Background
Methods
Data source and sampling procedure
Study design, period, and area
Study population, inclusion, and exclusion criteria
Country name | Year | Unweighted sample | Weighted sample | Weighted proportion |
---|---|---|---|---|
Angola | 2015/16 | 2630 | 2409 | 6.84% |
Benin | 2017/18 | 2402 | 2402 | 6.82% |
Burundi | 2016/2017 | 2473 | 2564 | 7.28% |
Cameron | 2018 | 1717 | 1785 | 5.07% |
Ethiopia | 2016 | 1831 | 1904 | 5.41% |
Guinea | 2018 | 1374 | 1323 | 3.76% |
Mali | 2018 | 1846 | 1953 | 5.55% |
Malawi | 2015/16 | 3152 | 3131 | 8.9% |
Mauritania | 2019/20 | 2017 | 2018 | 5.73% |
Nigeria | 2018 | 5787 | 5866 | 16.67% |
Sera Leon | 2019 | 1805 | 1779 | 5.06% |
South Africa | 2016 | 322 | 347 | 0.99% |
Tanzania | 2015/16 | 2050 | 2037 | 5.79%% |
Uganda | 2018/19 | 2714 | 2651 | 7.53% |
Zambia | 2018 | 1867 | 1835 | 5.22% |
Zimbabwe | 2015 | 1127 | 1185 | 3.37% |
Total | 35,087 | 35,193 |
Variable of the study
Outcome variable
Independent variable
Data management and analysis
Data analysis
Ethical consideration
Result
Socio-demographic characteristics
Immunization uptake across the countries
Percentage of each vaccine uptake
Pooled incomplete immunization coverage
Incomplete immunization uptake along explanatory variables
Variable | Weighted frequency | Weighted proportion | Incomplete immunization | |
---|---|---|---|---|
Frequency | Percent | |||
Sex of child | ||||
Male | 17856 | 50.73% | 6680 | 50.63% |
Female | 17337 | 49.27% | 6511 | 49.37% |
Marital status | ||||
Single | 9478 | 26.93% | 3586 | 27.19% |
Married | 25718 | 73.07% | 9605 | 72.81% |
Age of the mother | ||||
15–29 | 20963 | 59.57% | 7884 | 59.76% |
30–39 | 11856 | 33.69% | 4408 | 33.41% |
>=40 | 2373 | 6.74% | 899 | 6.81% |
Employment | ||||
Status | ||||
Employed | 22701 | 64.50% | 8349 | 63.29% |
Non employed | 12493 | 35.50% | 4842 | 36.71% |
Parity | ||||
4-Jan | 28102 | 79.85% | 10294 | 78.03% |
9-May | 6750 | 19.18% | 2743 | 20.80% |
>=10 | 351 | 0.99% | 154 | 1.17% |
Wealth | ||||
Poor | 15656 | 44.48% | 6030 | 45.71% |
Middle | 7214 | 20.50% | 2741 | 20.78% |
Rich | 12325 | 35.01% | 4420 | 33.51% |
Educational level | ||||
No | 12793 | 36.35% | 5360 | 40.63% |
Primary | 12388 | 35.20% | 4300 | 32.60% |
secondary | 8607 | 24.46% | 3087 | 23.40% |
Higher | 1404 | 3.99% | 445 | 3.37% |
No of ANC | ||||
No ANC | 4801 | 13.64% | 2019 | 15.31% |
1–4 | 18518 | 52.61% | 6716 | 50.91% |
>=5 | 11874 | 33.74% | 4455 | 33.77% |
Family planning | ||||
No | 22983 | 65.31% | 63 | 5.47% |
Traditional | 1148 | 3.26% | 347 | 30.23% |
Modern | 11061 | 31.43% | 739 | 64.29% |
Place of delivery | ||||
Home | 10812 | 30.72% | 4940 | 37.45% |
Health facility | 23869 | 67.82% | 8101 | 61.41% |
Other | 513 | 1.46% | 150 | 1.14% |
Postnatal care | ||||
No | 24541 | 69.72% | 9547 | 72.37% |
Yes | 10653 | 30.27% | 3645 | 27.63% |
