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Subnational inequalities in diphtheria-tetanus-pertussis immunization in 24 countries in the African Region.


ABSTRACT:

Objective

To analyse subnational inequality in diphtheria-tetanus-pertussis (DTP) immunization dropout in 24 African countries using administrative data on receipt of the first and third vaccine doses (DTP1 and DTP3, respectively) collected by the Joint Reporting Process of the World Health Organization and the United Nations Children's Fund.

Methods

Districts in each country were grouped into quintiles according to the proportion of children who dropped out between DTP1 and DTP3 (i.e. the dropout rate). We used six summary measures to quantify inequalities in dropout rates between districts and compared rates with national dropout rates and DTP1 and DTP3 immunization coverage.

Findings

The median dropout rate across countries was 2.4% in quintiles with the lowest rat

SUBMITTER: Kirkby K 

PROVIDER: S-EPMC8381099 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature