ArticleVaccines2024
Factors Associated with Vaccination Coverage among 0-59-Month-Old Children: A Multilevel Analysis of the 2020 Somaliland Demographic and Health Survey.
Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Coverage and determinants of childhood immunization in Somalia: A systematic review and meta-analysis.Human vaccines & immunotherapeutics · 2026Pooled it
- Comprehensive Immunisation Among Children Aged 12-23 Months in India-A Multilevel Modelling Analysis From the National Family Health Survey (2015-21).Public health challenges · 2026Article
- Factors Associated with Childhood Vaccination in Sub-Saharan African Countries Experiencing Armed Conflicts: A Scoping Review.Journal of epidemiology and global health · 2026Article
- Spatial distribution and multilevel determinants of unvaccinated children in Somaliland: analysis of the 2020 Somaliland Health and Demographic Survey (SLHDS).BMC public health · 2026Article
- Prevalence and determinants of child immunization coverage in Ethiopia: Evidence from the 2019 mini-demographic and health survey.Human vaccines & immunotherapeutics · 2025Article
- The future impact of zero-dose children in inaccessible conflict-affected areas of Somalia: aligned with the immunization agenda 2030.Tropical medicine and health · 2025Article
- Prevalence and associated factors of immunization among under-five children in Somalia.BMC public health · 2025Article
- Article
- Immunization status and its determinants among children aged 12-23 months at community health centers in Mogadishu, Somalia: a cross-sectional study.Frontiers in pediatrics · 2025Article
- BCG Vaccination Coverage and Determinants Among Children in Somalia: A Nationwide Survey Study.Sage open pediatricsArticle
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Authors and funding
3 authors.
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Abstract
Globally, there has been little growth in vaccination coverage, with countries in the Horn of Africa having the lowest vaccination rates. This study investigated factors associated with vaccination status among children under five years old in Somaliland. The 2020 Somaliland Demographic and Health Survey surveyed women aged 15-49 years from randomly selected households. This multilevel analysis included 2673 primary caregivers of children under five. Only 34% of children were ever vaccinated. Childhood vaccination coverage was positively associated with high-budget regions, high healthcare facility density, and children older than 23 months. Vaccination coverage was greater for urban and rural residents than for nomadic people. Children whose mothers could read part of one sentence or one complete sentence were more likely to be vaccinated than illiterate mothers. Children whose mothers received antenatal care (ANC) once, two to three times, or four times or more were more likely to be vaccinated than those whose mothers received no ANC. Childhood vaccination coverage in Somaliland is low. Promoting maternal ANC visits and increasing women's literacy may enhance vaccination coverage. Funds should be allocated to areas with low resources, particularly for nomadic people, to boost vaccination uptake.
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