Immunisation coverage in rural-urban migrant children in low and middle-income countries (LMICs): a systematic review and meta-analysis

Journal of Epidemiology and Community Health
Abiyemi Benita Awoh, Emma Plugge

Abstract

The majority of children who die from vaccine-preventable diseases (VPDs) live in low-income and-middle-income countries (LMICs). With the rapid urbanisation and rural-urban migration ongoing in LMICs, available research suggests that migration status might be a determinant of immunisation coverage in LMICs, with rural-urban migrant (RUM) children being less likely to be immunised. To examine and synthesise the data on immunisation coverage in RUM children in LMICs and to compare coverage in these children with non-migrant children. A multiple database search of published and unpublished literature on immunisation coverage for the routine Expanded Programme on Immunisation (EPI) vaccines in RUM children aged 5 years and below was conducted. Following a staged exclusion process, studies that met the inclusion criteria were assessed for quality and data extracted for meta-analysis. Eleven studies from three countries (China, India and Nigeria) were included in the review. There was substantial statistical heterogeneity between the studies, thus no summary estimate was reported for the meta-analysis. Data synthesis from the studies showed that the proportion of fully immunised RUM children was lower than the WHO bench-mark of 90% ...Continue Reading

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Citations

Jun 10, 2017·BMC Public Health·Tim Crocker-BuqueSandra Mounier-Jack
May 18, 2018·Globalization and Health·Niina MarkkulaFrancisca Stutzin
Nov 23, 2019·International Journal of Environmental Research and Public Health·Yu HuHui Liang
Feb 6, 2020·Human Vaccines & Immunotherapeutics·Karpaga Priya PAnjan Kumar Giri
Mar 31, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Julia M PorthMatthew L Boulton
Sep 17, 2021·Indian Journal of Pediatrics·Shashwat KulkarniMrudula Phadke

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