Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data
Abstract Background Sub-Saharan Africa is one of the highest under-five mortality and low childhood immunization region in the world. Children in Sub-Saharan Africa are 15 times more likely to die than children from high-income countries. In sub-Saharan Africa, more than half of under-five deaths ar...
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ftdoajarticles:oai:doaj.org/article:046e7606ec6d4bceb2f413c191f825d0 2023-05-15T15:18:24+02:00 Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data Setegn Muche Fenta Hailegebrael Birhan Biresaw Kenaw Derebe Fentaw Shewayiref Geremew Gebremichael 2021-04-01T00:00:00Z https://doi.org/10.1186/s41182-021-00319-x https://doaj.org/article/046e7606ec6d4bceb2f413c191f825d0 EN eng BMC https://doi.org/10.1186/s41182-021-00319-x https://doaj.org/toc/1349-4147 doi:10.1186/s41182-021-00319-x 1349-4147 https://doaj.org/article/046e7606ec6d4bceb2f413c191f825d0 Tropical Medicine and Health, Vol 49, Iss 1, Pp 1-12 (2021) Full immunization Multi-level analysis Sub-Saharan Africa Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.1186/s41182-021-00319-x 2022-12-31T06:01:04Z Abstract Background Sub-Saharan Africa is one of the highest under-five mortality and low childhood immunization region in the world. Children in Sub-Saharan Africa are 15 times more likely to die than children from high-income countries. In sub-Saharan Africa, more than half of under-five deaths are preventable through immunization. Therefore, this study aimed to identify the determinant factors of full childhood immunization among children aged 12–23 months in sub-Saharan Africa. Methods Data for the study was drawn from the Demographic and Health Survey of nine sub-Saharan African countries. A total of 21,448 children were included. The two-level mixed-effects logistic regression model was used to identify the individual and community-level factors associated with full childhood immunization Result The prevalence of full childhood immunization coverage in sub-Saharan Africa countries was 59.40% (95% CI: 58.70, 60.02). The multilevel logistic regression model revealed that secondary and above maternal education (AOR = 1.38; 95% CI: 1.25, 1.53), health facility delivery (AOR = 1.51; 95% CI: 1.41, 1.63), fathers secondary education and above (AOR = 1.28, 95% CI: 1.11, 1.48), four and above ANC visits (AOR = 2.01; 95% CI: 1.17, 2.30), PNC visit(AOR = 1.55; 95% CI: 1.46, 1.65), rich wealth index (AOR = 1.26; 95% CI: 1.18, 1.40), media exposure (AOR = 1.11; 95% CI: 1.04, 1.18), and distance to health facility is not a big problem (AOR = 1.42; 95% CI: 1.28, 1.47) were significantly associated with full childhood immunization. Conclusion The full childhood immunization coverage in sub-Saharan Africa was poor with high inequalities. There is a significant variation between SSA countries in full childhood immunization. Therefore, public health programs targeting uneducated mothers and fathers, rural mothers, poor households, and those who have not used maternal health care services to promote full childhood immunization to improve child health. By enhancing institutional delivery, antenatal care visits and maternal ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 49 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
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Full immunization Multi-level analysis Sub-Saharan Africa Arctic medicine. Tropical medicine RC955-962 |
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Full immunization Multi-level analysis Sub-Saharan Africa Arctic medicine. Tropical medicine RC955-962 Setegn Muche Fenta Hailegebrael Birhan Biresaw Kenaw Derebe Fentaw Shewayiref Geremew Gebremichael Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
topic_facet |
Full immunization Multi-level analysis Sub-Saharan Africa Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Sub-Saharan Africa is one of the highest under-five mortality and low childhood immunization region in the world. Children in Sub-Saharan Africa are 15 times more likely to die than children from high-income countries. In sub-Saharan Africa, more than half of under-five deaths are preventable through immunization. Therefore, this study aimed to identify the determinant factors of full childhood immunization among children aged 12–23 months in sub-Saharan Africa. Methods Data for the study was drawn from the Demographic and Health Survey of nine sub-Saharan African countries. A total of 21,448 children were included. The two-level mixed-effects logistic regression model was used to identify the individual and community-level factors associated with full childhood immunization Result The prevalence of full childhood immunization coverage in sub-Saharan Africa countries was 59.40% (95% CI: 58.70, 60.02). The multilevel logistic regression model revealed that secondary and above maternal education (AOR = 1.38; 95% CI: 1.25, 1.53), health facility delivery (AOR = 1.51; 95% CI: 1.41, 1.63), fathers secondary education and above (AOR = 1.28, 95% CI: 1.11, 1.48), four and above ANC visits (AOR = 2.01; 95% CI: 1.17, 2.30), PNC visit(AOR = 1.55; 95% CI: 1.46, 1.65), rich wealth index (AOR = 1.26; 95% CI: 1.18, 1.40), media exposure (AOR = 1.11; 95% CI: 1.04, 1.18), and distance to health facility is not a big problem (AOR = 1.42; 95% CI: 1.28, 1.47) were significantly associated with full childhood immunization. Conclusion The full childhood immunization coverage in sub-Saharan Africa was poor with high inequalities. There is a significant variation between SSA countries in full childhood immunization. Therefore, public health programs targeting uneducated mothers and fathers, rural mothers, poor households, and those who have not used maternal health care services to promote full childhood immunization to improve child health. By enhancing institutional delivery, antenatal care visits and maternal ... |
format |
Article in Journal/Newspaper |
author |
Setegn Muche Fenta Hailegebrael Birhan Biresaw Kenaw Derebe Fentaw Shewayiref Geremew Gebremichael |
author_facet |
Setegn Muche Fenta Hailegebrael Birhan Biresaw Kenaw Derebe Fentaw Shewayiref Geremew Gebremichael |
author_sort |
Setegn Muche Fenta |
title |
Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
title_short |
Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
title_full |
Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
title_fullStr |
Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
title_full_unstemmed |
Determinants of full childhood immunization among children aged 12–23 months in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey Data |
title_sort |
determinants of full childhood immunization among children aged 12–23 months in sub-saharan africa: a multilevel analysis using demographic and health survey data |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s41182-021-00319-x https://doaj.org/article/046e7606ec6d4bceb2f413c191f825d0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 49, Iss 1, Pp 1-12 (2021) |
op_relation |
https://doi.org/10.1186/s41182-021-00319-x https://doaj.org/toc/1349-4147 doi:10.1186/s41182-021-00319-x 1349-4147 https://doaj.org/article/046e7606ec6d4bceb2f413c191f825d0 |
op_doi |
https://doi.org/10.1186/s41182-021-00319-x |
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Tropical Medicine and Health |
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49 |
container_issue |
1 |
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1766348608552042496 |