Evidence map›Paper›PMID 37601323›Full record

ArticleVaccine: X2023

Comparative estimates of crude coverage of the Mexican immunization program: Findings from a national survey.

López-Hernández Angélica, Castillo-Salgado Carlos, Ramírez-González Julia Berenice, Martínez Valverde Silvia, Durazo-Arvizu Ramon, Duran-Arenas Luis, Pacheco-Domínguez Reyna Lizette

Open access · goldAbstract read
In one paragraph

Article in Vaccine: X, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
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

7 authors at 4 institutions in 2 countries.

López-Hernández AngélicaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Castillo-Salgado CarlosDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Ramírez-González Julia BerenicePolicy, Population and Health Research Center, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Martínez Valverde SilviaHospital Infantil de México Federico Gómez, Mexico City, Mexico.
Durazo-Arvizu RamonThe Saban Research Institute, Children's Hospital Los Angeles, CA, United States.
Duran-Arenas LuisPublic Health Department, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Pacheco-Domínguez Reyna LizettePolicy, Population and Health Research Center, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Universidad Nacional Autónoma de México · MXJohns Hopkins University · USChildren's Hospital of Los Angeles · USHospital Infantil de México Federico Gómez · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of the study is to provide estimates for immunization coverage, considering single-dose and schemes (three or five vaccines), by comparing self-report method to immunization cards, while also assessing the timeliness of immunization in Mexico, with reference to Mexican Immunization Program guidelines. Data on immunization was obtained from the Mexican Immunization Survey conducted in 2017 that aimed to assess crude (card-based) coverage at the regional level. Timely immunization was defined with reference to National Immunization Program guidelines, and immunization coverage was defined as a three or five vaccine scheme, based on previous national reports of immunization coverage. Immunization coverage estimates account for sample weights from the complex survey design. We used weighted immunization coverage estimates to assess the extent to which immunization cards and self-reporting concurred. It was found that most Mexican children are not receiving their full vaccine schedule in a timely manner. Concerning children under twelve months of age, the coverage targets for National Immunization of 95 % was not reached for either vaccine, and only 2.94 % (95 % CI 0.92-9.01) who had been receiving a three-vaccine scheme were considered as fully immunized in a timely manner. In contrast, coverage increased to 33.94 % (95 % CI 26.99-41.66), when untimely immunizations were taken into account, and the 95 % target was reached for five vaccines. Likewise, there is little correlation between self-report and immunization cards but rates show more concurrence, when only considering the proportion of true positives. In conclusion it was find that children at a local level are vaccinated in an incomplete and untimely manner. In order to improve immunization systems, a nominal registry of administered doses is thus of paramount importance. There is a need to address underlying health inequalities, as well as the factors associated with these, resulting in improved chances of a disease-free childhood and healthy life.

Indexed as

CoverageEquityImmunizationMexico

Identifiers

PMID37601323
PMCPMC10436168
OpenAlexW4385507906

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.