SynthesisBMC public health2021
Factors influencing childhood immunisation uptake in Africa: a systematic review.
Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
84 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.
- A systematic review on the effect of the COVID-19 pandemic on childhood immunisation programmes of West African countries.Ghana medical journal · 2024Pooled it
- The effect of mHealth on childhood vaccination in Africa: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Towards contextualized complex systems approaches to scaling-up hepatitis B birth-dose vaccination in the African region: a qualitative systematic review.Frontiers in public health · 2024Pooled it
- Pooled it
- Maternal satisfaction toward childhood immunization service and its associated factors in Mogadishu, Somalia.Human vaccines & immunotherapeutics · 2026Article
- Coverage and determinants of hepatitis B virus vaccine uptake among children aged 12-36 months in Ethiopia: an analysis of the 2016 Ethiopian Demographic and Health Survey.International health · 2026Article
- Barriers and facilitators of childhood immunization: sociodemographic and knowledge-related determinants among parents in rural and urban Khyber Pakhtunkhwa, Pakistan.Epidemiology and infection · 2026Article
- Assessment of knowledge and practice of childhood vaccination among mothers of under five year children in Jimma city government health facilities, South-West Oromia, Ethiopia.Scientific reports · 2026Article
- Beyond Access: Behavior Change and Gendered Realities in the Adoption of Digital Health Tools for Maternal, Newborn, and Child Health in Nigeria.International journal of MCH and AIDS · 2026Review
- Article
- Article
- Barriers to and enablers of childhood immunization uptake in Ethiopia's Amhara, Oromia, and Somali Regions: A multi-perspective qualitative study.PLOS global public health · 2026Article
- Article
- Zero-Dose Childhood Immunization in Conflict-Affected PSNP Districts of Ethiopia: A Comparative Cross-Sectional Study.Gates open research · 2026Article
- Frequency and correlates of non-receipt of age-appropriate vaccination among children aged 6-35 months with medically attended diarrhea: Findings from the Enterics for Global Health (EFGH) Shigella study, 2022-2024.PLOS global public health · 2026Article
- Understanding maternal decision-making for self-paid childhood vaccines a qualitative exploration of safety, information, and context.Frontiers in public health · 2026Article
- Understanding barriers to immunization among women with zero-dose or under-immunized children in an urban area in Cameroon.Frontiers in public health · 2026Article
- Mapping the disparities in childhood immunization status and determinants in East Africa using ordinal logistic regression analysis.Scientific reports · 2025Article
- Immunisation decision-making and barriers to vaccine uptake among children under-5 in limited-resource settings.Scientific reports · 2025Article
- Behavioural and social drivers of immunisation among zero dose children in pastoralist communities of Ethiopia: a qualitative study.BMJ open · 2025Article
24 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVaccine preventable diseases are still the most common cause of childhood mortality, with an estimated 3 million deaths every year, mainly in Africa and Asia. An estimate of 29% deaths among children aged 1-59 months were due to vaccine preventable diseases. Despite the benefits of childhood immunisation, routine vaccination coverage for all recommended Expanded Programme on Immunization vaccines has remained poor in some African countries, such as Nigeria (31%), Ethiopia (43%), Uganda (55%) and Ghana (57%). The aim of this study is to collate evidence on the factors that influence childhood immunisation uptake in Africa, as well as to provide evidence for future researchers in developing, implementing and evaluating intervention among African populations which will improve childhood immunisation uptake.
methodsWe conducted a systematic review of articles on the factors influencing under-five childhood immunisation uptake in Africa. This was achieved by using various keywords and searching multiple databases (Medline, PubMed, CINAHL and Psychology & Behavioral Sciences Collection) dating back from inception to 2020.
resultsOut of 18,708 recorded citations retrieved, 10,396 titles were filtered and 324 titles remained. These 324 abstracts were screened leading to 51 included studies. Statistically significant factors found to influence childhood immunisation uptake were classified into modifiable and non-modifiable factors and were further categorised into different groups based on relevance. The modifiable factors include obstetric factors, maternal knowledge, maternal attitude, self-efficacy and maternal outcome expectation, whereas non-modifiable factors were sociodemographic factors of parent and child, logistic and administration factors.
conclusionDifferent factors were found to influence under-five childhood immunisation uptake among parents in Africa. Immunisation health education intervention among pregnant women, focusing on the significant findings from this systematic review, would hopefully improve childhood immunisation uptake in African countries with poor coverage rates.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.