Peer-reviewed article
Rapid survey to determine the predictive factors of vaccination coverage in children aged 0 to 59 months in Guinea
Abdoulaye Fodé Touré, Ibrahima Camara, Alioune Camara, Mariama Sylla, Mamadou Sow et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study examined vaccination coverage and its predictive factors in children aged 0 to 59 months in Guinea. Among children under 12 months, 66.5% were up-to-date with vaccinations, while only 19.8% of children aged 12-59 months were fully immunised. Key barriers to vaccination included unavailable vaccination cards, lack of prenatal consultation attendance, and high birth order. The findings show that immunisation coverage is low in Guinea and highlight the need for integrated strategies to improve vaccine uptake.
Key points
- 66.5% of children under 12 months were up-to-date with vaccinations
- Only 19.8% of children aged 12-59 months were fully immunised
- Unavailable vaccination cards increased odds of incomplete vaccination by 7.58 times in children under 12 months
- Lack of prenatal consultation attendance was associated with incomplete vaccination in both age groups
- High birth order was strongly associated with incomplete vaccination in children 12-59 months (aOR 10.23)
Limitations
The study was conducted in a single dispensary in Conakry during a two-month period, so results may not be representative of rural areas or the entire country. Vaccination status relied partly on maternal recall when vaccination cards were unavailable, which could introduce recall bias.
Abstract
BACKGROUND: The Expanded Program on Immunisation has made it possible to prevent more than 3 million deaths in children under 5 years. The objectives of this study were to estimate the vaccination coverage of children from 0 to 59 months and identify factors associated with incomplete vaccination coverage. METHODS: A cross-sectional study was carried out in a dispensary in Conakry, Guinea between January and February 2020. Sociodemographic and vaccination information was collected from mothers of 380 randomly select children aged 0 to 59 months. Information on immunisation coverage was gathered from records vaccination cards and maternal reports. Logistic regression was used to identify factors independently associated with incomplete immunisation coverage. RESULTS: Most (66.5%) children aged < 12 months were up-to-date with their vaccinations. Factors associated with incomplete vaccination in this age group included: unavailability of vaccination cards (adjusted odds ratio [aOR] 7.58; 95% confidence interval [CI]: 2.56-22.44) and lack of prenatal consultation attendance (aOR 2.93; 95% CI: 1.15-7.48). In contrast only 19.8% (95% CI: 13.9-26.7) of children aged 12-59 months were fully immunised. Factors associated with incomplete vaccination coverage in children aged 12-59 months included high birth order (aOR 10.23; 95% CI: 2.06-19.43), and lack of prenatal consultation attendance (aOR 5.34; 95% CI: 1.48-19.23). CONCLUSION: Child immunisation coverage is low in Guinea. These results highlight the need to develop strategies based on an integrated approach to overcome obstacles to childhood immunisation in Guinea.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
- Intervention
- Not applicable - this is an observational study identifying predictive factors rather than evaluating an intervention
- Population
- 380 randomly selected children aged 0 to 59 months and their mothers at a dispensary in Conakry, Guinea
Key finding
66.5% of children under 12 months were up-to-date with vaccinations