Reasons given for non-vaccination and under-vaccination of children and adolescents in sub-Saharan Africa: A systematic review

Périères, Lauren; Seror, Valérie; Boyer, Sylvie; Sokhna, Cheikh; Peretti‐Watel, Patrick

doi:10.1080/21645515.2022.2076524

Cited by 20 publications

(16 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study identified similar determinants of vaccine inequality as has been observed across other qualitative and quantitative research on drivers of immunization coverage and equity, including access, cost, health systems readiness, gender-related barriers, vaccine supply, fear of side effects, community engagement, lack of knowledge, and provider absenteeism [ 3 , 4 , 5 , 10 ]. Our study contributes to this literature by identifying the relationships among these barriers and how those interactions contribute to no vaccination or under-vaccination.…”

Section: Discussionsupporting

confidence: 58%

“…Research exists on the drivers of immunization inequality [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ], yet most of the existing research focuses either on individual attributes or health system drivers, without analysis of the social and structural processes that produce inequalities [ 11 ]. Recent attention to the role of gender in immunization (in)equity is overdue [ 8 , 12 ] but too often, gender is explored alone, without consideration of how it intersects and interacts with other social, institutional, and structural dimensions of inequality, including social determinants of health.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

Shearer

Nava²,

Prosser³

et al. 2023

Vaccines

View full text Add to dashboard Cite

Background: The importance of immunization for child survival underscores the need to eliminate immunization inequalities. Few existing studies of inequalities use approaches that view the challenges and potential solutions from the perspective of caregivers. This study aimed to identify barriers and context-appropriate solutions by engaging deeply with caregivers, community members, health workers, and other health system actors through participatory action research, intersectionality, and human-centered design lenses. Methods: This study was conducted in the Demographic Republic of Congo, Mozambique and Nigeria. Rapid qualitative research was followed by co-creation workshops with study participants to identify solutions. We analyzed the data using the UNICEF Journey to Health and Immunization Framework. Results: Caregivers of zero-dose and under-immunized children faced multiple intersecting and interacting barriers related to gender, poverty, geographic access, and service experience. Immunization programs were not aligned with needs of the most vulnerable due to the sub-optimal implementation of pro-equity strategies, such as outreach vaccination. Caregivers and communities identified feasible solutions through co-creation workshops and this approach should be used whenever possible to inform local planning. Conclusions: Policymakers and managers can integrate HCD and intersectionality mindsets into existing planning and assessment processes, and focus on overcoming root causes of sub-optimal implementation.

show abstract

Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

Shearer

Nava²,

Prosser³

et al. 2023

Vaccines

View full text Add to dashboard Cite

show abstract

“…The benefits of immunization are not uniform, and the coverage varies widely among and within countries. Moreover, there is limited access to vaccination programs in unstable, migratory, and conflict-torn contexts, which comprise the poorest, marginalized, and most vulnerable populations [6]. Each year, 20 million infants do not receive a full course of even basic vaccines, and many more miss out on newer vaccines [7].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis

Dhalaria

Kapur²,

Singh

et al. 2023

Vaccines

View full text Add to dashboard Cite

The dropout rate is one of the determinants of immunization coverage and program performance, program continuity, and follow-up. The dropout rate refers to the proportion of vaccine recipients who did not finish their vaccination schedules, and it is determined by comparing the number of infants who started the schedule to the number who completed it. It is the rate difference between the first and final dosage or the rate difference between the first vaccination and the last vaccine dropout; thus, it denotes that the first recommended dose of vaccine was received, but that the subsequently recommended dose was missed. In India, immunization coverage has shown significant improvements over the last two decades, but full immunization coverage has remained stagnant at 76.5%, of which 19.9% are partially immunized, and 3.6% are children who have been left out. In India, the Universal Immunization Programme (UIP) is challenged with cases related to dropout in immunization. Although immunization coverage in India is improving, the program is challenged by vaccination dropouts. This study provides an analysis of the determinants of vaccination dropout in India using data from two rounds of the National Family Health Survey. The finding shows that the mother’s age, education, family wealth, antenatal care visit, and place of delivery were some of the variables that significantly contributed to reducing the dropout rate of immunization among children. The findings of this paper show that the dropout rate has reduced over a certain period of time. The overall improvement in the rates of dropout and increase in full immunization coverage could be attributed to various policy measures taken in the last decade in India, which brought structural changes with a positive impact on full immunization coverage and its components.

show abstract

“…As Africa and the rest of world recovers from this obvious shock caused by the COVID-19 outbreak, vaccination against the virus has remained necessary in gaining immunity towards the management and control of the COVID-19 pandemic. The announcement of the vaccine mandate by health policymakers was graced with a lot of opposing views in Africa [7]- [9].…”

Section: Introductionmentioning

confidence: 99%

Vaccine Hesitancy Hotspots in Africa: An Insight from Geotagged Twitter Posts

Ogbuokiri¹,

Ahmadi²,

Nia³

et al. 2022

Preprint

View full text Add to dashboard Cite

In this research, we collected 70,000 COVID–19 vaccine-related geotagged Twitter posts from nine African countries. The duration is from December 2020 to February 2022. We used VADER to classify the tweets into three sentiment classes (positive, negative, and neutral). The outputs were validated using machine learning classification algorithms, including, Naive Bayes, Logistic Regression, Support Vector Machines, Decision Tree, and K-Nearest Neighbour. We identified hotspots by clustering the sentiment of these tweets using the point-based location technique. These hotspots were visualised on the map using ArcGIS Online. On the map, we used green to represent positive sentiment dominance, red to represent negative sentiment dominance, and grey to represent neutral sentiment dominance. The outcome of this research shows that social media data can be used to complement existing data in identifying hotspots during future outbreaks, especially in the areas where there is little or no available data. It can also be used to inform health policy in managing vaccine hesitancy.

show abstract

Reasons given for non-vaccination and under-vaccination of children and adolescents in sub-Saharan Africa: A systematic review

Cited by 20 publications

References 48 publications

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis

Vaccine Hesitancy Hotspots in Africa: An Insight from Geotagged Twitter Posts

Contact Info

Product

Resources

About