Trends and Determinants of Full Immunisation among Children Aged 12–23 Months

Bibliographic Details
Main Author: Cassocera, Marta
Publication Date: 2023
Other Authors: Augusto, Orvalho, Chissaque, Assucênio, Guimarães, Esperança Lourenço, Shulock, Katherine, de Deus, Nilsa, Martins, Maria R. O.
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/165886
Summary: Funding Information: This research received funds from Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine (IHMT), NOVA University of Lisbon, Portugal (ref. UID/04413/2020. The funders had no role in study design, data, collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023 by the authors.
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spelling Trends and Determinants of Full Immunisation among Children Aged 12–23 MonthsAnalysis of Pooled Data from Mozambican Household Surveys between 1997 and 2015childrendeterminantsfull immunisation coverage (FIC)MozambiquesurveystrendsPublic Health, Environmental and Occupational HealthHealth, Toxicology and MutagenesisPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesFunding Information: This research received funds from Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine (IHMT), NOVA University of Lisbon, Portugal (ref. UID/04413/2020. The funders had no role in study design, data, collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023 by the authors.The 1974 Expanded Program on Immunisation has saved millions of children worldwide by promoting full immunisation coverage (FIC). However, forty years later, many sub-Saharan African countries remain well below its target of 90% FIC. This study analysed the level, trends and determinants of FIC in 4322 Mozambican children aged 12–23 months from pooled data from four national surveys between 1997 and 2015. Descriptive statistics and multivariable logistic regression models were performed to analyse the factors associated with full immunisation coverage. Overall, the coverage of fully immunised children increased from 47.9% in 1997 to 66.5% in 2015, corresponding to a 1.8% yearly increase. The needed FIC growth rate post-2015 was 4.3 times higher. Increased maternal education and a higher household wealth index were associated with higher odds of FIS. Furthermore, attending antenatal care (ANC) visits, institutional delivery and living in southern provinces were also associated with increased odds of FIS. Between 1997 and 2015, FIC among 12–23-month-old children made modest annual gains but remained well below international targets. Factors related to access to healthcare, educational level, socioeconomic status and geographical location were associated with improved FIC. Targeted interventions to expand these factors will improve immunisation coverage among Mozambican children.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)Population health, policies and services (PPS)RUNCassocera, MartaAugusto, OrvalhoChissaque, AssucênioGuimarães, Esperança LourençoShulock, Katherinede Deus, NilsaMartins, Maria R. O.2024-04-06T00:44:09Z2023-022023-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/165886eng1661-7827PURE: 87320529https://doi.org/10.3390/ijerph20032558info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-04-14T01:37:25Zoai:run.unl.pt:10362/165886Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:50:59.005443Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
Analysis of Pooled Data from Mozambican Household Surveys between 1997 and 2015
title Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
spellingShingle Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
Cassocera, Marta
children
determinants
full immunisation coverage (FIC)
Mozambique
surveys
trends
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
title_short Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
title_full Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
title_fullStr Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
title_full_unstemmed Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
title_sort Trends and Determinants of Full Immunisation among Children Aged 12–23 Months
author Cassocera, Marta
author_facet Cassocera, Marta
Augusto, Orvalho
Chissaque, Assucênio
Guimarães, Esperança Lourenço
Shulock, Katherine
de Deus, Nilsa
Martins, Maria R. O.
author_role author
author2 Augusto, Orvalho
Chissaque, Assucênio
Guimarães, Esperança Lourenço
Shulock, Katherine
de Deus, Nilsa
Martins, Maria R. O.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
Global Health and Tropical Medicine (GHTM)
Population health, policies and services (PPS)
RUN
dc.contributor.author.fl_str_mv Cassocera, Marta
Augusto, Orvalho
Chissaque, Assucênio
Guimarães, Esperança Lourenço
Shulock, Katherine
de Deus, Nilsa
Martins, Maria R. O.
dc.subject.por.fl_str_mv children
determinants
full immunisation coverage (FIC)
Mozambique
surveys
trends
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
topic children
determinants
full immunisation coverage (FIC)
Mozambique
surveys
trends
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
description Funding Information: This research received funds from Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine (IHMT), NOVA University of Lisbon, Portugal (ref. UID/04413/2020. The funders had no role in study design, data, collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023 by the authors.
publishDate 2023
dc.date.none.fl_str_mv 2023-02
2023-02-01T00:00:00Z
2024-04-06T00:44:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/165886
url http://hdl.handle.net/10362/165886
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1661-7827
PURE: 87320529
https://doi.org/10.3390/ijerph20032558
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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