Less than one-fifth of Ethiopian children were vaccinated for measles second dose; evidence from the Ethiopian mini demographic and health survey 2019

Muluneh, Atalay Goshu; Merid, Mehari Woldemariam; Tigabu, Bethelihem; Ferede, Menberesibhat Getie; Kassa, Getahun Molla; Animut, Yaregal

doi:10.1016/j.jvacx.2022.100217

Cited by 12 publications

(9 citation statements)

References 36 publications

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“…This finding suggested that children born from mothers unable to read and write had greater odds of dropping out of the second-dose measles vaccine. This work is consistent with previous studies in Ethiopia [ [30] , [31] , [32] ], Kenya [ 33 ], and studies in sub-Saharan Africa [ 34 ]. A possible explanation might be that educated mothers have a better understanding and decision-making skills in child health services like vaccination [ 35 ].…”

Section: Discussionsupporting

confidence: 93%

Determinants of second-dose measles vaccination dropout in Ethiopia: A community-based matched case-control study

Adugna,

Tola,

Fite

et al. 2024

Heliyon

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Section: Discussionsupporting

confidence: 93%

Determinants of second-dose measles vaccination dropout in Ethiopia: A community-based matched case-control study

Adugna,

Tola,

Fite

et al. 2024

Heliyon

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“…In Maranhão, VC in children under one year of age fluctuated during the twelve years (2010-2021), with a downward trend, similar to national 3,17-21 and international 22,23 studies that show a drop in VC in recent years. The PNI establishes VC parameters for the vaccines in the national vaccination schedule for children (VC = 90%, ver VC is troubling since Maranhão is an endemic area whose vaccination target is VC = 100% for children under one-year-old.…”

Section: Discussionsupporting

confidence: 60%

Indicators of the National Immunization Program for children under one year old: time trend in Maranhão, Brazil, 2010 to 2021

Marinho

Queiroz

Araújo

et al. 2023

Ciênc. saúde coletiva

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We aimed to analyze the trend of indicators of the National Immunization Program (acronym in Portuguese. PNI) in children under one-year-old and classify municipalities regarding the risk of transmission of vaccine-preventable diseases (RTVPD) in Maranhão from 2010 to 2021. This ecological time series study was based on secondary data on vaccination coverage (VC). vaccination coverage homogeneity (VCH). proportion of abandonment (PA). and RTVPD. with state coverage for vaccines in the national children’s calendar. Prais-Winsten regression estimated trends (α=5%) and the indicators’ annual percentage change (APC). We identified fluctuating and discrepant VC between vaccines. with a decreasing trend (p < 0.01). except those against Hepatitis B (p = 0.709) and oral human rotavirus (p = 0.143). The sharpest falls were for Yellow Fever (APC = 12.24%) and BCG (APC = 12.25%) vaccines. All VCH rates were lower than expected. with a drop from 2014 and APC between 5.75% (Pneumococcal 10; p = 0.033) and 14.02% (Poliomyelitis; p < 0.01). We observed an increasing trend in PA for Pentavalent (APC = 4.91%; p < 0.01) and Poliomyelitis (APC = 3.55%; p < 0.01). We identified an increase of 52.54% in the proportion of municipalities in Maranhão from 2015 to 2021. with extremely high (p = 0.025) and high (p = 0.028) RTVPD. The PNI indicators deteriorated. reaffirming the susceptibility to the emergence of vaccine-preventable diseases.

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“…Four studies were found in Ethiopia ( 17 , 18 , 24 , 25 ), two in Kenya ( 16 , 26 ), and one in Tanzania ( 27 ). All the seven studies employed a cross-sectional study design.…”

Section: Resultsmentioning

confidence: 99%

Coverage and determinants of second-dose measles vaccination among under-five children in East Africa countries: a systematic review and meta-analysis

Alemu,

Tamir,

Workneh

et al. 2024

Front. Public Health

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BackgroundOne of the biggest breakthroughs of contemporary medicine is measles vaccination. It is essential for the total elimination of measles. Understanding the magnitude and determinants of effective second-dose measles vaccination coverage is a critical task. Accordingly, we set out to check the best available evidence of the pooled second-dose measles vaccination coverage among under-five children in East Africa.MethodWe searched electronic databases such as PubMed, Google Scholar, Cochrane, and others. Two reviewers separately carried out the search of the Joanna Briggs Institute, selection of studies, critical appraisal, and data extraction. A third party was involved in resolving the disagreement among the reviewers. Seven studies included in this study, four from Ethiopia, two from Kenya, and one from Tanzania were cross-sectional and published in English language, with publication dates before 29 November 2023. Articles lacking full-text, the intended outcome, and that are not qualitative studies were excluded from the analysis. The Microsoft Excel checklist was used to extract the data and then exported to STATA 11. In addition, I2, Funnel plots, and Egger's test were employed to measure heterogeneity and detect publication bias, respectively. A random effect model was used.ResultThe meta-analysis includes a total sample size of 4,962 children from seven articles. The pooled prevalence of second-dose measles vaccination among under-five children in East Africa was found to be 32.22% [95% CI; (18.82, 45.63)], and the significant factors were as follows: birth order (1.72; OR = 95% CI: 1.32, 2.23), information about measles-containing second-dose vaccine (MCV 2) (7.39; OR = 95% CI: 5.21, 10.50), mother's marital status (1.47; OR = 95% CI: 1.05, 2.07), complete immunization for other vaccines (2.17; OR = 95% CI: 1.49, 3.17), and distance of vaccination site (3.31; OR = 95% CI: 2.42, 4.53).ConclusionThe current study found that pooled prevalence of second-dose measles vaccination coverage among under-five children was still very low. It was also observed that birth order, distance of the vaccination site, complete immunization for other vaccines, mother's marital status, and information about MCV were factors associated with second-dose measles vaccination. These factors imply that there is a need for countries and their partners to act urgently to secure political commitment, expand primary health service and health education, and increase vaccination coverage.

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Less than one-fifth of Ethiopian children were vaccinated for measles second dose; evidence from the Ethiopian mini demographic and health survey 2019

Cited by 12 publications

References 36 publications

Determinants of second-dose measles vaccination dropout in Ethiopia: A community-based matched case-control study

Determinants of second-dose measles vaccination dropout in Ethiopia: A community-based matched case-control study

Indicators of the National Immunization Program for children under one year old: time trend in Maranhão, Brazil, 2010 to 2021

Coverage and determinants of second-dose measles vaccination among under-five children in East Africa countries: a systematic review and meta-analysis

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