Sex of household | ||||
Male | 28028 | 79.64% | 10467 | 79.35% |
Female | 7165 | 20.36% | 2723 | 20.65% |
Health insurance | ||||
No | 33563 | 95.37% | 12776 | 96.85% |
Yes | 1630 | 4.63% | 415 | 3.14% |
Media | ||||
No | 13706 | 38.95% | 5226 | 39.62% |
Yes | 21487 | 61.05% | 7965 | 60.38% |
Residence | ||||
Urban | 10981 | 31.20% | 4397 | 33.33% |
Rural | 24212 | 68.80% | 8794 | 66.66% |
Factor associated with incomplete immunization uptake
Fixed effect model
Variable | AOR(95%CI) | P value | AOR[95%CI] | P value |
---|---|---|---|---|
INDIVIDUAL FACTORS | ||||
Wealth | ||||
Poor | 1.41(1.31,1.5) | 0.000 | 1.001(0.92,1.07) | 0.994 |
Middle | 1.12(1.109,1.29) | 0.000 | 0.99(0.92,1.08) | 0.946 |
Rich | 1.00 | 1.00 | ||
Education | ||||
No | 2.27(1.94,2.67) | 0.000 | 1.23(1.07,1.49) | 0.006* |
Primary | 1.25(1.07,1.47) | 0.006 | 0.95(0.80,1.12) | 0.53 |
Secondary | 1.27(1.08,1.5) | 0.003 | 1.07(0.91,1.27) | 0.39 |
Higher | 1.00 | 1.00 | ||
Family planning | ||||
No | 2.18(2.04,2.33) | 0.000 | 1.72(1.61,1.84) | < 0.001** |
Traditional | 1.11(0.94,0.31) | 0.223 | 1.06(0.89,1.26) | 0.464 |
Modern | 1.00 | 1.00 | ||
Employment | ||||
unemployed | 1.16(1.09,1.24) | 0.000 | 1.16(1.09,1.24) | < 0.001** |
Employed | 1.00 | 1.00 | ||
ANC | ||||
No | 3.08(2.73,3.49) | 0.000 | 1.80(1.58,2.04) | < 0.001** |
1–4 | 0.98(0.92,1.03) | 0.451 | 0.89(0.83,0.95) | < 0.001** |
>=5 | 1.00 | |||
Place of Delivery | ||||
Home | 2.68(2.49,2.89) | 0.000 | 2.04(1.89,2.21) | < 0.001** |
Facility | 1.00 | 1.00 | ||
Other | 0.88(0.66,1.18) | 0.402 | 0.85(,0.63,1.15) | 0.282 |
Postnatal care | ||||
No | 1.44(1.35,1.54) | 0.000 | 1.25(1.17,1.35) | < 0.001** |
Yes | 1.00 | |||
Health insurance | ||||
Yes | 1.00 | 1.00 | ||
No | 2.08(1.77,2.45) | 0.000 | 1.75(1.48,2.05) | < 0.001** |
Sex of child | ||||
Male | 1.00 | |||
Female | 1.01(0.95,1.06) | 0.995 | ||
Age of the mother | ||||
15–29 | 0.93(0.83,1.04) | 0.203 | ||
30–39 | 0.91(0.81,1.02) | 0.123 | ||
>=40 | 1.00 | |||
Parity | ||||
1–4 | 1.00 | 1.00 | ||
5–9 | 1.32(1.22,1.44) | 0.000 | 1.09(1.01,1.18) | 0.017* |
>=10 | 2.23(1.66,2.99) | 0.000 | 1.56(1.12,2.17) | 0.008* |
COMMUNITY LEVEL | ||||
Media | ||||
Yes | 1.00 | 1.00 | < 0.001** | |
No | 1.21(1.14,1.23) | 0.000 | 0.96(0.89,1.02) | |
Residence | ||||
Rural | 0.92(0.86,0.99) | 0.035 | 1.00 | |
Urban | 1.00 | 1.50(1.37,1.63) | < 0.001** |
Random effect analysis and model comparison
null model | Model 1 | Model 2 | Model 3 | |
---|---|---|---|---|
Community level variance | 0.71(0.57, 0.87) | 0.44(0.35, 0.56) | 0.68(0.55, 0.84) | 0.45 (0.35, 0.57) |
ICC (%) | 0.18 | 0.12 | 0.17 | 0.12 |
PCV | - | 38.03% | 4.23% | 36.62% |
Log-likelihood | -32464.6 | -28604.28 | -32166.71 | -26800.08 |
Deviance | 64929.2 | 57208.56 | 64333.42 | 53600.16 |
BIC | 64960.6 | 57574.85 | 64385.75 | 57587.38 |
AIC | 64935.21 | 57278.56 | 56978.45 | 57274.15 |