Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo

Nyulelen Toyi Mangbassim; Alphonse Kpozehouen; Jacques Zinsou Saizonou; Nicolas Gaffan

doi:doi:10.11648/j.cajph.20230901.12

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Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo

Nyulelen Toyi Mangbassim, Alphonse Kpozehouen, Jacques Zinsou Saizonou, Nicolas Gaffan

Published in Central African Journal of Public Health (Volume 9, Issue 1)

Received: 4 January 2023 Accepted: 25 January 2023 Published: 9 February 2023

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Abstract

One of the priorities of the Immunization Agenda 2030 is to identify “zero-dose” children, and to adapt strategies in order to recover them. The study aimed to estimate the prevalence of “zero-dose” in children aged 12-23 months and determine the associated factors in Togo. This was a cross-sectional study which consisted in carrying out secondary analyzes of the databases of the Multiple Indicator Cluster Survey conducted in Togo in 2017. This study population consisted of children aged 12-23 months that had been successfully investigated during this survey. The dependent variable was the child's vaccination status (0 ="Vaccinated" vs 1 ="Zero-dose"). As for the explanatory variables, they were related to the child, the child’s mother, the household and the environment. Geospatial analyzes of child prevalence at “zero-dose” were performed using Arc GIS 10.5 software. Factors associated with “zero-dose” were identified through multivariate logistic regression. A total of 933 children under five were included in the study. The prevalence of “zero-dose” in children aged 12-23 months was 26.88% (95% CI= 23.50-30.55). We note that the factors associated with "zero-dose" in children aged 12-23 months in Togo were: the birth order of the child, the age, the level of education, the ethnicity, the religion of the head of household and the region of residence. Finally, our results can guide efforts to identify and reach children who have not received any vaccine. “Zero-dose” children can be avoided by joint interventions by the competent authorities at different levels, in particular parents, government authorities and technical and financial partners.

Published in	Central African Journal of Public Health (Volume 9, Issue 1)
DOI	10.11648/j.cajph.20230901.12
Page(s)	12-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Zero-Dose Children, Prevalence, Associated Factors, DPT, Inequalities in Vaccination, MICS 2017, Togo

References

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APA Style

Nyulelen Toyi Mangbassim, Alphonse Kpozehouen, Jacques Zinsou Saizonou, Nicolas Gaffan. (2023). Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Central African Journal of Public Health, 9(1), 12-21. https://doi.org/10.11648/j.cajph.20230901.12

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ACS Style

Nyulelen Toyi Mangbassim; Alphonse Kpozehouen; Jacques Zinsou Saizonou; Nicolas Gaffan. Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Cent. Afr. J. Public Health 2023, 9(1), 12-21. doi: 10.11648/j.cajph.20230901.12

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AMA Style

Nyulelen Toyi Mangbassim, Alphonse Kpozehouen, Jacques Zinsou Saizonou, Nicolas Gaffan. Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Cent Afr J Public Health. 2023;9(1):12-21. doi: 10.11648/j.cajph.20230901.12

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@article{10.11648/j.cajph.20230901.12,
  author = {Nyulelen Toyi Mangbassim and Alphonse Kpozehouen and Jacques Zinsou Saizonou and Nicolas Gaffan},
  title = {Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo},
  journal = {Central African Journal of Public Health},
  volume = {9},
  number = {1},
  pages = {12-21},
  doi = {10.11648/j.cajph.20230901.12},
  url = {https://doi.org/10.11648/j.cajph.20230901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230901.12},
  abstract = {One of the priorities of the Immunization Agenda 2030 is to identify “zero-dose” children, and to adapt strategies in order to recover them. The study aimed to estimate the prevalence of “zero-dose” in children aged 12-23 months and determine the associated factors in Togo. This was a cross-sectional study which consisted in carrying out secondary analyzes of the databases of the Multiple Indicator Cluster Survey conducted in Togo in 2017. This study population consisted of children aged 12-23 months that had been successfully investigated during this survey. The dependent variable was the child's vaccination status (0 ="Vaccinated" vs 1 ="Zero-dose"). As for the explanatory variables, they were related to the child, the child’s mother, the household and the environment. Geospatial analyzes of child prevalence at “zero-dose” were performed using Arc GIS 10.5 software. Factors associated with “zero-dose” were identified through multivariate logistic regression. A total of 933 children under five were included in the study. The prevalence of “zero-dose” in children aged 12-23 months was 26.88% (95% CI= 23.50-30.55). We note that the factors associated with "zero-dose" in children aged 12-23 months in Togo were: the birth order of the child, the age, the level of education, the ethnicity, the religion of the head of household and the region of residence. Finally, our results can guide efforts to identify and reach children who have not received any vaccine. “Zero-dose” children can be avoided by joint interventions by the competent authorities at different levels, in particular parents, government authorities and technical and financial partners.},
 year = {2023}
}

