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March 3, 2026Vaccine2 citationsOpen Access

Prevalence and determinants of full immunization among children under five in sub-Saharan Africa: A systematic review and meta-analysis (2013–2025)

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TDTafadzwa DzinamariraOMOscar ManoGMGodfrey Musuka

Key Points

  • Full immunization coverage remains significantly below global targets, indicating urgent need for improvement.
  • Wide disparities exist in immunization based on socioeconomic status and maternal healthcare utilization in SSA.
  • Systematic review and meta-analysis of data from 2013 to 2025 identifies key factors affecting immunization rates.
  • Strengthening maternal health services and addressing health system barriers are essential for reducing preventable deaths.

Abstract

Full immunization coverage in SSA remains well below global targets, with wide disparities by country, socioeconomic status, and maternal healthcare utilization. Strengthening maternal health services, improving education, and addressing health system barriers are critical to improving coverage and reducing preventable child deaths in the region.

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Cite This Study

Dzinamarira et al. (2026) studied this question.

synapsesocial.com/papers/69a75a43c6e9836116a1fde7https://doi.org/10.1016/j.vaccine.2026.128228
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