Evidence map›Paper›PMID 40864500›Full record

SynthesisJMIR public health and surveillance2025

Uptake of the Second Dose of the Measles Vaccine and Its Determinants Among Children Aged Less Than 5 Years: Systematic Review and Meta-Analysis.

Molalign Aligaz Adisu, Tesfaye Engdaw Habtie, Tegene Atamenta Kitaw, Alemu Birara Zemariam

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in JMIR public health and surveillance, 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

4 authors.

Molalign Aligaz AdisuDepartment of Pediatrics and Child Health, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID 0009-0003-1685-983X
Tesfaye Engdaw HabtieDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID 0009-0006-7943-3280
Tegene Atamenta KitawDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID 0000-0002-7199-1249
Alemu Birara ZemariamDepartment of Pediatrics and Child Health, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID 0000-0001-8195-3011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopia is faced with poor measles-containing vaccine second dose (MCV2) coverage, leading to recurrent outbreaks.

objectiveThis meta-analysis and systematic review aimed at combining evidence of MCV2 uptake in Ethiopia and its determinants to inform interventions for increased vaccination uptake and control of public health challenges.

methodsThis review examined observational quantitative research on measles second dose vaccination among children in Ethiopia using databases such as PubMed Central, Cochrane Library, Web of Science, Scopus, MEDLINE, and Embase. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. Heterogeneity was evaluated using I

resultsThe overall MCV2 uptake among children aged <5 years in Ethiopia was only 34.4% (95% CI 18.8%-49.9%). Significant determinants of MCV2 uptake included high level of maternal education (adjusted odds ratio [AOR] 3.31, 95% CI 1.32-5.30), attendance to antenatal care follow-ups (AOR 2.02, 95% CI 1.12-2.92), use of postnatal care services (AOR 3.03, 95% CI 1.77-4.28), reduced waiting times at vaccination sites (AOR 2.56, 95% CI 1.98-3.13), good awareness of measles vaccination (AOR 2.17, 95% CI 1.59-2.74), and positive perceptions of the vaccine (AOR 3.58, 95% CI 1.97-6.30).

conclusionsThis study found that the uptake of MCV2 among children aged <5 years in Ethiopia was 34%, which is far below the global and national goal of 95%. Key factors contributing to low coverage include mothers' educational levels, use of antenatal and postnatal care services, waiting times at vaccination sites, and mothers' awareness of the measles vaccine. Improving community-based education programs, increasing access to antenatal and postnatal care services, reducing waiting times, and raising awareness about immunization all contribute to increasing vaccine uptake.

trial registrationPROSPERO CRD42024619031; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024619031.

Indexed as

Immunization, SecondaryMeaslesMeasles VaccineVaccination CoverageChild, PreschoolEthiopiaFemaleHumansInfantMeasles VaccinechildrenEthiopiameaslesmeta-analysissecond doseuptakevaccine

Identifiers

PMID40864500
PMCPMC12423608

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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.