ArticleThe Pan African medical journal2017
Missed opportunities and barriers for vaccination: a descriptive analysis of private and public health facilities in four African countries.
Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Immunization coverage and its determinant factors among children aged 12-23 months in Ethiopia: a systematic review, and Meta- analysis of cross-sectional studies.BMC pediatrics · 2020Pooled it
- The impact of pharmacist involvement on immunization uptake and other outcomes: An updated systematic review and meta-analysis.Journal of the American Pharmacists Association : JAPhAPooled it
- Trial
- Understanding barriers to immunization among women with zero-dose or under-immunized children in an urban area in Cameroon.Frontiers in public health · 2026Article
- Influencing factors on missed opportunities for vaccination among children aged 0-24 months in hospitals of White Nile State, Sudan: a mixed method study.The Pan African medical journal · 2025Article
- How did the introduction of the measles-containing vaccine second dose (MCV2) affect measles vaccine uptake? - evidence from Nigeria.Human vaccines & immunotherapeutics · 2024Article
- 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
- Private sector engagement for immunisation programmes: a pragmatic scoping review of 25 years of evidence on good practice in low-income and middle-income countries.BMJ global health · 2024Article
- Progress with the Second Dose Measles Vaccine Introduction and Coverage in the WHO African Region.Vaccines · 2024Article
- Childhood Vaccinations and Associated Factors in 35 Sub-Saharan African Countries: Secondary Analysis of Demographic and Health Surveys Data from 358 949 Under-5 Children.Global pediatric health · 2024Article
- The influence of demographic and socio-economic factors on non-vaccination, under-vaccination and missed opportunities for vaccination amongst children 0-23 months in Kenya for the period 2003-2014.PLOS global public health · 2024Article
- Contextualising missed opportunities for children's vaccination: A theory-informed qualitative study in primary care settings in Cape Town, South Africa.Human vaccines & immunotherapeutics · 2023Article
- Innovative approach in assessing the children's immunization status when it cannot be documented.Journal of public health in Africa · 2023Article
- Article
- Spatial behavior of hepatitis A, MMR, and varicella vaccination coverage in the state of Minas Gerais, 2020.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Integrating private health facilities in government-led health systems: a case study of the public-private mix approach in Ethiopia.BMC health services research · 2022Article
- Article
- Article
- Reaching 95-95-95 targets: The role of private sector health facilities in closing the HIV detection gap-Kisumu Kenya, 2018.International journal of STD & AIDS · 2022Article
- Added Value of Electronic Immunization Registries in Low- and Middle-Income Countries: Observational Case Study in Tanzania.JMIR public health and surveillance · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMissed opportunities and barriers to vaccination limit progress toward achieving high immunization coverage and other global immunization goals. Little is known about vaccination practices contributing to missed opportunities and barriers among private healthcare providers in Africa.
methodsService Provision Assessments (SPA) of representative samples of health facilities in four African countries (Kenya, Tanzania, Senegal, Malawi) in 2010-2015 were used to describe missed opportunities and barriers for vaccination in public, private for-profit, private not-for-profit and faith-based facilities. Data included vaccination practices, observations during sick child and antenatal visits, and exit interviews following sick child visits.
resultsData from 3,219 health facilities, 11,613 sick child visits and 8,698 antenatal visits were included. A smaller proportion of for-profit facilities offered child vaccination services (country range, 25-37%) than did public facilities (range, 90-96%). The proportion of facilities offering pentavalent vaccine (diphtheria, pertussis, tetanus, hepatitis B and
conclusionSubstantial missed opportunities for, and barriers to, vaccination were identified across this representative sample of health facilities in four African countries. Strategies are needed to ensure that private and public providers implement practices to minimize barriers and missed opportunities for vaccination.
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