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TY - JOUR
T1 - Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo
AU - Nyulelen Toyi Mangbassim
AU - Alphonse Kpozehouen
AU - Jacques Zinsou Saizonou
AU - Nicolas Gaffan
Y1 - 2023/02/09
PY - 2023
N1 - https://doi.org/10.11648/j.cajph.20230901.12
DO - 10.11648/j.cajph.20230901.12
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 12
EP - 21
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20230901.12
AB - One of the priorities of the Immunization Agenda 2030 is to identify “zero-dose” children, and to adapt strategies in order to recover them. The study aimed to estimate the prevalence of “zero-dose” in children aged 12-23 months and determine the associated factors in Togo. This was a cross-sectional study which consisted in carrying out secondary analyzes of the databases of the Multiple Indicator Cluster Survey conducted in Togo in 2017. This study population consisted of children aged 12-23 months that had been successfully investigated during this survey. The dependent variable was the child's vaccination status (0 ="Vaccinated" vs 1 ="Zero-dose"). As for the explanatory variables, they were related to the child, the child’s mother, the household and the environment. Geospatial analyzes of child prevalence at “zero-dose” were performed using Arc GIS 10.5 software. Factors associated with “zero-dose” were identified through multivariate logistic regression. A total of 933 children under five were included in the study. The prevalence of “zero-dose” in children aged 12-23 months was 26.88% (95% CI= 23.50-30.55). We note that the factors associated with "zero-dose" in children aged 12-23 months in Togo were: the birth order of the child, the age, the level of education, the ethnicity, the religion of the head of household and the region of residence. Finally, our results can guide efforts to identify and reach children who have not received any vaccine. “Zero-dose” children can be avoided by joint interventions by the competent authorities at different levels, in particular parents, government authorities and technical and financial partners.
VL - 9
IS - 1
ER -

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Author Information

Nyulelen Toyi Mangbassim

Department of Epidemiology and Biostatistics, Regional Institute of Public Health of Ouidah, University of Abomey-Calavi, Ouidah, Benin
Alphonse Kpozehouen

Department of Epidemiology and Biostatistics, Regional Institute of Public Health of Ouidah, University of Abomey-Calavi, Ouidah, Benin
Jacques Zinsou Saizonou

Health Policy and Systems Department, Regional Institute of Public Health of Ouidah, University of Abomey-Calavi, Ouidah, Benin
Nicolas Gaffan

Department of Epidemiology and Biostatistics, Regional Institute of Public Health of Ouidah, University of Abomey-Calavi, Ouidah, Benin

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Nyulelen Toyi Mangbassim, Alphonse Kpozehouen, Jacques Zinsou Saizonou, Nicolas Gaffan. (2023). Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Central African Journal of Public Health, 9(1), 12-21. https://doi.org/10.11648/j.cajph.20230901.12

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ACS Style

Nyulelen Toyi Mangbassim; Alphonse Kpozehouen; Jacques Zinsou Saizonou; Nicolas Gaffan. Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Cent. Afr. J. Public Health 2023, 9(1), 12-21. doi: 10.11648/j.cajph.20230901.12

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AMA Style

Nyulelen Toyi Mangbassim, Alphonse Kpozehouen, Jacques Zinsou Saizonou, Nicolas Gaffan. Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo. Cent Afr J Public Health. 2023;9(1):12-21. doi: 10.11648/j.cajph.20230901.12

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@article{10.11648/j.cajph.20230901.12,
  author = {Nyulelen Toyi Mangbassim and Alphonse Kpozehouen and Jacques Zinsou Saizonou and Nicolas Gaffan},
  title = {Prevalence and Factors Associated with "Zero-Dose" in Children 12 to 23 Months in Togo},
  journal = {Central African Journal of Public Health},
  volume = {9},
  number = {1},
  pages = {12-21},
  doi = {10.11648/j.cajph.20230901.12},
  url = {https://doi.org/10.11648/j.cajph.20230901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230901.12},
  abstract = {One of the priorities of the Immunization Agenda 2030 is to identify “zero-dose” children, and to adapt strategies in order to recover them. The study aimed to estimate the prevalence of “zero-dose” in children aged 12-23 months and determine the associated factors in Togo. This was a cross-sectional study which consisted in carrying out secondary analyzes of the databases of the Multiple Indicator Cluster Survey conducted in Togo in 2017. This study population consisted of children aged 12-23 months that had been successfully investigated during this survey. The dependent variable was the child's vaccination status (0 ="Vaccinated" vs 1 ="Zero-dose"). As for the explanatory variables, they were related to the child, the child’s mother, the household and the environment. Geospatial analyzes of child prevalence at “zero-dose” were performed using Arc GIS 10.5 software. Factors associated with “zero-dose” were identified through multivariate logistic regression. A total of 933 children under five were included in the study. The prevalence of “zero-dose” in children aged 12-23 months was 26.88% (95% CI= 23.50-30.55). We note that the factors associated with "zero-dose" in children aged 12-23 months in Togo were: the birth order of the child, the age, the level of education, the ethnicity, the religion of the head of household and the region of residence. Finally, our results can guide efforts to identify and reach children who have not received any vaccine. “Zero-dose” children can be avoided by joint interventions by the competent authorities at different levels, in particular parents, government authorities and technical and financial partners.},
 year = {2023}
}

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