ArticleHuman vaccines & immunotherapeutics2019
Rural-urban disparities in missed opportunities for vaccination in sub-Saharan Africa: a multi-country decomposition analyses.
Article in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Article
- "Grandmothers as gatekeepers": The role of older women in addressing vaccine hesitancy in urban slum communities in Ibadan, Nigeria.PLOS global public health · 2026Article
- Understanding vaccine recommendation behaviours among healthcare workers in Senegal: A cross-sectional analysis.Tropical medicine & international health : TM & IH · 2025Article
- Associated factors for dropout of first versus third doses of pentavalent vaccination in Tanzania.Vaccine · 2025Article
- Characteristics of Studies Focusing on Vaccine Series Completion Among Children Aged 12-23 Months in Sub-Saharan Africa: A Scoping Review.Children (Basel, Switzerland) · 2025Review
- Article
- 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
- Exploring the "Urban Advantage" in Access to Immunization Services: A Comparison of Zero-Dose Prevalence Between Rural, and Poor and Non-poor Urban Households Across 97 Low- and Middle-Income Countries.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- [Determinants of vaccine acceptance in Makokou, Gabon].The Pan African medical journal · 2024Article
- Article
- Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions.European journal of medical research · 2023Article
- Article
- Rural-Urban Differences: Using Finer Geographic Classifications to Reevaluate Distance and Choice of Health Services in Malawi.Health systems and reform · 2022Article
- Associated Factors for Dropout of First Vs Third Doses of Diphtheria Tetanus Pertussis (DPT) Vaccination in Nepal.Advances in preventive medicine · 2021Article
- Decomposing the rural-urban gap in factors associated with childhood immunisation in sub-Saharan Africa: evidence from surveys in 23 countries.BMJ global health · 2021Article
- Assessment of missed opportunities for vaccination in Kenyan health facilities, 2016.PloS one · 2020Article
- Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities.PloS one · 2020Article
- Access Barriers to Healthcare and Full Childhood Immunization Coverage in East Africa (2015-2023): A Propensity Score Matched Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
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10 authors.
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Abstract
backgroundIn this study, we aimed to explore the rural-urban disparities in the magnitude and determinants of missed opportunities for vaccination (MOV) in sub-Saharan Africa.
methodsThis was a cross-sectional study using nationally representative household surveys conducted between 2007 and 2017 in 35 countries across sub-Saharan Africa. The risk difference in MOV between rural or urban dwellers were calculated. Logistic regression method was used to investigate the urban-rural disparities in multivariable analyses. Then Blinder-Oaxaca method was used to decompose differences in MOV between rural and urban dwellers.
resultsThe median number of children aged 12 to 23 months was 2113 (Min: 370, Max: 5896). There was wide variation in the the magnitude of MOV among children in rural and urban areas across the 35 countries. The magnitude of MOV in rural areas varied from 18.0% (95% CI 14.7 to 21.4) in the Gambia to 85.2% (81.2 to 88.9) in Gabon. Out of the 35 countries included in this analysis, pro-rural inequality was observed in 16 countries (i.e. MOV is prevalent among children living in rural areas) and pro-urban inequality in five countries (i.e. MOV is prevalent among children living in urban areas). The contributions of the compositional 'explained' and structural 'unexplained' components varied across the countries. However, household wealth index was the most frequently identified factor.
conclusionsVariation exists in the level of missed opportunities for vaccination between rural and urban areas, with widespread pro-rural inequalities across Africa. Although several factors account for these rural-urban disparities in various countries, household wealth was the most common.
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