@article{fdi:010079416,
  title = {{R}egional variations of childhood immunisations in {S}enegal : a multilevel analysis},
  author = {{C}ortaredona, {S}{\'e}bastien and {D}iop, {R}. and {S}eror, {V}. and {S}agaon {T}eyssier, {L}uis and {P}eretti-{W}atel, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjectives {T}o estimate geographical variations of child immunisation at the regional level in {S}enegal, to identify individual and contextual factors that could explain these regional discrepancies, and to measure their effects. {M}ethods {D}ata come from the 2015, 2016 and 2017 {S}enegalese {D}emographic and {H}ealth {S}urvey, a national survey targeting women aged 15-49, with a questionnaire focusing on health and reproductive issues including their children's immunisation status. {W}e restricted the analysis to children aged 12-23 months (n = 4955) and conducted a multilevel logistic regression to assess individual and contextual factors associated with complete immunisation coverage. {R}esults {T}he complete immunisation coverage rate of children was estimated at 68% and ranged from 41% in the region of {K}edougou to 83% in the region of {D}akar. {T}he inter-regional variance was significantly different from zero ({P} = 0.006) in the empty multilevel model. {I}t decreased by more than half (57 %) after adjusting for individual factors but remained significantly different from zero ({P} = 0.010). {R}egional variations of complete immunisation rates drastically decreased and were no longer statistically significant ({P} = 0.343) after adjusting for the following regional factors: population density, density of hospitals, literacy rate and proportion of health facilities with an antenatal care service. {C}onclusions {R}egarding health policies designed to improve childhood immunisation and to reduce related inequalities, our results highlight the need to take into account both individual and contextual factors, with a focus on rural and deprived areas where children are at higher risk of incomplete immunisation.},
  keywords = {childhood vaccination ; coverage ; immunisation ; socioeconomic ; {S}enegal ; {SENEGAL}},
  booktitle = {},
  journal = {{T}ropical {M}edicine and {I}nternational {H}ealth},
  volume = {25},
  numero = {9},
  pages = {1122--1130},
  ISSN = {1360-2276},
  year = {2020},
  DOI = {10.1111/tmi.13455},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079416},
}