Hannah K. Smalley|Francisco Castillo-Zunino|P?nar Keskinocak|Dima Nazzal|Zoë Sakas|Moussa Sarr|Matthew C. Freeman
Factors associated with vaccine coverage improvements in Senegal between 2005 and 2019: a quantitative retrospective analysis
Georgia Institute of Technology|Georgia Institute of Technology|Georgia Institute of Technology|Georgia Institute of Technology|Emory University|Institute of Health Research, Epidemiological Surveillance and Training|Emory University
objective senegal demonstrated catalytic improvements national coverage rates early childhood vaccination despite lower development assistance childhood vaccines senegal compared lowincome lowermiddle income countries understanding factors associated historical changes childhood vaccine coverage senegal well heterogeneities across 14 regions highlight effective practices might adapted improve vaccine coverage elsewhere design childhood vaccination coverage rates demographic information health system characteristics identified senegals demographic health surveys dhs senegal national reports years 20052019 multivariate logistic linear regression analyses performed determine statistical associations demographic health system characteristics respect childhood vaccination coverage rates setting 14 administrative regions senegal chosen analysis participants dhs womens survey respondents living children aged 1223 months survey years 20052019 outcome measures immunisation third dose diphtheriatetanuspertussis vaccine dtp3 widely used proxy estimating immunisation coverage levels retention children vaccine programme results factors associated childhood vaccination coverage include urban residence 061 p00157 female literacy 111 p00007 skilled prenatal care 180 plt00001 selfreported ease access care sick considering travel distance healthcare facility 070 p00009 concerns travelling alone 108 plt00001 higher coverage less variability time reported urban areas near capital coast p0076 increased coverage recent years rural landlocked areas conclusions childhood vaccination likely among children whose mothers higher literacy received skilled prenatal care perceived ease access care sick overall vaccination coverage high senegal disparities coverage regions decreased significantly recent years