114 lines
3.9 KiB
YAML
114 lines
3.9 KiB
YAML
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abstract: 'Background Sub-Saharan Africa is one of the highest under-five mortality
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and low childhood immunization region in the world. Children in
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Sub-Saharan Africa are 15 times more likely to die than children from
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high-income countries. In sub-Saharan Africa, more than half of
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under-five deaths are preventable through immunization. Therefore, this
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study aimed to identify the determinant factors of full childhood
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immunization among children aged 12-23 months in sub-Saharan Africa.
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Methods Data for the study was drawn from the Demographic and Health
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Survey of nine sub-Saharan African countries. A total of 21,448 children
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were included. The two-level mixed-effects logistic regression model was
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used to identify the individual and community-level factors associated
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with full childhood immunization Result The prevalence of full childhood
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immunization coverage in sub-Saharan Africa countries was 59.40\% (95\%
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CI: 58.70, 60.02). The multilevel logistic regression model revealed
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that secondary and above maternal education (AOR = 1.38; 95\% CI: 1.25,
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1.53), health facility delivery (AOR = 1.51; 95\% CI: 1.41, 1.63),
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fathers secondary education and above (AOR = 1.28, 95\% CI: 1.11, 1.48),
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four and above ANC visits (AOR = 2.01; 95\% CI: 1.17, 2.30), PNC
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visit(AOR = 1.55; 95\% CI: 1.46, 1.65), rich wealth index (AOR = 1.26;
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95\% CI: 1.18, 1.40), media exposure (AOR = 1.11; 95\% CI: 1.04, 1.18),
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and distance to health facility is not a big problem (AOR = 1.42; 95\%
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CI: 1.28, 1.47) were significantly associated with full childhood
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immunization. Conclusion The full childhood immunization coverage in
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sub-Saharan Africa was poor with high inequalities. There is a
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significant variation between SSA countries in full childhood
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immunization. Therefore, public health programs targeting uneducated
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mothers and fathers, rural mothers, poor households, and those who have
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not used maternal health care services to promote full childhood
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immunization to improve child health. By enhancing institutional
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delivery, antenatal care visits and maternal tetanus immunization, the
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government and other stakeholders should work properly to increase child
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immunization coverage. Furthermore, policies and programs aimed at
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addressing cluster variations in childhood immunization need to be
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formulated and their implementation must be strongly pursued.'
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affiliation: 'Fenta, SM (Corresponding Author), Debre Tabor Univ, Dept Stat Fac Nat
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\& Computat Sci, Debre Tabor, Ethiopia.
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Fenta, Setegn Muche; Biresaw, Hailegebrael Birhan; Fentaw, Kenaw Derebe; Gebremichael,
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Shewayiref Geremew, Debre Tabor Univ, Dept Stat Fac Nat \& Computat Sci, Debre Tabor,
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Ethiopia.'
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article-number: '29'
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author: Fenta, Setegn Muche and Biresaw, Hailegebrael Birhan and Fentaw, Kenaw Derebe
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and Gebremichael, Shewayiref Geremew
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author-email: setegn14@gmail.com
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author_list:
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- family: Fenta
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given: Setegn Muche
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- family: Biresaw
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given: Hailegebrael Birhan
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- family: Fentaw
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given: Kenaw Derebe
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- family: Gebremichael
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given: Shewayiref Geremew
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da: '2023-09-28'
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doi: 10.1186/s41182-021-00319-x
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eissn: 1349-4147
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files: []
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issn: 1348-8945
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journal: TROPICAL MEDICINE AND HEALTH
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keywords: Full immunization; Multi-level analysis; Sub-Saharan Africa
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keywords-plus: LOGISTIC-REGRESSION; COVERAGE; ETHIOPIA; MORTALITY
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language: English
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month: APR 1
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number: '1'
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number-of-cited-references: '44'
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orcid-numbers: Fenta, Setegn Muche/0000-0003-4006-3455
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papis_id: 21b0944c51949a9561f84d9cba8bc28b
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ref: Fenta2021determinantsfull
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researcherid-numbers: Fenta, Setegn Muche/ABB-7296-2020
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times-cited: '14'
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title: 'Determinants of full childhood immunization among children aged 12-23 months
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in sub-Saharan Africa: a multilevel analysis using Demographic and Health Survey
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Data'
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type: Article
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unique-id: WOS:000635910500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '49'
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web-of-science-categories: Tropical Medicine
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year: '2021'
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