Hassan Shafie Abdulkadir, Abukar Abdifatah Abdullahi, Gutale Abdulahi Salad, Hassan Asma Isak, Haji Abdulahi Jabril, Nur Abdulkadir Mohamed, Adam Mohamed Ibrahim, Hassan Ahmed Nor Osman, Mohamed Mowlid Abdikarin, Omar Abdifetah Ibrahim, Ahmed Nur Rashid
Faculty of Medicine and Health Science, Jamhuriya University of Science and Technology, Mogadishu, Somalia.
Jamhuriya Research Center, Jamhuriya University of Science and Technology, Mogadishu, Somalia.
Front Pediatr. 2025 May 7;13:1504255. doi: 10.3389/fped.2025.1504255. eCollection 2025.
Routine vaccination is essential in reducing child mortality. This study assessed the determinants of vaccination status and its determinants for children aged 12-23 months in community health centers in Mogadishu, Somalia.
The study involved 417 mothers, systematically selected from those attending community health centers in Mogadishu for antenatal care between March 25 and June 15, 2024. Data was collected through a structured questionnaire, and SPSS was used for the analysis. Logistic regression analyses of both bivariate and multivariate were conducted to examine the association between dependent and independent variables. The findings were reported as adjusted odds ratios (AOR) with 95% confidence intervals, and a -value of less than 0.05 determined statistical significance.
Vaccination rates showed that 53% of children were fully vaccinated, while 47% had received partial vaccinations. Findings revealed that higher household income was associated with increased odds of partial vaccination status, with families earning $300-$400 monthly being most likely to be partially vaccinated (AOR: 3.247, 95% CI: 1.784-5.910, = 0.002). Additionally, children whose mothers had no antenatal care (ANC) visits were significantly less likely to be fully vaccinated (AOR = 20.075, 95% CI: 7.385-54.572, = 0.001) compared to those whose mothers attended four or more ANC visits.
Our findings revealed that 53% of children were fully vaccinated, with higher household income and regular antenatal care visits associated with increased vaccination rates. Future research should focus on interventions to improve maternal health services and increase access to antenatal care (ANC) to raise vaccination rates in Somalia. Further investigation should explore barriers to vaccination in low-income areas and innovative community engagement strategies.
常规疫苗接种对于降低儿童死亡率至关重要。本研究评估了索马里摩加迪沙社区卫生中心12至23个月大儿童的疫苗接种状况及其决定因素。
该研究涉及417名母亲，她们是从2024年3月25日至6月15日在摩加迪沙社区卫生中心接受产前护理的母亲中系统选取的。通过结构化问卷收集数据，并使用SPSS进行分析。进行了双变量和多变量逻辑回归分析，以检验因变量和自变量之间的关联。研究结果以调整后的比值比（AOR）及其95%置信区间表示，P值小于0.05确定具有统计学意义。
疫苗接种率显示，53%的儿童完全接种了疫苗，而47%的儿童接受了部分疫苗接种。研究结果表明，家庭收入较高与部分疫苗接种状况的几率增加有关，月收入在300至400美元的家庭最有可能部分接种疫苗（AOR：3.247，95%置信区间：1.784 - 5.910，P = 0.002）。此外，与母亲进行了四次或更多次产前检查的儿童相比，母亲未进行产前检查（ANC）的儿童完全接种疫苗的可能性显著降低（AOR = 20.075，95%置信区间：7.385 - 54.572，P = 0.001）。
我们的研究结果显示，53%的儿童完全接种了疫苗，家庭收入较高和定期进行产前检查与疫苗接种率的提高有关。未来的研究应侧重于改善孕产妇保健服务和增加产前检查（ANC）机会的干预措施，以提高索马里的疫苗接种率。进一步的调查应探索低收入地区疫苗接种的障碍以及创新的社区参与策略。
