Evidence map›Paper›PMID 40345704›Full record

ArticleBMJ global health2025

Vaccination and its social and behavioural drivers in children with disability in Fiji.

Israt Jahan, Unise Vakaloloma, Sureni Perera, Ilisapeci Tuibeqa, Rachel Devi, Litiana Volavola, William May, Donald Wilson, Lanieta Tuimabu, Rosalie Power and 8 more

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In one paragraph

Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Israt JahanCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.
Unise VakalolomaFiji Institute of Pacific Health Research, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
Sureni PereraFrank Hilton Organization, Suva, Fiji.
Ilisapeci TuibeqaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Suva, Rewa, Fiji.
Rachel DeviMinistry of Health and Medical Services (MHMS), Suva, Fiji.
Litiana VolavolaMinistry of Health and Medical Services (MHMS), Suva, Fiji.
William MaySchool of Medical Sciences, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
Donald WilsonFiji Institute of Pacific Health Research, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
Lanieta TuimabuFiji Disabled People's Federation (FDPF), Suva, Fiji.
Rosalie PowerTranslational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Susan WoolfendenSydney Medical School, The Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Margie DanchinMurdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-7624-5691
Sarah McIntyreSydney Medical School, The Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Hayley Smithers-SheedyCerebral Palsy Alliance Research Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Nadia BadawiCerebral Palsy Alliance Research Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Kristine MacartneyNational Centre for Immunisation Research and Surveillance, Westmead, New South Wales, Australia.
Gulam KhandakerCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.
Meru SheelSydney Infectious Diseases Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia meru.sheel@sydney.edu.au.ORCID http://orcid.org/0000-0001-5453-070X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData on the vaccination of children with disabilities are limited across Pacific Island countries like Fiji. This study aimed to examine the vaccination status and measure the social and behavioural drivers influencing vaccination of children with disability in Fiji.

methodsA cross-sectional survey was conducted in Suva-Nausori area, Rewa, Fiji among children with disabilities (eg, motor, vision, hearing, speech, intellectual, epilepsy) aged 2-19 years and their caregivers. Caregivers were interviewed using a questionnaire to collect data on sociodemographic, functional characteristics (UNICEF's child-functioning tool), child's vaccination status according to Fiji's National Immunisation Programme (NIP), and drivers of vaccination using the WHO-UNICEF Behavioural and Social Drivers Tool. Descriptive and regression analyses were undertaken.

resultsIn April-May 2023, 198 children and their caregivers were recruited from the study area. The mean age of participating children was 7.6 years, 67.7% were male. Of the 198 children, 55% were fully vaccinated against all vaccines provided under the NIP. Percentage vaccination was highest for dose 1 of each NIP vaccine antigen and declined for subsequent doses. Vaccination against all NIP vaccines was significantly lower among children aged 15-19 years, those with hearing difficulties, and whose caregivers had low confidence in vaccine safety, whereas vaccination was higher among children with mobility difficulties.

conclusionStudy findings highlight the need for equitable access to vaccines for children with disability who are vulnerable to infection from vaccine-preventable diseases. Policies and response plans should emphasise inclusiveness and assist children with disabilities to overcome access barriers within existing vaccination programmes.

Indexed as

Children with DisabilitiesVaccinationAdolescentCaregiversChildChild, PreschoolCross-Sectional StudiesFemaleFijiHumansImmunization ProgramsMaleSurveys and QuestionnairesYoung AdultChild healthGlobal HealthImmunisationVaccines

Identifiers

PMID40345704
PMCPMC12067796

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.