ArticleHealth policy and planning2014
Achieving comprehensive childhood immunization: an analysis of obstacles and opportunities in The Gambia.
Article in Health policy and planning, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing childhood immunisation uptake in Africa: a systematic review.BMC public health · 2021Pooled it
- The effect of mHealth application on improving childhood immunization coverage and timeliness: a case of the Gurage Zone, SNNPR, Ethiopia, a randomized controlled trial.BMC public health · 2025Trial
- Article
- Starting then stopping: a nationwide register-based study on the magnitude, predictors, and urban-rural patterns of under-vaccination variation across health centers in The Gambia.Global health action · 2024Article
- Article
- Socioeconomic and residence-based related inequality in childhood vaccination in Sub-Saharan Africa: Evidence from Benin.Health science reports · 2023Article
- Article
- Determinants of pentavalent and measles vaccination dropouts among children aged 12-23 months in The Gambia.BMC public health · 2022Article
- Assessment of vaccination timeliness and associated factors among children in Toke Kutaye district, central Ethiopia: A Mixed study.PloS one · 2022Article
- Childhood vaccination uptake and associated factors among children 12-23 months in rural settings of the Gambia: a community-based cross-sectional study.BMC public health · 2021Article
- A scorecard of progress towards measles elimination in 15 west African countries, 2001-19: a retrospective, multicountry analysis of national immunisation coverage and surveillance data.The Lancet. Global health · 2021Article
- Geographic location of health facility and immunization program performance in Hoima district, western Uganda: a health facility level assessment.BMC public health · 2020Article
- Tracking coverage, dropout and multidimensional equity gaps in immunisation systems in West Africa, 2000-2017.BMJ global health · 2019Article
- Rural-urban comparison of routine immunization utilization and its determinants in communities in Anambra States, Nigeria.SAGE open medicine · 2019Article
- Vaccine wastage in The Gambia: a prospective observational study.BMC public health · 2018Observational
- Improving immunization in Afghanistan: results from a cross-sectional community-based survey to assess routine immunization coverage.BMC public health · 2017Article
- Article
- Article
- Risk factors for delay in age-appropriate vaccinations among Gambian children.BMC health services research · 2015Article
- Disease-specific mortality burdens in a rural Gambian population using verbal autopsy, 1998-2007.Global health action · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
introductionImmunization is a vital component in the drive to decrease global childhood mortality, yet challenges remain in ensuring wide coverage of immunization and full immunization, particularly in low- and middle-income countries. This study assessed immunization coverage and the determinants of immunization in a semi-rural area in The Gambia.
methodsData were drawn from the Farafenni Health and Demographic Surveillance System. Children born within the surveillance area between January 2000 and December 2010 were included. Main outcomes assessed included measles, BCG and DTP vaccination status and full immunization by 12 months of age as reported on child healthcards. Predictor variables were evaluated based on a literature review and included gender, ethnicity, area of residence, household wealth and mother's age.
resultsOf the 7363 children included in the study, immunization coverage was 73% (CI 72-74) for measles, 86% (CI 86-87) for BCG, 79% (CI 78-80) for three doses of DTP and 52% (CI 51-53) for full immunization. Coverage was significantly associated with area of residence and ethnicity, with children in urban areas and of Mandinka ethnicity being least likely to be fully immunized.
conclusionsDespite high levels of coverage of many individual vaccines, delivery of vaccinations later in the schedule and achieving high coverage of full immunization remain challenges, even in a country with a committed childhood immunization programme, such as The Gambia. Our data indicate areas for targeted interventions by the national Expanded Programme of Immunization.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.