Multilevel Analysis of Zero-Dose Children in Sub-Saharan Africa: A Three Delays Model Study
Zero-dose children concentrate among the most disadvantaged populations, with maternal health-seeking behavior as the strongest predictor. Immediate policy actions should integrate antenatal care with vaccination services, target high-parity mothers, eliminate financial barriers, and increase health expenditure to 15% of national budgets.
Authors
- Duduzile Ndwandwe (ORCID: https://orcid.org/0000-0001-7129-3865)
- Charles Shey Wiysonge (ORCID: https://orcid.org/0000-0002-1273-4779)
- Olalekan A. Uthman (ORCID: https://orcid.org/0000-0002-8567-3081)
- Muhammed Mubashir B Uthman (ORCID: https://orcid.org/0000-0002-3012-195X)
Institutions
- South African Medical Research Council (ZA)
- University of Ilorin (NG)
- University of Warwick (GB)
Publication Details
- Journal
- Vaccines
- Published
- 2025-09-21
- DOI
- https://doi.org/10.3390/vaccines13090987
- Citations
- 3
- Primary Topic
- Vaccine Coverage and Hesitancy
- Type
- article
- Field-Weighted Citation Impact
- 6.50
Funders
- South African Medical Research Council
- Cochrane South Africa
- Medical Research Council