Religious affiliation and immunization coverage in 15 countries in Sub-Saharan Africa

Costa, Janaína Calu; Weber, Ann M.; Darmstadt, Gary L.; Abdalla, Safa; Victora, Cesar G

doi:10.1016/j.vaccine.2019.11.024

Cited by 71 publications

(76 citation statements)

References 23 publications

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“…As observed in previous studies in Ghana [32], Ethiopia [29], and 15 countries in SSA [33], the religious affiliation of women showed statistically significant association with complete vaccination coverage of their children. In particular, children whose mothers are Traditionalists and those whose mothers had no religious affiliation had lower odds of receiving complete vaccination, compared to children whose mothers are Christians.…”

Section: Plos Onesupporting

confidence: 80%

“…In particular, children whose mothers are Traditionalists and those whose mothers had no religious affiliation had lower odds of receiving complete vaccination, compared to children whose mothers are Christians. According to Costa et al [33], greater involvement of religious leaders in vaccine promotion has proven to be effective and may constitute an important strategy for reaching parents whose children are not vaccinated or have not received complete vaccination. We propose further qualitative research to explore the nuances surrounding the religious affiliation of mothers and complete vaccination coverage for their children.…”

Section: Plos Onementioning

confidence: 99%

“…The analysis revealed that children whose mothers were in the rural areas [aOR = 0.45; CI = 0 33. 0.60] had lower odds of getting complete vaccination, compared to children whose mothers are in urban areas.…”

mentioning

confidence: 99%

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Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

et al. 2020

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Section: Plos Onesupporting

confidence: 80%

Section: Plos Onementioning

confidence: 99%

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Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

et al. 2020

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“…Nonetheless, we recommend the involvement of religious leaders and targeted intervention in Muslim-dominated regions to increase the coverage of vaccination among children in Ethiopia. A previous study in 15 sub-Saharan African countries, including Ethiopia, showed that being Muslim has been associated with lower immunization rates [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Understanding the Improvement in Full Childhood Vaccination Coverage in Ethiopia Using Oaxaca–Blinder Decomposition Analysis

et al. 2020

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In Ethiopia, full vaccination coverage among children aged 12–23 months has improved in recent decades. This study aimed to investigate drivers of the improvement in the vaccination coverage. The Oaxaca–Blinder decomposition technique was applied to identify the drivers using data from Ethiopian Demographic and Health Survey conducted in 2000 and 2016. The vaccination coverage rose from 14.3% in 2000 to 38.5% in 2016. The decomposition analysis showed that most of the rise in vaccination coverage (73.7%) resulted from the change in the effect of explanatory variables over time and other unmeasured characteristics. Muslim religion had a counteracting effect on the observed increase in vaccination coverage. The remaining 26.3% of the increase was attributed to the change in the composition of the explanatory variables between 2000 and 2016, with maternal educational level and maternal health care utilization as significant contributors. The findings highlight the need for further improvements in maternal health care utilization and educational status to maintain the momentum towards universal coverage of childhood vaccination. Targeted intervention among Muslim-dominated communities is also needed to improve the current situation. Besides which, future studies need to be conducted to identify additional potential modifiable factors.

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“…Density of midwives and other frontline health staff significantly correlated with number of ANC visits recorded in the study health facilities over the three-year period, contrary to findings by similar studies on Ghana [9,18,19] and other countries [20,21], which reported that the number of frontline health workers per se did not enhance utilization of maternal and child health services. These studies argue that poor attitudes of staff and other health system challenges remain important constraints to utilization of maternal, newborn and child health (MNCH) services in Ghana [16,[22][23][24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Trends and correlates of maternal, newborn and child health services utilization in primary healthcare facilities: an explorative ecological study using DHIMSII data from one district in the Volta region of Ghana

Alhassan

Owusu‐Agyei

Ansah

et al. 2020

BMC Pregnancy Childbirth

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Background Sustainable Development Goal 3 aims at reducing global neonatal mortality to at least 12 per 1000 livebirths, under-five mortality to at least 25 per 1000 livebirths and maternal mortality ratio to less than 70 per 100,000 livebirths by 2030. Considering the achievement so far, many countries in sub-Saharan Africa, including Ghana are not likely to achieve these targets. Low utilization of maternal, newborn and child health (MNCH) services partly account for this predicament. This study explored the trend and correlates of MNCH services utilization in one administrative district in the Volta Region of Ghana. Methods This is an explorative ecological study employing trend analysis of 2015–2017 data from Ghana Health Service District Health Information Management System II. Univariate Poisson regression models were used to determine the factors associated with MNCH services utilization at 95% confidence level. Results Cumulative record of 17,052 antenatal care (ANC) attendance and 2162 facility-based spontaneous vaginal deliveries (SVDs) was discovered. Compelling evidence of potential unskilled deliveries was observed in 23% of the 26 facilities reported in the DHIMSII data. High cumulative number of midwives in health facilities associated positively with high records of ANC visits (IRR = 1.30, [95% CI:1.29, 1.32]; p = 0.0001), facility-based SVDs (IRR = 1.30 [95% CI:1.25, 1.35]; p = 0.0001) and BCG immunizations (IRR = 1.32 [95% CI:1.29, 1.34]; p = 0.0001). Likewise, high records of ANC visits correlated positively with high facility-based SVDs and child immunizations records (p < 0.0001). Conclusion Targeted health system and community level interventions alongside progressive frontline health staff motivation and retention strategies could further enhance enrollment and retention of mothers in pre-natal and postnatal care services throughout the continuum of care to guarantee better MNCH health outcomes. Investments in universal coverage for quality ANC services has the potential to enhance utilization of supervised deliveries and post-natal care services such as immunizations.

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Religious affiliation and immunization coverage in 15 countries in Sub-Saharan Africa

Cited by 71 publications

References 23 publications

Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

Trend and determinants of complete vaccination coverage among children aged 12-23 months in Ghana: Analysis of data from the 1998 to 2014 Ghana Demographic and Health Surveys

Understanding the Improvement in Full Childhood Vaccination Coverage in Ethiopia Using Oaxaca–Blinder Decomposition Analysis

Trends and correlates of maternal, newborn and child health services utilization in primary healthcare facilities: an explorative ecological study using DHIMSII data from one district in the Volta region of Ghana

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