ArticleHuman vaccines & immunotherapeutics2018
Does it really matter where you live? A multilevel analysis of factors associated with missed opportunities for vaccination in sub-Saharan Africa.
Article in Human vaccines & immunotherapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of missed opportunities for vaccination (MOV) indicators among children aged 12-23 months in sub-Saharan African countries: An individual-level meta-analysis of DHS and MICS national household data surveys.Human vaccines & immunotherapeutics · 2025Pooled it
- The effect of mHealth on childhood vaccination in Africa: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Improving timeliness and completion of infant vaccination among infants in Nigerian urban slums through older women's participation.Frontiers in public health · 2022Trial
- Approximation of the Cox survival regression model by MCMC Bayesian Hierarchical Poisson modelling of factors associated with childhood mortality in Nigeria.Scientific reports · 2021Trial
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- Article
- Factors Associated with Missed Opportunities for Vaccination in Children During the First Year of Life: A Cross-Sectional Study.Vaccines · 2025Article
- Hepatitis B vaccination coverage and associated factors among children living in northwest Ethiopia city administrations: A community-based study.Public health in practice (Oxford, England) · 2025Article
- Three in four children age 12-23 months missed opportunities for vaccination in Sub-Saharan African countries: a multilevel mixed effect analysis of demographic health and surveys 2016-2023.BMC public health · 2025Article
- Addressing the re-emergence and resurgence of vaccine-preventable diseases in Africa: A health equity perspective.Human vaccines & immunotherapeutics · 2024Review
- Bayesian spatial analysis of incomplete vaccination among children aged 12-23 months in Nigeria.Scientific reports · 2024Article
- Child immunization status according to number of siblings and birth order in 85 low- and middle-income countries: a cross-sectional study.EClinicalMedicine · 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
- Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis.Vaccines · 2022Article
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- Added Value of Electronic Immunization Registries in Low- and Middle-Income Countries: Observational Case Study in Tanzania.JMIR public health and surveillance · 2022Article
- Article
- Geographical variations and associated factors of defaulting from immunization among children aged 12 to 23 months in Ethiopia: using spatial and multilevel analysis of 2016 Ethiopian Demographic and Health Survey.Environmental health and preventive medicine · 2021Article
- Hierarchical disentanglement of contextual from compositional risk factors of diarrhoea among under-five children in low- and middle-income countries.Scientific reports · 2021Article
- Incomplete vaccination and associated factors among children aged 12-23 months in South Africa: an analysis of the South African demographic and health survey 2016.Human vaccines & immunotherapeutics · 2021Article
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10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is an urgent need to examine the magnitude and factors responsible for missed opportunities for vaccination, to rapidly achieve national immunization targets. The objective of the study was to examine the influence of individual, neighbourhood and country level socioeconomic position on missed opportunities for vaccination (MOV) in Sub-Saharan Africa. We used multilevel logistic regression analysis on Demographic and Health Survey data collected between 2007 and 2016 in sub-Saharan Africa. We analysed data on 43,637 children aged 12 to 23 months (Level 1) nested within 15,122 neighbourhoods (Level 2) from 35 countries (Level 3). After adjustment for individual-, neighbourhood- and country-level factors, the following appeared as significant risk factors for increased odds of MOV: high birth order, high number of under-five children in the house, poorest household, lack of maternal education, lack of media access, and living in poorer neighbourhood. According to the intra-country and intra-neighbourhood correlation coefficient, 18.4% and 37.4% of the variance in odds of MOV could be attributed to the country and neighbourhood level factors, respectively; and if a child moved to another country or neighbourhood with a higher probability of MOV, the median increase in their odds of MOV would be 2.47 and 2.56 fold respectively. This study has revealed that the risk of missed opportunities for vaccination in sub-Saharan Africa is influenced by not only individual factors but also by compositional factors such as family's financial capacity, place of birth and upbringing.
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