Direct and indirect effects of distance from health facility on zero-dose children in Ethiopia: a cross-sectional secondary analysis of performance monitoring for action cohort I data, 2025

Key Points

• Higher distance to health facilities correlates with increased zero-dose children incidence, highlighting access issues.
• The analysis reveals that children farther from healthcare facilities are more likely to miss vaccinations, with significant implications for public health initiatives.
• Involves secondary analysis of performance monitoring data across multiple locations, providing valuable insights into healthcare access disparities.
• Supports the need for expanded outreach and better maternal health services to reduce zero-dose child rates.