ArticleBMJ open2021
Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 28 citations in OpenAlex.
- Predicting zero-dose vaccination status in 27 sub-Saharan African countries: a machine learning approach.BMJ health & care informatics · 2026Article
- Investigating predictors and barriers to vaccine uptake in children at Konye Health District, South West region Cameroon.BMC public health · 2026Article
- Factors contributing to incomplete vaccination among children aged 12 to 59 months in Mbale city, Eastern Uganda: a caregivers and health workers' perspective.BMC pediatrics · 2026Article
- Timely vaccination coverage and associated factors among children aged 12-23 months in Arbaminch Town, Ethiopia, 2024.BMC public health · 2026Article
- Zero-dose vaccination status among children in Malawi: patterns, predictors, and geographic hotspots.Scientific reports · 2026Article
- Article
- Correlates of reported rotavirus vaccination among young Indonesian children: a cross-sectional analysis of the Indonesia Family Life Survey (IFLS-5).Frontiers in public health · 2026Article
- Article
- Multilevel Analysis of Zero-Dose Children in Sub-Saharan Africa: A Three Delays Model Study.Vaccines · 2025Article
- Routine immunization coverage among children under 24 months and its determinants in Eastern and Oti regions of Ghana.BMC pediatrics · 2025Article
- Propensity score matching analysis of the effect of four or more antenatal care visits on basic childhood immunization in Ethiopia.Scientific reports · 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
- Full vaccination coverage for children aged 12-23 months in Madagascar: Analysis of the 2021 Demographic and Health Survey.BMC public health · 2025Article
- Incomplete basic vaccination and associated factors among children aged 12-23 months in resource-limited countries: a spatial and multilevel regression analysis of recent DHS data from 48 countries.Frontiers in public health · 2025Article
- Level and determinants of pentavalent vaccine dropout during infancy: A hierarchical analysis of community-level longitudinal study.PloS one · 2025Article
- Trends and determinants of complete vaccination coverage among children aged 12-59 months: An analysis of Bénin Demographic and Health Surveys from 1996 to 2018.PLOS global public health · 2025Article
- Experiences and perceptions about vaccines and reporting of adverse events following immunisation: a qualitative study among mothers in Northern Ghana.BMJ public health · 2025Article
- Identifying confounders and estimating the causal effect of antenatal care on age-specific childhood vaccination.Frontiers in public health · 2025Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
- Compulsory Vaccination Coverage in 12 Sub-Saharan African Countries Two Years Following the COVID-19 Pandemic.Journal of community health · 2024Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of the study was to examine the association between maternal healthcare utilisation and complete childhood vaccination in sub-Saharan Africa.
designOur study was a cross-sectional study that used pooled data from 29 countries in sub-Saharan Africa.
participantsA total of 60 964 mothers of children aged 11-23 months were included in the study. OUTCOME VARIABLES: The main outcome variable was complete childhood vaccination. The explanatory variables were number of antenatal care (ANC) visits, assistance during delivery and postnatal care (PNC).
resultsThe average prevalence of complete childhood vaccination was 85.6%, ranging from 67.0% in Ethiopia to 98.5% in Namibia. Our adjusted model, children whose mothers had a maximum of three ANC visits were 56% less likely to have complete vaccination, compared with those who had at least four ANC visits (adjusted OR (aOR)=0.44, 95% CI 0.42 to 0.46). Children whose mothers were assisted by traditional birth attendant/other (aOR=0.43, 95% CI 0.41 to 0.56) had lower odds of complete vaccination. The odds of complete vaccination were lower among children whose mothers did not attend PNC clinics (aOR=0.26, 95% CI 0.24 to 0.29) as against those whose mothers attended.
conclusionThe study found significant variations in complete childhood vaccination across countries in sub-Saharan Africa. Maternal healthcare utilisation (ANC visits, skilled birth delivery, PNC attendance) had significant association with complete childhood vaccination. These findings suggest that programmes, interventions and strategies aimed at improving vaccination should incorporate interventions that can enhance maternal healthcare utilisation. Such interventions can include education and sensitisation, reducing cost of maternal healthcare and encouraging male involvement in maternal healthcare service utilisation.
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