Gnimatin Jean-Pierre, Agossou Shiméa M, Hinde Lauryn L A, Ndago Joyce Aputere, Dankwah Emmanuel Owusu, Segnon Joël, Ho Quynh Ngoc Thuy, Adokiya Martin Nyaaba
School of Public Health, University for Development Studies, Tamale, Ghana.
Department of Epidemiology, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Bénin.
PLOS Glob Public Health. 2025 Feb 20;5(2):e0004206. doi: 10.1371/journal.pgph.0004206. eCollection 2025.
Vaccination is pivotal for global public health, yet achieving complete coverage among children in low-income countries remains challenging. This study assessed vaccination trends in children aged 12-59 months using Demographic and Health Surveys (DHS) data from 1996 to 2018 in Bénin. The study incorporated a range of independent variables sourced from prior studies. The data was processed and analyzed using R version 4.2.0, employing a combination of inferential and descriptive statistical techniques. Both univariate and multivariable binary logistic regression analyses were conducted to explore the determinants of complete vaccination coverage. The trend of complete childhood vaccination coverage in Bénin has shown fluctuations, with rates increasing from 47% in 1996 to 55% in 2017-2018. Higher levels of parental education -fathers (aOR 1.41; 95% CI 1.15-1.73) and mothers (aOR 1.69; CI 1.12-2.57), and urban residence (aOR 1.08; CI 1.00-1.16), were associated with complete childhood vaccination coverage. This association was also found for other factors such as antenatal care visits (aOR 1.15; CI 1.04-1.28) and deliveries at healthcare facilities (aOR 2.48; CI 2.22-2.77). Despite significant progress overtime, challenges persist, particularly among younger and rural mothers. Targeted interventions, like community-based vaccination advocacy and effective reminder systems, are essential to addressing these issues and improving vaccination coverage.
疫苗接种对全球公共卫生至关重要,但在低收入国家实现儿童完全接种覆盖率仍具有挑战性。本研究利用贝宁1996年至2018年的人口与健康调查(DHS)数据评估了12至59个月儿童的疫苗接种趋势。该研究纳入了一系列先前研究中的自变量。使用R 4.2.0版本对数据进行处理和分析,采用了推断性和描述性统计技术相结合的方法。进行了单变量和多变量二元逻辑回归分析,以探讨完全接种覆盖率的决定因素。贝宁儿童完全接种覆盖率的趋势呈现出波动,接种率从1996年的47%上升到2017 - 2018年的55%。父母受教育程度较高——父亲(调整后比值比[aOR]为1.41;95%置信区间[CI]为1.15 - 1.73)和母亲(aOR为1.69;CI为1.12 - 2.57),以及城市居住(aOR为1.08;CI为IOO - 1.16),与儿童完全接种覆盖率相关。其他因素如产前检查次数(aOR为1.15;CI为1.04 - 1.28)和在医疗机构分娩(aOR为2.48;CI为2.22 - 2.77)也存在这种关联。尽管随着时间推移取得了显著进展,但挑战依然存在,尤其是在年轻母亲和农村母亲中。有针对性的干预措施,如基于社区的疫苗接种宣传和有效的提醒系统,对于解决这些问题和提高疫苗接种覆盖率至关重要。