دورية أكاديمية
In-depth reasons for the high proportion of zero-dose children in underserved populations of Ethiopia: Results from a qualitative study.
| العنوان: | In-depth reasons for the high proportion of zero-dose children in underserved populations of Ethiopia: Results from a qualitative study. |
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| المؤلفون: | Biks GA; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Shiferie F; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Tsegaye DA; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Asefa W; Project HOPE Headquarter, Washington, DC, United States., Alemayehu L; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Wondie T; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Seboka G; Project HOPE, Ethiopia Country Office, Addis Ababa, Ethiopia., Hayes A; Project HOPE Headquarter, Washington, DC, United States., RalphOpara U; Project HOPE Headquarter, Washington, DC, United States., Zelalem M; Maternal and Child Health, Minister of Health, Addis Ababa, Ethiopia., Belete K; USAID Ethiopia Country Office, Addis Ababa, Ethiopia., Donofrio J; Bill and Melinda Gates Foundation, United States., Gebremedhin S; School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. |
| المصدر: | Vaccine: X [Vaccine X] 2024 Feb 01; Vol. 16, pp. 100454. Date of Electronic Publication: 2024 Feb 01 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101748769 Publication Model: eCollection Cited Medium: Internet ISSN: 2590-1362 (Electronic) Linking ISSN: 25901362 NLM ISO Abbreviation: Vaccine X Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : Elsevier Ltd., [2019]- |
| مستخلص: | Increasing attention is being given to reach children who fail to receive routine vaccinations, commonly designated as zero-dose children. A comprehensive understanding of the supply- and demand-side barriers is essential to inform zero-dose strategies in high-burden countries and achieve global immunization goals. This qualitative study aimed to identify the barriers for reaching zero-dose and under-immunized children and what and explore gender affects access to vaccination services for children in Ethiopia. Data was collected between March-June 2022 using key informant interviews and focus group discussions with participants in underserved settings. The high proportion of zero-dose children was correlated with inadequate information being provided by health workers, irregularities in service provision, suboptimal staff motivation, high staff turnover, closure and inaccessibility of health facilities, lack of functional health posts, service provision limited to selected days or hours, and gender norms viewing females as responsible for childcare. Demand-side barriers included religious beliefs, cultural norms, fear of vaccine side effects, and lack of awareness and sustained interventions. Recommendations to increase vaccination coverage include strengthening health systems such as services integration, human resources capacity building, increasing incentives for health staff, integrating vaccination services, bolstering the EPI budget especially from the government side, and supporting reliable outreach and static immunization services. Additionally, immunization policy should be revised to include gender considerations including male engagement strategies to improve uptake of immunization services. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors. Published by Elsevier Ltd.) |
| References: | Pan Afr Med J. 2017 Dec 05;28:290. (PMID: 29675124) BMC Public Health. 2011 Sep 25;11:723. (PMID: 21942999) Front Pediatr. 2023 Mar 03;11:1083358. (PMID: 36937956) J Glob Health. 2022 Mar 26;12:04022. (PMID: 35356658) Int J Pediatr. 2019 May 27;2019:1924941. (PMID: 31263502) Prev Med Rep. 2019 Mar 28;14:100858. (PMID: 30997325) BMC Public Health. 2014 Jun 30;14:669. (PMID: 24981729) Vaccines (Basel). 2023 Mar 31;11(4):. (PMID: 37112693) BMC Health Serv Res. 2021 Sep 13;21(Suppl 1):587. (PMID: 34511081) BMC Health Serv Res. 2018 Feb 17;18(1):120. (PMID: 29454350) Int J Epidemiol. 2007 Jun;36(3):633-41. (PMID: 17420165) Int J Equity Health. 2022 Jun 11;21(1):82. (PMID: 35701823) BMC Pregnancy Childbirth. 2021 Jun 2;21(1):410. (PMID: 34078318) J Paediatr Child Health. 2011 May;47(5):276-81. (PMID: 21244560) BMC Public Health. 2020 Jul 14;20(1):1108. (PMID: 32664849) Health Res Policy Syst. 2021 Aug 11;19(Suppl 2):55. (PMID: 34380526) Vaccine. 2021 Jun 29;39(29):3926-3934. (PMID: 34088509) Vaccines (Basel). 2022 Jun 27;10(7):. (PMID: 35891196) Vaccines (Basel). 2022 Sep 19;10(9):. (PMID: 36146646) BMC Pediatr. 2022 Apr 11;22(1):193. (PMID: 35410186) Arch Public Health. 2020 Nov 17;78(1):119. (PMID: 33292511) BMC Public Health. 2020 Mar 4;20(1):289. (PMID: 32131787) PLoS One. 2017 Nov 8;12(11):e0186733. (PMID: 29117207) |
| فهرسة مساهمة: | Keywords: Focus group discussion; Gender norms; Key informant interview; Qualitative; Supply and demand barrier |
| تواريخ الأحداث: | Date Created: 20240208 Latest Revision: 20240210 |
| رمز التحديث: | 20240210 |
| مُعرف محوري في PubMed: | PMC10847948 |
| DOI: | 10.1016/j.jvacx.2024.100454 |
| PMID: | 38327767 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2590-1362 |
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| DOI: | 10.1016/j.jvacx.2024.100454 |