Impact of conflict on infant immunisation coverage in Afghanistan: a countrywide study 2000–2003
2007

Impact of Conflict on Infant Immunisation Coverage in Afghanistan

Sample size: 331 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mashal Taufiq, Nakamura Keiko, Kizuki Masashi, Seino Kaoruko, Takano Takehito

Primary Institution: Graduate School of Tokyo Medical and Dental University

Hypothesis

How does conflict and resource availability affect infant immunisation coverage in Afghanistan?

Conclusion

Despite progress in immunisation coverage, significant geographic inequalities remain, and security is a crucial factor in delivering immunisation services.

Supporting Evidence

  • Immunisation coverage increased from 50.9% to 75.2% for BCG from 2000 to 2003.
  • Districts reporting immunisation coverage rose from 67% in 2000 to 90% in 2003.
  • Significant progress was observed in DPT3 coverage, increasing from 34.5% to 59.9%.

Takeaway

This study shows that even though more babies in Afghanistan are getting their vaccines, some areas are still struggling, especially where there is fighting.

Methodology

The study analyzed immunisation reports from 331 districts across 7 regions in Afghanistan using GIS analysis and multivariate logistic regression.

Potential Biases

Potential biases may arise from underreporting in conflict-affected areas.

Limitations

The study may not fully capture the impact of ongoing conflicts beyond the specified years.

Participant Demographics

The population of Afghanistan in 2002 was approximately 22 million, with over 80% living in rural areas.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1476-072X-6-23

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