Evidence map›Paper›PMID 40573934›Full record

ReviewVaccines2025

Effects of Pneumococcal Vaccination in Children Under Five Years of Age in the Democratic Republic of Congo: A Systematic Review.

Marcellin Mengouo Nimpa, Abel Ntambue, Christian Ngandu, M Carolina Danovaro-Holliday, André Bita Fouda, Aimé Mwana-Wabene Cikomola, Jean-Crispin Mukendi, Dieudonné Mwamba, Adèle Daleke Lisi Aluma, Moise Désiré Yapi and 3 more

Abstract readReview
In one paragraph

Review in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Marcellin Mengouo NimpaWorld Health Organization (WHO) Country Office, Kinshasa P.O. Box 1899, Democratic Republic of the Congo.ORCID 0000-0002-7727-3504
Abel NtambueÉcole de Santé Publique, Université de Lubumbashi, Lubumbashi P.O. Box 1825, Democratic Republic of the Congo.ORCID 0000-0003-2334-2129
Christian NganduNational Institute of Public Health, Kinshasa P.O. Box 01206, Democratic Republic of the Congo.
M Carolina Danovaro-HollidayImmunization, Analytics and Insights (IAI), Department of Immunization, Vaccines and Biologicals (IVB), World Health Organization (WHO), 1211 Geneva, Switzerland.ORCID 0000-0001-7324-9198
André Bita FoudaWorld Health Organization African Regional Office, Brazzaville P.O. Box 06, Congo.
Aimé Mwana-Wabene CikomolaExpanded Program of Immunization, Kinshasa P.O. Box 01206, Democratic Republic of the Congo.ORCID 0000-0002-7016-8197
Jean-Crispin MukendiExpanded Program of Immunization, Kinshasa P.O. Box 01206, Democratic Republic of the Congo.
Dieudonné MwambaNational Institute of Public Health, Kinshasa P.O. Box 01206, Democratic Republic of the Congo.
Adèle Daleke Lisi AlumaIndependent Researcher, Kinshasa P.O. Box 01211, Democratic Republic of the Congo.
Moise Désiré YapiWorld Health Organization (WHO) Country Office, Kinshasa P.O. Box 1899, Democratic Republic of the Congo.
Jean Baptiste NikiemaWorld Health Organization (WHO) Country Office, Kinshasa P.O. Box 1899, Democratic Republic of the Congo.ORCID 0000-0003-4474-7811
Boureima Hama SamboWorld Health Organization (WHO) Country Office, Kinshasa P.O. Box 1899, Democratic Republic of the Congo.
Daniel Katuashi IshosoWorld Health Organization (WHO) Country Office, Kinshasa P.O. Box 1899, Democratic Republic of the Congo.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn the Democratic Republic of Congo (DRC), the 13-valent pneumococcal conjugate vaccine (PCV13) was introduced in 2011 through a three-dose schedule, targeting infants as part of the Expanded Program on Immunization (EPI), to reduce pneumococcal-related morbidity and mortality. The aim of this study was to determine the proportion of pneumonia and meningitis cases and deaths prevented in children under five following the introduction of this vaccine.

methodsThis is a systematic review. We synthesized findings from studies carried out in the DRC between 2011 and 2023. We searched scientific articles, published and unpublished doctoral theses and conference proceedings. Only papers written in French or English and those reporting the results of original analytical studies were selected. We assessed the direct effect of PCV13 by calculating the proportion of infections avoided, using Odds Ratios or prevalence ratios related to infection or pneumococcal carriage.

resultsFour studies were included in this review. Regarding pneumococcal carriage, when children received three PCV13 doses, the prevalence of carriage was reduced by 93.3% (95% CI: 86.3 to 96.6%), while a single dose did not significantly reduce the prevalence of carriage compared with children who had not received any dose. Concerning pneumonia prevention, three doses of PCV13 prevented 66.7% (95% CI: 37.2 to 82.2) of cases among vaccinated children. The proportion of meningitis attributable to

conclusionsThere is clear, but scattered, evidence of reduced colonization by

Indexed as

Democratic Republic of the CongoPCV13pneumococcal conjugate vaccinepneumococcal infectionsStreptococcus pneumoniae

Identifiers

PMID40573934
PMCPMC12197474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.