ArticleBMC public health2017
Spatial clustering of measles vaccination coverage among children in sub-Saharan Africa.
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 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of maternal education on completing childhood vaccination in Ethiopia: systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Small quantity lipid-based nutritional supplementation and measles vaccination coverage in children aged 6-23 months: a pragmatic cluster-randomized trial.Nature medicine · 2026Trial
- Measles immunity gap among reproductive-age women participating in a simulated HIV vaccine efficacy trial in Zambia.Human vaccines & immunotherapeutics · 2022Trial
- Spatiotemporal distribution and determinants of immunization among children aged 12-23 months in Ethiopia: Using EDHS 2000, 2005, 2011, and 2016.Human vaccines & immunotherapeutics · 2026Article
- Global spatiotemporal analysis in hepatitis B third dose vaccine coverage from 1980-2023 across 204 countries and territories.Human vaccines & immunotherapeutics · 2026Article
- Social networks and vaccination: a perspective on the essential role of social networks to improve vaccination outcomes in public health.Frontiers in public health · 2026Article
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- Epidemiology: Temporal and spatial patterns of measles in Amhara Region, Ethiopia, 2019-2024: implications for targeted intervention.BMC infectious diseases · 2025Article
- Individual and community level maternal factors for zero-dose children in Ethiopia using mini-EDHS 2019: a mixed effects model.BMJ open · 2025Article
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- Immunization Coverage and Its Determinants Among Children Aged 12-23 Months in East Africa: A Bayesian Hierarchical Modeling Approach Based on DHS 2019-2022.BioMed research international · 2025Article
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- Modeling the Cost of Vaccinating a Measles Zero-Dose Child in Zambia Using Three Vaccination Strategies.The American journal of tropical medicine and hygiene · 2024Article
- Exploring landscape of measles vaccination coverage: A step towards measles elimination goal in India.Vaccine · 2024Article
- Group-based trajectory models of integrated vaccine delivery and equity in low- and middle-income countries.International journal for equity in health · 2024Article
- Spatial distribution of zero-dose children in Ethiopia: evidence for a targeted intervention from a large-scale cross-sectional evaluation survey.Frontiers in pediatrics · 2024Article
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3 authors.
Funding
Abstract
backgroundDuring the past two decades, vaccination programs have greatly reduced global morbidity and mortality due to measles, but recently this progress has stalled. Even in countries that report high vaccination coverage rates, transmission has continued, particularly in spatially clustered subpopulations with low vaccination coverage.
methodsWe examined the spatial heterogeneity of measles vaccination coverage among children aged 12-23 months in ten Sub-Saharan African countries. We used the Anselin Local Moran's I to estimate clustering of vaccination coverage based on data from Demographic and Health Surveys conducted between 2008 and 2013. We also examined the role of sociodemographic factors to explain clustering of low vaccination.
resultsWe detected 477 spatial clusters with low vaccination coverage, many of which were located in countries with relatively high nationwide vaccination coverage rates such as Zambia and Malawi. We also found clusters in border areas with transient populations. Clustering of low vaccination coverage was related to low health education and limited access to healthcare.
conclusionsSystematically monitoring clustered populations with low vaccination coverage can inform supplemental immunization activities and strengthen elimination programs. Metrics of spatial heterogeneity should be used routinely to determine the success of immunization programs and the risk of disease persistence.
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