluded for various reasons. [See supplementary materials 3] Nine articles employed second-hand data analysis [7,12,18,27,37,40,41,47,42]; thirty-six used cross-sectional design [1-3, 11, 13-17, 19, 21-26, 28-36, 38-39, 42, 45-46, 48-51, 53, 54] and three used case-control study [20,[43][44]. All described studies were conducted on Africa populations (103,655 adults and 76,327 children).…”

Section: Resultsmentioning

confidence: 99%

“…One study noted that the likelihood of vaccination of a child by day 7 is higher among children residing in rural areas than those in urban and pre-urban settings [18]. Socio-cultural factors and religion were noted to have negatively impacted immunization uptake [12,18,19,22,23,37,48]. Ethnicity and cultural beliefs were reported barriers to vaccine utilization and coverage; certain ethnic groups within the same country were identified with low coverages.…”

Section: Resultsmentioning

confidence: 99%

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Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Bangura

Qiu

Ouyang

et al. 2020

Preprint

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Background Immunization to prevent infectious diseases is a core strategy to improve childhood health as well as survival. It remains a challenge for some African countries to attain the required childhood immunization coverage. We aim at identifying individual barriers confronting parents/caretakers, providers, and health systems that hinder childhood immunization coverage in Sub-Saharan Africa.Method This systematic review searched PubMed/MEDLINE, Web of Science and EMBASE. We restricted to published articles in English that focused on childhood immunization barriers in Sub-Saharan Africa from January 1988 to February 2019. We excluded studies if: focused on barriers to immunization for children in other regions of the world, studied adult immunization barriers; studies not available on the university library, they were editorial, reports, reviews, supplement, and bulletins. Study designs included were cross-sectional, second-hand data analysis; and case control. ResultsOf the 2,538 items identified, 40 met inclusion criteria. Parents/caretakers were the most common subjects. Eight articles were of moderate and 32 were of high methodological quality. Seven studies analyzed secondary data; 30 used cross-sectional designs and three employed case control method. Twenty-five studies reported national immunization coverage of key vaccines for children under one, fifteen did not. When reported, national immunization coverages of childhood vaccines were reported to be low. Parents/caretaker's barriers included lack of knowledge of immunization, distance to access point, financial deprivation, lack of partners support, and distrust in vaccines and immunization programs. Other associated factors for low vaccine rates included the number of offsprings, life style, migration and occupation. Barriers at health system level cited by healthcare providers included limited human resources and inadequate infrastructures to maintain the cold chain and adequate supply of vaccines.Conclusion In this review we identified more thoroughly the parents/caretakers' barriers than those of providers and health systems. Factors that influenced decisions to get children vaccinated were mainly their gender, beliefs, socio-economic and socio-culture factors in the communities in which they live. Thus it is vital that immunization programs consider these barriers and address the people 3 and societies in their communities across Sub-Saharan Africa. BackgroundImmunization is a protective measure against infectious diseases [1]. Childhood immunization remains one of the most high impact public health interventions, by reducing infectious diseasesrelated morbidly and mortality of children at a low cost [2]. It is a core child survival strategy and is demonstrated to avert more than 1·2 million child deaths each year [3,4]. It is a key strategy towards attaining Sustainable Development Goal number 3, namely the reduction of under-five mortality to less than 25/1000 live births by 2013 [5]. Despite these gains, vaccine-preventable diseases remain a...

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Bangura

Qiu

Ouyang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Forty-eight articles met all inclusion criteria for this study; 28 articles were excluded for various reasons. [See supplementary materials 3] Nine articles employed second-hand data analysis [7,12,18,27,37,40,41,47,42]; thirty-six used crosssectional design [1][2][3]11,[13][14][15][16][17]19,[21][22][23][24][25][26][28][29][30][31][32][33][34][35][36][38][39]42,[45][46][48][49][50][51]53,54] and three used case-control study [20,[43][44]. All described studies were conducted on Africa populations (103,655 adults and 76,327 children).…”

Section: Resultsmentioning

confidence: 99%

“…All described studies were conducted on Africa populations (103,655 adults and 76,327 children). Forty-seven articles focus on identifying barriers to general childhood vaccination 0 -59 months [1][2][3]7,[11][12][13][14][15][16][17] in the following countries: Uganda, Ethiopia, Kenya, Sudan, Nigeria, Gabon, Cameroon, South Africa, Tanzania, Burkina Faso, Togo, Ghana, Malawi and few unspeci ed countries in Sub-Saharan. One critically examined barriers speci c to vaccination doses at birth 0 -1day [18] in the Gambia.…”

Section: Resultsmentioning

confidence: 99%

Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Bangura

Qiu

Ouyang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Immunization to prevent infectious diseases is a core strategy to improve childhood health as well as survival. It remains a challenge for some African countries to attain the required childhood immunization coverage. We aim at identifying individual barriers confronting parents/caretakers, providers, and health systems that hinder childhood immunization coverage in Sub-Saharan Africa. Method This systematic review searched PubMed/MEDLINE, Web of Science and EMBASE. We restricted to published articles in English that focused on childhood immunization barriers in Sub-Saharan Africa from January 1988 to February 2019. We excluded studies if: focused on barriers to immunization for children in other regions of the world, studied adult immunization barriers; studies not available on the university library, they were editorial, reports, reviews, supplement, and bulletins. Study designs included were cross-sectional, second-hand data analysis; and case control. Results Of the 2,538 items identified, 40 met inclusion criteria. Parents/caretakers were the most common subjects. Eight articles were of moderate and 32 were of high methodological quality. Seven studies analyzed secondary data; 30 used cross-sectional designs and three employed case control method. Twenty-five studies reported national immunization coverage of key vaccines for children under one, fifteen did not. When reported, national immunization coverages of childhood vaccines were reported to be low. Parents/caretaker’s barriers included lack of knowledge of immunization, distance to access point, financial deprivation, lack of partners support, and distrust in vaccines and immunization programs. Other associated factors for low vaccine rates included the number of off-springs, life style, migration and occupation. Barriers at health system level cited by healthcare providers included limited human resources and inadequate infrastructures to maintain the cold chain and adequate supply of vaccines. Conclusion In this review we identified more thoroughly the parents/caretakers’ barriers than those of providers and health systems. Factors that influenced decisions to get children vaccinated were mainly their gender, beliefs, socio-economic and socio-culture factors in the communities in which they live. Thus it is vital that immunization programs consider these barriers and address the people and societies in their communities across Sub-Saharan Africa.

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Childhood vaccination coverage and equity impact in Ethiopia by socioeconomic, geographic, maternal, and child characteristics

Geweniger

Abbas

2020

Vaccine

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Vaccine non-receipt and refusal in Ethiopia: The expanded program on immunization coverage survey, 2012

Cited by 24 publications

References 36 publications

Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Barriers to Childhood Immunization in Sub-Saharan Africa: A Systematic Review

Childhood vaccination coverage and equity impact in Ethiopia by socioeconomic, geographic, maternal, and child characteristics

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