Factors influencing childhood immunization uptake in Africa: a systematic review
Vaccine preventable diseases are still the most common cause of childhood mortality, with an estimated 3 million deaths every year, mainly in Africa and Asia. An estimate of 29% deaths among children aged 1–59 months were due to vaccine preventable diseases. Despite the benefits of childhood immunis...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BioMed Central
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/97276/1/s12889-021-11466-5.pdf |
| _version_ | 1811137524223967232 |
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| author | Galadima, Abubakar Nasiru Mohd Zulkefli, Nor Afiah Md Said, Salmiah Ahmad, Norliza |
| author_facet | Galadima, Abubakar Nasiru Mohd Zulkefli, Nor Afiah Md Said, Salmiah Ahmad, Norliza |
| author_sort | Galadima, Abubakar Nasiru |
| collection | UPM |
| description | Vaccine preventable diseases are still the most common cause of childhood mortality, with an estimated 3 million deaths every year, mainly in Africa and Asia. An estimate of 29% deaths among children aged 1–59 months were due to vaccine preventable diseases. Despite the benefits of childhood immunisation, routine vaccination coverage for all recommended Expanded Programme on Immunization vaccines has remained poor in some African countries, such as Nigeria (31%), Ethiopia (43%), Uganda (55%) and Ghana (57%). The aim of this study is to collate evidence on the factors that influence childhood immunisation uptake in Africa, as well as to provide evidence for future researchers in developing, implementing and evaluating intervention among African populations which will improve childhood immunisation uptake.
We conducted a systematic review of articles on the factors influencing under-five childhood immunisation uptake in Africa. This was achieved by using various keywords and searching multiple databases (Medline, PubMed, CINAHL and Psychology & Behavioral Sciences Collection) dating back from inception to 2020.
Out of 18,708 recorded citations retrieved, 10,396 titles were filtered and 324 titles remained. These 324 abstracts were screened leading to 51 included studies. Statistically significant factors found to influence childhood immunisation uptake were classified into modifiable and non-modifiable factors and were further categorised into different groups based on relevance. The modifiable factors include obstetric factors, maternal knowledge, maternal attitude, self-efficacy and maternal outcome expectation, whereas non-modifiable factors were sociodemographic factors of parent and child, logistic and administration factors. Different factors were found to influence under-five childhood immunisation uptake among parents in Africa. Immunisation health education intervention among pregnant women, focusing on the significant findings from this systematic review, would hopefully improve childhood immunisation uptake in African countries with poor coverage rates. |
| first_indexed | 2024-09-25T03:35:40Z |
| format | Article |
| id | upm.eprints-97276 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-09-25T03:35:40Z |
| publishDate | 2021 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | upm.eprints-972762024-08-29T04:40:35Z http://psasir.upm.edu.my/id/eprint/97276/ Factors influencing childhood immunization uptake in Africa: a systematic review Galadima, Abubakar Nasiru Mohd Zulkefli, Nor Afiah Md Said, Salmiah Ahmad, Norliza Vaccine preventable diseases are still the most common cause of childhood mortality, with an estimated 3 million deaths every year, mainly in Africa and Asia. An estimate of 29% deaths among children aged 1–59 months were due to vaccine preventable diseases. Despite the benefits of childhood immunisation, routine vaccination coverage for all recommended Expanded Programme on Immunization vaccines has remained poor in some African countries, such as Nigeria (31%), Ethiopia (43%), Uganda (55%) and Ghana (57%). The aim of this study is to collate evidence on the factors that influence childhood immunisation uptake in Africa, as well as to provide evidence for future researchers in developing, implementing and evaluating intervention among African populations which will improve childhood immunisation uptake. We conducted a systematic review of articles on the factors influencing under-five childhood immunisation uptake in Africa. This was achieved by using various keywords and searching multiple databases (Medline, PubMed, CINAHL and Psychology & Behavioral Sciences Collection) dating back from inception to 2020. Out of 18,708 recorded citations retrieved, 10,396 titles were filtered and 324 titles remained. These 324 abstracts were screened leading to 51 included studies. Statistically significant factors found to influence childhood immunisation uptake were classified into modifiable and non-modifiable factors and were further categorised into different groups based on relevance. The modifiable factors include obstetric factors, maternal knowledge, maternal attitude, self-efficacy and maternal outcome expectation, whereas non-modifiable factors were sociodemographic factors of parent and child, logistic and administration factors. Different factors were found to influence under-five childhood immunisation uptake among parents in Africa. Immunisation health education intervention among pregnant women, focusing on the significant findings from this systematic review, would hopefully improve childhood immunisation uptake in African countries with poor coverage rates. BioMed Central 2021-07-28 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/97276/1/s12889-021-11466-5.pdf Galadima, Abubakar Nasiru and Mohd Zulkefli, Nor Afiah and Md Said, Salmiah and Ahmad, Norliza (2021) Factors influencing childhood immunization uptake in Africa: a systematic review. BMC Public Health, 21 (1). pp. 1-20. ISSN 1471-2458 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11466-5 10.1186/s12889-021-11466-5 |
| spellingShingle | Galadima, Abubakar Nasiru Mohd Zulkefli, Nor Afiah Md Said, Salmiah Ahmad, Norliza Factors influencing childhood immunization uptake in Africa: a systematic review |
| title | Factors influencing childhood immunization uptake in Africa: a systematic review |
| title_full | Factors influencing childhood immunization uptake in Africa: a systematic review |
| title_fullStr | Factors influencing childhood immunization uptake in Africa: a systematic review |
| title_full_unstemmed | Factors influencing childhood immunization uptake in Africa: a systematic review |
| title_short | Factors influencing childhood immunization uptake in Africa: a systematic review |
| title_sort | factors influencing childhood immunization uptake in africa a systematic review |
| url | http://psasir.upm.edu.my/id/eprint/97276/1/s12889-021-11466-5.pdf |
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