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ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Children and Health
Volume 13 - 2025 | doi: 10.3389/fped.2025.1504255
This article is part of the Research Topic Identifying, Characterizing, and Reaching Zero-dose Children in Fragile Settings Around the Globe View all 4 articles
Immunization Status and Its Determinants Among Children Aged 12-23 Months at Community Health Centers in Mogadishu, Somalia: A Cross-Sectional Study
Provisionally accepted
Shafie Abdulkadir Hassan *
Abdifatah Abdulahi Abukar Abdulahi Salad Gutale Asma Isak Hassan Abdulahi Jabril Haji Abdulkadir Mohamed Nur Mohamed Ibrahim Aden - Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu, Somalia
Background: 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 p-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, p = 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, p = 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.
Keywords: Vaccination status, determinants, Children, Community Health Centers, Somalia
Received: 02 Oct 2024; Accepted: 25 Feb 2025.
Copyright: © 2025 Hassan, Abukar, Gutale, Hassan, Haji, Nur and Aden. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Shafie Abdulkadir Hassan, Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu, Somalia
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