SwePub
Sök i LIBRIS databas

  Extended search

onr:"swepub:oai:DiVA.org:umu-217287"
 

Search: onr:"swepub:oai:DiVA.org:umu-217287" > Missed opportunitie...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Missed opportunities for vaccination at point of care and their impact on coverage and urban–rural coverage inequity in the Gambia

Sowe, Alieu (author)
Umeå universitet,Institutionen för epidemiologi och global hälsa,Expanded Program on Immunization, Ministry of Health, Banjul, the Gambia
Namatovu, Fredinah, PhD, 1980- (author)
Umeå universitet,Institutionen för epidemiologi och global hälsa
Cham, Bai (author)
Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Bakau, the Gambia; School of Public Health, Georgia State University, Atlanta, GA, USA
show more...
Gustafsson, Per E. (author)
Umeå universitet,Institutionen för epidemiologi och global hälsa
show less...
 (creator_code:org_t)
Elsevier, 2023
2023
English.
In: Vaccine. - : Elsevier. - 0264-410X .- 1873-2518. ; 41:52, s. 7647-7654
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Introduction: Identifying actionable targets is crucial to improve overall and equity in vaccination coverage, and in line with the global Immunization Agenda 2030. Therefore, this study seeks to assess the prevalence of missed opportunities for simultaneous vaccination (MOSVs) and their impact on vaccination coverage and urban-rural inequity in The Gambia.Methods: We used data of children aged 12-23 months from The Gambia 2019/2020 demographic and health survey (weighted n = 1355) with seen vaccination cards. We analyzed: the frequency of MOSVs; percentage point coverage reduction attributable to MOSVs for 18 vaccine doses and full basic vaccination; and MOSVs' contribution to urban-rural coverage inequity through Blinder-Oaxaca decomposition.Results: Sixty percent of children experienced MOSVs, in both urban and rural areas, but urban MOSVs were more seldom corrected (35.9 % vs 45.3 %). All eighteen vaccine doses assessed could have achieved between one to eleven percentage points higher coverage if MOSVs had been avoided, with full basic vaccination gaining even more. While MOSV correction did not impact overall urban-rural coverage inequity, it did exacerbate (explained coefficient = -0.1007; P = 0.002) inequities among children who experienced MOSVs, explaining 95 % of the observed difference.Conclusion: Our study highlights the prevalence and negative impact of MOSVs on overall vaccination coverage. Although MOSVs did not contribute significantly to the total urban-rural inequity in coverage, they have detrimental effects on vaccination coverage and urban-rural inequity among children who had experienced MOSVs. Addressing MOSVs, can enhance coverage and reduce the risk of under-vaccination, aligning with global initiatives.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Equity
Immunization Agenda 2030
Missed opportunities for simultaneous vaccination
Missed opportunities for vaccination
Point of care
Vaccination coverage

Publication and Content Type

ref (subject category)
art (subject category)

Find in a library

  • Vaccine (Search for host publication in LIBRIS)

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Find more in SwePub

By the author/editor
Sowe, Alieu
Namatovu, Fredin ...
Cham, Bai
Gustafsson, Per ...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
and Public Health Gl ...
Articles in the publication
Vaccine
By the university
Umeå University

Search outside SwePub

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view