Effects of Immunisation on Child Mortality in West Africa

B. Obasaju, I. Adama, Ojone Patience Ishola, Francis Oloyede, Romanus Osabohien, A. Aregbesola, A. Onabote
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Abstract

This study investigates the effect of immunisation coverage on child mortality in 15 West African countries and panel data was sourced from the World Development Indicators for period 2000–2019, with a particular interest in the Global Vaccine Action Plan (GVAP) initiative. The fixed effects and random effects analysis was used for estimation. The results show that immunisation coverage for Hepatitis B did not significantly impact child mortality before the GVAP initiative, but was significant during the post-GV AP era in reducing child mortality; maternal literacy and improved water source are significant factors in reducing child mortality. The results suggest that improvements in immunisation coverage have not translated to significant reductions in child mortality in West Africa. This could be due to the inefficient impact of the GVAP initiative in West Africa. The study recommends that governments in West Africa could focus on strengthening the impact of the GVAP initiative by ensuring an enabling environment for the initiative through its African Regional Immunisation Strategic Plan to carry out its objectives and programmes that promote awareness for mothers could be implemented by governments within this region with the aim of achieving a reduction in under-five deaths.
免疫接种对西非儿童死亡率的影响
本研究调查了15个西非国家免疫覆盖率对儿童死亡率的影响,小组数据来自2000-2019年期间的世界发展指标,特别关注全球疫苗行动计划(GVAP)倡议。采用固定效应和随机效应分析进行估计。结果表明,乙肝免疫覆盖率在GVAP倡议之前对儿童死亡率没有显著影响,但在GVAP后时代对降低儿童死亡率有显著影响;产妇识字和改善水源是降低儿童死亡率的重要因素。结果表明,免疫覆盖率的提高并没有转化为西非儿童死亡率的显著降低。这可能是由于全球疫苗行动计划在西非的低效影响。该研究建议,西非各国政府可侧重于加强全球免疫行动计划的影响,确保通过其非洲区域免疫战略计划为该倡议创造有利环境,以实现其目标,并可由该区域各国政府实施旨在提高母亲认识的方案,以减少五岁以下儿童死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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