ArticleArchives of public health = Archives belges de sante publique2022
Vaccination dropout rates among children aged 12-23 months in Democratic Republic of the Congo: a cross-sectional study.
Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Vaccination dropout and associated factors among children in Ethiopia: a systematic review and meta-analysis (2014-2024).BMC pediatrics · 2025Pooled it
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- Factors Associated with Childhood Vaccination in Sub-Saharan African Countries Experiencing Armed Conflicts: A Scoping Review.Journal of epidemiology and global health · 2026Article
- Routine childhood immunization coverage, timeliness, dropout, and missed opportunities in Northern Ghana: Evidence from a community-based survey in Tamale Metropolis, Ghana.PLOS global public health · 2026Article
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- Trends in vaccination coverage and equity in the Democratic Republic of the Congo from 2017 to 2023.Vaccine · 2025Article
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- A stacked ensemble machine learning model for the prediction of pentavalent 3 vaccination dropout in East Africa.Frontiers in big data · 2025Article
- Further analysis of determinants of Pentavalent and Measles immunizations dropouts among children under five years of age in Ethiopia from Mini-EDHS 2019.BMC health services research · 2024Article
- Re-emergence of vaccine-derived polio in the demographic Republic of Congo: Causes and consequences.New microbes and new infections · 2024Review
- Exploring the reasons for defaulting from childhood immunization: a qualitative study in Pakistan.BMC public health · 2024Article
- Determinants of measles second dose vaccination dropout among children aged 18-24 months in Ejere woreda, central Ethiopia; unmatched case-control study.Frontiers in pediatrics · 2024Article
- Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis.Vaccines · 2023Article
- Article
- Vaccination dropout and wealth related inequality among children aged 12-35 months in remote and underserved settings of Ethiopia: a cross-sectional evaluation survey.Frontiers in pediatrics · 2023Article
- The COVID-19 pandemic and vaccination abandonment in children: spatial heterogeneity maps.Revista latino-americana de enfermagem · 2022Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundOverall, 1.8 million children fail to receive the 3-dose series for diphtheria, tetanus and pertussis each year in the Democratic Republic of the Congo (DRC). Currently, an emergency plan targeting 9 provinces including Kinshasa, the capital of the DRC, is launched to reinforce routine immunization. Mont Ngafula II was the only health district that experienced high vaccination dropout rates for nearly five consecutive years. This study aimed to identify factors predicting high immunization dropout rates among children aged 12-23 months in the Mont Ngafula II health district.
methodsA cross-sectional household survey was conducted among 418 children in June-July 2019 using a two-stage sampling design. Socio-demographic and perception data were collected through a structured interviewer-administered questionnaire. The distribution of 2017-2018 immunization coverage and dropout rate was extracted from the local health district authority and mapped. Logistic random effects regression models were used to identify predictors of high vaccination dropout rates.
resultsOf the 14 health areas in the Mont Ngafula II health district, four reported high vaccine coverage, only one recorded low vaccine coverage, and three reported both low vaccine coverage and high dropout rate. In the final multivariate logistic random effects regression model, the predictors of immunization dropout among children aged 12-23 months were: living in rural areas, unavailability of seats, non-compliance with the order of arrival during vaccination in health facilities, and lack of a reminder system on days before the scheduled vaccination.
conclusionsOur results advocate for prioritizing targeted interventions and programs to strengthen interpersonal communication between immunization service providers and users during vaccination in health facilities and to implement an SMS reminder system on days before the scheduled vaccination.
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