Compulsory Vaccination Coverage in 12 Sub-Saharan African Countries Two Years Following the COVID-19 Pandemic.
The coronavirus disease 2019 (COVID-19) pandemic is a global threat, challenging health services' provision and utilization. This study aimed to assess compulsory vaccination coverage in 12 Sub-Saharan African countries two years following the COVID-19 pandemic using the Health Belief Model. A cross...
| Publicado en: | Journal of Community Health Vol. 49; no. 2; pp. 193 - 207 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=176005887&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 176005887 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Apr2024 vid: 49 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 176005887 10.1007/s10900-023-01261-1 ppf: 193 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.7MB tig: atl: Compulsory Vaccination Coverage in 12 Sub-Saharan African Countries Two Years Following the COVID-19 Pandemic. aug: au: Ghazy, Ramy Mohamed Gebreal, Assem Saleeb, Marina Raouf Abdelmessih Sallam, Malik El-Deen, Ahmed El-Sayed Nour Sheriff, Swaliho Dauda Tessema, Eyerusalem Amossa Ahurwendeire, Salvias Tsoeu, Nthabiseng Chamambala, Prince C. Cibangu, Patrick B. Okeh, Debra Ukamaka Traoré, Adama Sy Eshun, Gilbert Kengo, Nathan Ezie Kubuka, Amos Elisha Awuah, Lydia Baffour Salah, Assia Aljohani, Moath Fadl, Noha affil: https://ror.org/00mzz1w90 Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt https://ror.org/00mzz1w90 Faculty of Medicine, Alexandria University, Alexandria, Egypt https://ror.org/04zfme737 Public Health Institute, Faculty of Health, Liverpool John Moores University, Liverpool, UK https://ror.org/05k89ew48 Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan https://ror.org/05k89ew48 Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman, Jordan https://ror.org/05fnp1145 Department of Physiology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt https://ror.org/01wf1es90 Department of Basic Medical and Dental Sciences, Faculty of Dentistry, Zarqa University, PO Box 2000, 13110, Zarqa, Jordan Sierra Leone Ministry of Health and Sanitation, Freetown, Sierra Leone https://ror.org/038b8e254 College of Health Science, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia https://ror.org/03dmz0111 Department of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda Motebang Hospital, Hlotse, Lesotho Zomba Central Hospital, Zomba, Malawi Health Officer, Les Ailes du Coeur NGO, Congo, Democratic Republic of Congo Department of Community Medicine, Federal Medical Centre Umuahia, Abia, Nigeria Association Faso Civic, Ouagadougou, Burkina Faso Seventh-Day Adventist Hospital, Agona-Asamang, Ghana https://ror.org/051sa4h84 Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroun Saint Francis University College of health and allied Sciences, Ifakara, Morogoro, Tanzania https://ror.org/00cb23x68 Department of Health Promotion and Disability Studies, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana https://ror.org/011r6gp69 Faculty of Medicine, Algiers University, Algiers, Algeria https://ror.org/01wsfe280 Department of Family and Community Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Saudi Arabia https://ror.org/00mzz1w90 Family Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt su: Africa Immunization Cross-sectional method Health services accessibility Community health services Social determinants of health Mothers Families Chronic diseases COVID-19 pandemic Medical protocols Multiple regression analysis Probability theory Multivariate analysis Descriptive statistics Vaccination coverage Surveys Odds ratio Health Belief Model Confidence intervals Sub-Saharan Africans sug: subj: Immunization Cross-sectional method Health services accessibility Community health services Social determinants of health Mothers Families Chronic diseases COVID-19 pandemic Africa Other local, municipal and regional public administration Other Individual and Family Services Community health centres All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Medical protocols Multiple regression analysis Probability theory Multivariate analysis Descriptive statistics Vaccination coverage Surveys Odds ratio Health Belief Model Confidence intervals Sub-Saharan Africans keyword: Basic vaccines Compulsory Vaccines Extended Program of Immunization Routine Vaccination Sub-Saharan Africa Basic vaccines Compulsory Vaccines Extended Program of Immunization Routine Vaccination Sub-Saharan Africa ab: The coronavirus disease 2019 (COVID-19) pandemic is a global threat, challenging health services' provision and utilization. This study aimed to assess compulsory vaccination coverage in 12 Sub-Saharan African countries two years following the COVID-19 pandemic using the Health Belief Model. A cross-sectional survey was conducted from November 1 to December 15, 2022. Multivariate logistic regression was conducted to identify the determinants of vaccination coverage. Among the 5032 respondents, 73.1% reported that their children received compulsory vaccination. The lowest coverage was observed in Ghana (36.5%), while the highest was in Burkina Faso and Congo (92.0%). Factors associated with non-vaccination included older mothers (adjusted odds ratio (AOR) = 1.04, 95%CI: 1.03–1.05), lower mothers' education, older children (AOR = 0.76, 95%CI: 0.60–0.96), children with chronic illnesses (AOR = 0.55, 95%CI: 0.45–0.66), and difficult accessibility to healthcare facilities (AOR = 11.27, 95%CI: 9.48–13.44). Low perceived risk, in which non-vaccinated children were believed to be at no higher risk for infectious diseases and the disease severity would not worsen among non-vaccinated children, increased the likelihood of non-vaccination (AOR = 2.29, 95%CI: 1.75–2.99 and AOR = 2.12, 95%CI: 1.64–2.73, respectively). Perceiving vaccines as unnecessary, and needless for breastfed babies increased the probability of non-vaccination (AOR = 1.38, 95%CI: 1.10–1.73 and AOR = 1.69, 95%CI: 1.31–2.19, respectively). Higher odds of non-vaccination were found when the provision of vaccine information did not motivate parents to vaccinate their children (AOR = 4.29, 95%CI: 3.15–5.85). Conversely, believing that vaccines were safe for children decreased the odds of non-vaccination (AOR = 0.72, 95%CI: 0.58–0.88). Parental perceptions and concerns should be considered in interventions aiming to increase compulsory vaccine acceptance and coverage. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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