Evidence map›Paper›PMID 34529246›Full record

SynthesisIndian journal of pediatrics2023

Trends in Urban Immunization Coverage in India: A Meta-Analysis and Meta-Regression.

Shashwat Kulkarni, Varun Thampi, Devika Deshmukh, Mangesh Gadhari, Rajeshwari Chandrasekar, Mrudula Phadke

Abstract readMeta-Analysis
In one paragraph

Synthesis in Indian journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shashwat KulkarniRJMC Health and Nutrition Mission, Department of Women and Child Development, Government of Maharashtra, Mumbai, India. mail@shashwatk.com.ORCID 0000-0002-6349-6846
Varun ThampiRJMC Health and Nutrition Mission, Department of Women and Child Development, Government of Maharashtra, Mumbai, India.ORCID 0000-0002-4819-1577
Devika DeshmukhUNICEF Office for Maharashtra, Mumbai, Maharashtra, India.
Mangesh GadhariUNICEF Office for Maharashtra, Mumbai, Maharashtra, India.
Rajeshwari ChandrasekarUNICEF Office for Maharashtra, Mumbai, Maharashtra, India.
Mrudula PhadkePublic Health Department, Government of Maharashtra, UNICEF Office for Maharashtra, Maharashtra University of Health Sciences, Mumbai, Maharashtra, India.ORCID 0000-0002-1138-6899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the gaps and trends in child immunization coverage among urban and rural areas in India, and compare the success of immunisation program in each.

methodsPubMed, Scopus, and Crossref, and Google Scholar electronic databases were searched on October 9, 2019, and March 21, 2020, for studies that measured and reported immunization coverage indicators in India. Random-effects meta-analyses and meta-regressions were conducted.

resultsThe authors' search identified 545 studies, and 2 were obtained by expert suggestion. Among these 68 studies and 6 surveys were included. They found that full immunization coverage has grown yearly at 2.65% and 0.82% in rural and urban areas, respectively whereas partial immunization coverage declined by -2.44% and -0.69%, respectively. Percentage of nonimmunized children did not show a statistically significant trend in either.

conclusionWhile rural immunization coverage has seen a large increase over the past two decades, the progress in urban areas is weak and negligible. This was largely attributable to a focus on minimizing dropouts in rural areas. However, a lack of significant reduction in unimmunized children may indicate left-out children or pockets in both rural and urban areas. The poor performance of immunization programs in urban areas, coupled with a larger impact of COVID-19, warrants that India urgently adopts urban-sensitive and urban-focused policies and programs.

Indexed as

COVID-19Vaccination CoverageChildHumansImmunizationImmunization ProgramsIndiaInfantRural PopulationUrban PopulationVaccinationImmunization coverageImmunization programmeImmunization trendsRural immunizationUrban immunization

Identifiers

PMID34529246
PMCPMC8444171

What OpenQuestion holds

Textmetadata
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Registered trials

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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.