Barriers to and facilitators of early childhood immunization in rural areas of the United States: A systematic review of the literature

Albers, Alexandria N.; Thaker, Juthika; Newcomer, Sophia R.

doi:10.1016/j.pmedr.2022.101804

Cited by 22 publications

(17 citation statements)

References 69 publications

(263 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other barriers included little parental information, lack of expertise, lack of screening and tracking systems for patients that were due or overdue for vaccinations. Providers felt that parent education, low reimbursement, record scatter, and only vaccinating at well-child visits were barriers to vaccine uptake in rural communities [19].…”

Section: Discussionmentioning

confidence: 99%

Vaccination Coverage and associated factors among under-five children in Ethiopia: Mini Demographic and Health Survey 2019

Damete¹,

Terefe

2023

Preprint

View full text Add to dashboard Cite

Background: Vaccination is also the prevention strategy for common childhood illnesses. Globally vaccines prevent millions of outbreaks of diseases and save thousands of lives each year, but vaccine-preventable diseases remain a threat. Child vaccination coverage is higher in Eastern and Southern Africa than in West and Central Africa. Nevertheless, more refined data reveal that the levels of inequality between and within countries are substantial. This study aimed to measure vaccination coverage and associated factors among under-five children in Ethiopia. Methods: This study's data was extracted from the 2019 Ethiopia Mini Demographic and Health Survey. A weighted sample of 935 under-fives aged 12-23 months participated in the study. The STATA version 16 software was used to conduct the analysis. Backward stepwise elimination was manually applied using complex sample designs for inferential statistics and sampling weights for descriptive statistics. At the level of p-value 0.05, statistical significance was finally declared. Results: The overall vaccination coverage in this study was 55.0%. In multivariate analysis the age of household head, (AOR = 0.617, 95% CI: 0.400- 0.954) had lower among the 41-50 age household head as compared to the 18-30 age household head. The odds of vaccination coverage were lower in the Oromia region compared with the Tigray region (AOR = 0.256, 95% CI: 0.134-0.488). Vaccination coverage odds were lower in rural places of residence in comparison with the urban places of residence (AOR = 0.495, 95% CI: 0.315-0.779). Regarding the household wealth index, the richer wealth index (AOR = 1.791, 95% CI: 1.101-2.915) had higher odds of vaccination coverage when compared with children from the poorest wealth index. Higher odds of vaccination coverage were found for mothers who gave birth in a health facility as compared to mothers who gave birth at home (AOR = 1.437, 95% CI: 1.083-1.907). When compared to children who did not receive postnatal care, those who did have higher odds of having received all recommended vaccinations (AOR = 2.377, 95% CI: 1.564-3.612). Conclusion: Vaccination coverage in Ethiopia was significantly lower than the worldwide target. It shows the region, household age, place of residence, wealth index, place of delivery, and postnatal care had a statistically significant association with vaccination coverage. These findings suggest that mobile and outreach vaccination services are needed for hard-to-reach rural areas, especially pastoral and semi-pastoral areas. Furthermore, additional research may be necessary to obtain more representative regional data.

show abstract

Section: Discussionmentioning

confidence: 99%

Vaccination Coverage and associated factors among under-five children in Ethiopia: Mini Demographic and Health Survey 2019

Damete¹,

Terefe

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…It can be an especially important tool in rural areas as it was found that reminder recall is likely underutilized in these areas for routine childhood vaccines. 25…”

Section: Discussionmentioning

confidence: 99%

Vaccines for Children Provider Practices in the COVID-19 Vaccination Program: Barriers to Participation, Intentions to Offer COVID-19 Vaccination to Children Aged <5 Years, and Vaccination Promotion, United States, March 2022

Kang

Zhang

Chatham‐Stephens

et al. 2023

Clin Pediatr (Phila)

View full text Add to dashboard Cite

The aim of the study was to assess barriers to Vaccines for Children (VFC) provider practices participating in the COVID-19 Vaccination Program and intentions to offer COVID-19 vaccination to children aged <5 years. We invited a random sample of 15 000 VFC provider practices in the United States to complete an online survey during February 28 to March 11, 2022. Of 2809 practices that completed the survey, 2246 (80.0%) were enrolled in the COVID-19 Vaccination Program. Concerns around staff resources, vaccine and supply storage space, and vaccine wastage from multidose vials were the most frequently reported program-enrollment barriers. Among enrolled practices that have decided whether to offer COVID-19 vaccination to the children aged <5 years, 1641 (88.8% of 1848) reported likely offering it to current patients, and 1165 reported likely offering it to children who are not current patients. Addressing participation barriers and encouraging active promotion may increase COVID-19 vaccination coverage of children.

show abstract

“…Future studies are recommended with the inclusion of a comprehensive demographic analysis for better delineation of the factors influencing parental MR vaccine hesitancy. Specifically, this entails the need to distinguish between participants from urban and rural areas, given the potential variation in vaccination attitudes based on locality [75,76].…”

Section: Recommendations and Future Perspectivesmentioning

confidence: 99%

Pervasive Parental Hesitancy and Resistance towards Measles Rubella Vaccination in Jordan

Barakat,

Abdaljaleel,

Atawneh

et al. 2023

Vaccines

View full text Add to dashboard Cite

Measles remains a highly contagious and potentially severe infectious disease, necessitating high vaccine coverage. However, misinformation and measles vaccine hesitancy/resistance have posed significant challenges to achieving this goal. The COVID-19 pandemic further exacerbated these challenges, leading to a measles outbreak in Jordan in 2023. This study aimed to investigate the acceptance of the measles rubella (MR) vaccine among parents in Jordan and to identify its associated determinants. This cross-sectional questionnaire-based study was conducted using a previously Arabic-validated version of the Parental Attitudes towards Childhood Vaccines (PACV) survey instrument. Data collection took place in October 2023, and the final study sample comprised a total of 391 parents, with mothers representing 69.8% of the participants (n = 273). The majority of participating parents expressed either resistance (n = 169, 43.2%) or hesitancy (n = 168, 43.0%) towards MR vaccination, while only 54 participants (13.8%) expressed MR vaccine acceptance. Multivariate analysis revealed that trust in vaccine safety/efficacy, behavior, and having fewer offspring were significantly associated with MR vaccine acceptance. The current study revealed a concerning level of MR vaccine hesitancy/resistance among parents in Jordan, which could signal a public health alarm in the country. Urgent and targeted interventions are strongly recommended to address this issue, including mass campaigns aimed at building trust in the MR vaccine’s safety/efficacy. Additionally, there is an urgent need for effective public health initiatives to ensure sufficient measles vaccine coverage to prevent future outbreaks of this serious disease.

show abstract

Barriers to and facilitators of early childhood immunization in rural areas of the United States: A systematic review of the literature

Cited by 22 publications

References 69 publications

Vaccination Coverage and associated factors among under-five children in Ethiopia: Mini Demographic and Health Survey 2019

Vaccination Coverage and associated factors among under-five children in Ethiopia: Mini Demographic and Health Survey 2019

Vaccines for Children Provider Practices in the COVID-19 Vaccination Program: Barriers to Participation, Intentions to Offer COVID-19 Vaccination to Children Aged <5 Years, and Vaccination Promotion, United States, March 2022

Pervasive Parental Hesitancy and Resistance towards Measles Rubella Vaccination in Jordan

Contact Info

Product

Resources

About