ArticleBMC public health2017
Improving immunization in Afghanistan: results from a cross-sectional community-based survey to assess routine immunization coverage.
Article in BMC public health, 2017. 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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Predictors of immunization coverage among 12-23 month old children in Ethiopia: systematic review and meta-analysis.BMC public health · 2020Pooled it
- The impact of the regime change on polio outbreaks in Afghanistan.BMJ global health · 2026Observational
- Socio-economic determinants for reduced uptake of routine childhood vaccination in Afghanistan.Global health action · 2025Article
- Equity of maternal and child health services in Afghanistan: a spatiotemporal analysis of national survey datasets.BMJ global health · 2025Article
- Early childhood development and its associated factors among children aged 36-59 months in Afghanistan: evidence from the national survey 2022-2023.BMC pediatrics · 2024Article
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- Child Immunization Coverage in Urban Settings of Twelve Provinces Plus Kabul, Afghanistan, 2019.BioMed research international · 2024Article
- General publics' perception toward COVID-19 vaccines in Afghanistan, 2021.Human vaccines & immunotherapeutics · 2023Article
- Factors Associated with Vaccine Refusal (Polio and Routine Immunization) in High-Risk Areas of Pakistan: A Matched Case-Control Study.Vaccines · 2023Article
- A case of fulminant respiratory diphtheria in a 24-year-old Afghan refugee in Austria in May 2022: a case report.Infection · 2023Article
- Inequalities in Childhood Immunisation in South Asia.International journal of environmental research and public health · 2023Article
- Factors associated with pentavalent vaccine coverage among 12-23-month-old children in Afghanistan: A cross-sectional study.PloS one · 2023Article
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- Characterization of National Immunization Programs in the Context of Public Health Emergencies: A Case Study of 13 Countries in the WHO Africa Region.Frontiers in public health · 2021Article
- Feasibility and Acceptability of an Adapted Mobile Phone Message Program and Changes in Maternal and Newborn Health Knowledge in Four Provinces of Afghanistan: Single-Group Pre-Post Assessment Study.JMIR mHealth and uHealth · 2020Article
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- Immunization coverage among refugee children in Berlin.Journal of global health · 2019Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite progress in recent years, Afghanistan is lagging behind in realizing the full potential of immunization. The country is still endemic for polio transmission and measles outbreaks continue to occur. In spite of significant reductions over the past decade, the mortality rate of children under 5 years of age continues to remain high at 91 per 1000 live births.
methodsThe study was a descriptive community-based cross sectional household survey. The survey aimed to estimate the levels of immunization coverage at national and province levels. Specific objectives are to: establish valid baseline information to monitor progress of the immunization program; identify reasons why children are not immunized; and make recommendations to enhance access and quality of immunization services in Afghanistan. The survey was carried out in all 34 provinces of the country, with a sample of 6125 mothers of children aged 12-23 months.
resultsNationally, 51% of children participating in the survey received all doses of each antigen irrespective of the recommended date of immunization or recommended interval between doses. About 31% of children were found to be partially vaccinated. Reasons for partial vaccination included: place to vaccinate child too far (23%), not aware of the need of vaccination (17%), no faith in vaccination (16%), mother was too busy (15%), and fear of side effects (11%).
conclusionThe innovative mechanism of contracting out delivery of primary health care services in Afghanistan, including immunization, to non-governmental organizations is showing some positive results in quickly increasing coverage of essential interventions, including routine immunization. Much ground still needs to be covered with proper planning and management of resources in order to improve the immunization coverage in Afghanistan and increase survival and health status of its children.
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