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Determinants of Zero-Dose Bacillus Calmette-Guérin Vaccination in Somaliland: A Cross-Sectional Study
Suhayb Maxamed Ibraahim1, Mubaarik Mohamed Moumin1, Mubarik Mohamed Elmi1
1School of Medicine and Surgery, College of Health Sciences Amoud University Borama Somalia.
Insights
Facility-based delivery significantly increases BCG vaccination rates in Somaliland. This highlights the importance of maternal health services for preventing zero-dose children and reducing vaccine disparities.
Area of Science:
- Global Health
- Pediatric Vaccinations
- Public Health Policy
Background:
- Zero-dose children are highly vulnerable to vaccine-preventable diseases.
- Identifying determinants of BCG vaccination is crucial for improving child health outcomes in Somaliland.
Purpose of the Study:
- To determine the sociodemographic, economic, and healthcare factors associated with zero-dose BCG vaccination in children under five in Somaliland.
Main Methods:
- Cross-sectional study utilizing data from 2039 children from the 2020 Somaliland Demographic and Health Survey.
- Bivariate analysis (chi-square tests) and multivariate logistic regression were employed to identify predictors of BCG vaccination.
Main Results:
- Overall BCG coverage was 72.5%.
- Facility-based delivery (AOR=4.50), maternal secondary education (AOR=2.15), and the highest wealth quintile (AOR=3.10) were significant positive predictors of BCG receipt.
Conclusions:
- Facility delivery is a critical intervention to prevent zero-dose status.
- Integrating maternal health services and targeted outreach to marginalized groups can reduce vaccination inequities.
Background And Aims:
Zero-dose children face significant risks of vaccine-preventable diseases. This study aims to identify the sociodemographic, economic, and healthcare-related determinants of zero-dose BCG vaccination among children under 5 years of age in Somaliland.
Methods:
This cross-sectional study analyzed data from 2039 children from the 2020 Somaliland Demographic and Health Survey (SLDHS). We employed bivariate analysis (chi-square tests) and multivariate logistic regression to identify predictors of BCG vaccination.
Results:
Overall BCG coverage was 72.5%. Adjusted analysis revealed that facility-based delivery (AOR = 4.50; 95% CI: 3.51-5.77), maternal secondary education (AOR = 2.15; 95% CI: 1.25-3.70), and the highest wealth quintile (AOR = 3.10; 95% CI: 2.35-4.09) were significant predictors of BCG receipt.
Conclusion:
Facility delivery is the most critical intervention point to prevent zero-dose status. Strengthening maternal health integration and targeted outreach to marginalized populations are essential to reducing vaccination disparities.
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