Evidence map›Paper›PMID 39773798›Full record

ArticleBMJ open2025

Individual and community level maternal factors for zero-dose children in Ethiopia using mini-EDHS 2019: a mixed effects model.

Muluken Chanie Agimas, Meron Asmamaw Alemayehu, Tigabu Kidie Tesfie, Werkneh Melkie Tilahun, Worku Necho Asferie, Mekuriaw Nibret Aweke, Moges Tadesse Abebe, Anteneh Kassa Yalew

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Muluken Chanie AgimasEpidemiology, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia mulukensrc12@gmail.com.ORCID http://orcid.org/0000-0003-0808-124X
Meron Asmamaw AlemayehuEpidemiology, University of Gondar, Gondar, Ethiopia.ORCID http://orcid.org/0000-0002-1852-0771
Tigabu Kidie TesfieDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Werkneh Melkie TilahunDepartment of Public Health, Debre Markos University, Debre Markos, Ethiopia.ORCID http://orcid.org/0000-0001-8206-4195
Worku Necho AsferieDepartments of Pediatric and Neonatal Nursing, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0000-0002-1886-3707
Mekuriaw Nibret AwekeDepartment of Nutrition, University of Gondar, Gondar, Ethiopia.ORCID http://orcid.org/0000-0002-7152-6435
Moges Tadesse AbebeDepartment of Nursing, Debark University, Debark, Ethiopia.ORCID http://orcid.org/0009-0000-1353-9265
Anteneh Kassa YalewDepartment of Public Health, Wolkite University, Welkite, Ethiopia.ORCID http://orcid.org/0000-0002-6874-4917

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionZero-dose children refer to a child who has not yet received any childhood vaccines. Globally, zero-dose children are the major public health problem. In sub-Saharan African countries, one among five children do not have access to vaccines. But the efforts to identify the factors contributing to the zero-dose children are not well addressed in Ethiopia.

objectivesTo assess individual and community-level maternal factors of zero-dose children in Ethiopia using mini-Ethiopian Demographic Health Survey 2019.

methodsA secondary analysis of a cross-sectional study was used among a total of 3208 participants. STATA-14 was used for descriptive and multilevel binary logistic regression (mixed effects model) analysis. Model selection was conducted using Akaike information criteria. To identify significant factors for zero-dose children, a p value of <0.05 with 95% CI was used.

resultsThe prevalence of zero-dose children among children aged 12-35 months was 523 (16.3%, 95% CI 15% to 17.6%). Women with no antenatal care follow-up (adjusted OR (AOR)=1.55, 95% CI 1.02 to 2.35), uneducated women (AOR=1.47, 95% CI 1.11 to 1.95), women who gave birth at home (AOR=1.39, 95% CI 1.04 to 1.86), women who had poor wealth index (AOR=2.15, 95% CI 1.62 to 2.85) and women from low proportions of community media exposure (AOR=1.39, 95% CI 1.13 to 1.71) were the risk factors for zero-dose children in Ethiopia.

conclusionCompared with previous studies, the prevalence of zero-dose children was low in Ethiopia. Variables like urban residence, no education, home delivery, poor wealth index, no antenatal care(ANC) visit and women from low proportions of community media exposure were the risk factors for zero-dose children in Ethiopia. Therefore, expanding maternal health services and media access for women is highly recommended to reduce zero-dose children mortality.

Indexed as

Prenatal CareAdolescentAdultChild, PreschoolCross-Sectional StudiesEthiopiaFemaleHealth SurveysHumansInfantLogistic ModelsMaleMiddle AgedPregnancySocioeconomic FactorsYoung AdultEpidemiologyHospitals, PublicImmunityIMMUNOLOGYMedicine

Identifiers

PMID39773798
PMCPMC11749608

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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.