ArticleBMC pediatrics2024
Population-based cross-sectional study of factors influencing full vaccination status of children aged 12- 23 months in a rural district of the Upper East Region, Ghana.
Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Beyond the clinic gate: barriers to childhood immunization access and strategies for improvement at a rural Zimbabwean clinic.BMC public health · 2026Article
- Spatial variation and determinants of hepatitis B birth dose vaccination in Nigeria: a population-based study.BMC public health · 2026Article
- Determinants of incomplete childhood vaccination among children aged 0-23 months in Ghana: a facility-based cross-sectional study.BMC pediatrics · 2026Article
- Closing immunization gap: Complete basic childhood vaccination and associated factors among children aged 12-23 months in Tanzania; a multilevel analysis of the 2022 Demographic and Health Survey.PLOS global public health · 2026Article
- Article
- Progress and gaps in childhood immunization among two-year-olds in Ghana (1993-2022): A trend and equity analysis.PloS one · 2026Article
- Trends and Characteristics of Child Non-Vaccination in Guinea from 1999 to 2018.Research square · 2025Article
- Routine immunization coverage among children under 24 months and its determinants in Eastern and Oti regions of Ghana.BMC pediatrics · 2025Article
- Assessing Postnatal Immunisation Services in a Low-Resource Setting: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2025Article
- Trends and characteristics of child non-vaccination in Guinea from 1999 to 2018.Frontiers in public health · 2025Article
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6 authors.
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Abstract
backgroundAchieving universal health coverage includes ensuring that children have access to vaccines that are of high quality, safe, efficacious, and affordable. The Immunisation Agenda 2030 aims to expand services to zero-dose and incompletely vaccinated children and reduce immunisation rate disparities as a contribution to vaccination equity. This study explored the factors influencing full vaccination status among children aged 12 - 23 months in a rural district of the Upper East Region of Ghana.
methodsA population-based cross-sectional study was conducted among carers of children aged 12 -23 months in the Kassena Nankana West district. A multistage sampling technique was used to select 360 carers. Information regarding the vaccination status of children was gathered through a combination of children's health record books and carers' recollections. Information on potential determinants was also systematically collected for analysis in Stata version 15.0.
resultsThe results showed that 76.9% (95% CI: 72.3 - 81.0) of children had full vaccinations per the national schedule. All children received at least one vaccination. A higher percentage of carers with incompletely vaccinated children reported that they had travelled with their children as the primary reason for missing certain vaccine doses. Full vaccination status was significantly associated with secondary (aOR = 2.60; 95% CI: 1.20-5.63) and tertiary (aOR = 3.98, 95% CI: 1.34-11.84) maternal educational level, being in a partnership relationship (aOR = 2.09, 95% CI: 1.03-4.25), and residing in close proximity to healthcare facilities (aOR = 0.41, 95% CI: 0.21-0.80).
conclusionsOur study found that nearly one-quarter of children aged 12-23 months in the study setting are underserved with vaccination services for a variety of reasons. Effectively reaching these children will require strengthening health systems, including eliminating vaccine shortages, addressing the unique challenges faced by unmarried women with children aged 12-23 months, and improving accessibility to vaccination services.
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