Determinants and prevalence of zero-dose children in Somalia: Analysis of the 2020 Health Demographic Survey data.

Autor:	Mohamoud SA; Save the Children International, Mogadishu, Somalia., Ali-Salad MA; Somali Institute for Development and Research Analysis (SIDRA), Garowe, Puntland, Somalia.; College of Arts, Humanities and Social Sciences, School of Social and Political Science, University of Edinburgh, Edinburgh, United Kingdom., Bile AS; Somali Institute for Development and Research Analysis (SIDRA), Garowe, Puntland, Somalia., Singh NS; Global Health and Development Department, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom., Mahmud AJ; Somali Institute for Development and Research Analysis (SIDRA), Garowe, Puntland, Somalia.; Uppsala University, Department of International Maternal and Child Health, Uppsala, Sweden., Nor B; Uppsala University, Department of International Maternal and Child Health, Uppsala, Sweden.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jul 02; Vol. 4 (7), pp. e0002612. Date of Electronic Publication: 2024 Jul 02 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0002612
Abstrakt:	Despite global progress in childhood vaccination coverage, fragile and humanitarian countries, with high burden of infectious diseases, continue to report a significant number of zero-dose and under-vaccinated children. Efforts to equitably reach zero-dose children remain thus critical. This study assesses the prevalence and determinants of zero-dose children in fragile context of Somalia. We used secondary data from 2020 Somali Health and Demographic Survey (SHDS) to determine status of unvaccinated children aged between 12 to 23 months. Variables related to socio-demographic, household, health seeking, and community level factors were extracted from the SHDS data. Variables that were shown to be significantly associated with zero-dose children at p< 0.05 in the single logistic regression analysis were identified and included in a final multiple logistic regression analysis. A total of 2,304 women and their children aged between 12-23 months were used to determine the prevalence and determinants of zero dose children in Somalia. Approximately 60.2% of the children were zero dose children and did not receive any dose of the four basic routine vaccines. Children living in rural and nomadic areas were more likely to be zero dose (aOR 1.515, 95% CI: 1.189-1.93). Mother with primary education and above (aOR 0.519, 95% CI: 0.371-0.725), those who attended antenatal care (aOR 0.161, 95% CI: 0.124-0.209) and postnatal care (aOR 0.145, 95% CI: 0.085-0.245) and listen frequently to radio (aOR 2.212, 95% CI: 1.106-4.424) were less likely to have children with zero dose than with their counterparts. Majority of children under two years of age in Somalia are reported to be zero dose children. Context and population specific interventions that target vulnerable mothers and their children, in rural and nomadic areas, and from lower wealth quintile index families with no education and adequate access to antenatal and postnatal care remain critical. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Mohamoud et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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