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What predicts full childhood immunization in Senegal

Only 62.8% of Senegalese children 12–23 months were fully immunized; maternal education, wealth, and antenatal care strongly predicted coverage.

Source

Determinants of complete immunization among senegalese children aged 12-23 months: evidence from the demographic and health survey

Mbengue MAS, Sarr M, Faye A, et al. · BMC public health · 2017

doi.org/10.1186/s12889-017-4493-3Read the full paper ↗85 citationscc by

What they did

Secondary analysis of Senegal 2010–2011 DHS data for 2,199 children aged 12–23 months examined complete immunization (card or maternal recall) and maternal/household predictors.

What they found

Complete coverage was 62.8%, below national (>80%) and international (>90%) goals; four antenatal visits associated with AOR 3.10 for complete immunization.

The limits

What it doesn't show

Causal effects of specific outreach programs, and recall-based vaccination histories can misclassify doses.

Key terms

Complete immunization
Receipt of the study-defined full infant vaccine series by 12–23 months.
DHS
Demographic and Health Survey, a nationally representative household survey.
Antenatal care visits
Pregnancy check-ups; more visits predicted higher immunization odds.
Adjusted odds ratio (AOR)
Odds ratio after controlling for other covariates.
Vaccination card
Written record of doses; coverage differed when based on card vs recall.
Coverage gap
Shortfall versus national/international immunization targets.

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Quiz yourself

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Complete immunization coverage was:

Common questions

What was complete immunization prevalence?

62.8% among children 12–23 months.

How did antenatal care relate?

Four ANC visits associated with AOR 3.10 vs fewer visits.

How large was the child sample?

2,199 children aged 12–23 months.

Were targets met?

No—below national >80% and international >90% goals.

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