{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:45:39Z","timestamp":1792464339528,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:00:00Z","timestamp":1639440000000},"content-version":"vor","delay-in-days":347,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>At the beginning of the COVID\u201019 pandemic, early modelling studies estimated a reduction in childhood vaccinations in low\u2010 and middle\u2010income countries. Regular provision of both curative and preventive services such as antenatal care and childhood immunizations has been negatively affected since the onset of the pandemic. Our study was aimed at examining the impact that the pandemic had on childhood vaccination services at the Tamale Teaching Hospital (TTH). A mixed methods study design was employed for the study, which was conducted at the Child Welfare Clinic (CWC) of the TTH. With quantitative approach, we retrospectively looked at the uptake of the various vaccines during the pandemic era, defined as the period between 1<jats:sup>st<\/jats:sup> March 2020 and 28<jats:sup>th<\/jats:sup> February, 2021, and the prepandemic era defined as the period 1<jats:sup>st<\/jats:sup> March 2019 to 29<jats:sup>th<\/jats:sup> February, 2020. The qualitative approach was used to understand the perspective of five healthcare providers at the CWC and the four caregivers of children who have missed a vaccine or delayed in coming, on the factors accounting for any observed change. Data analysis was done using Microsoft Excel 2016 and thematic content analysis. Quantitative data were presented in frequencies, percentages, and line graphs. With the exception of the Measles Rubella (MR) 2 vaccine, we observed a decline ranging from 47% (2298) to 10.5% (116), with the greatest decline seen in the BCG and the least decline seen in the MR1 vaccine. The month of May 2020 saw the greatest decline, that is, 70.6% (813). A decline of 38.3% (4473) was noted when comparison was made between the designated prepandemic and pandemic eras, for all the vaccines in our study. Fear of COVID\u201019 infection and misinformation were commonly given as reasons for the decline. Catch\u2010up immunization schedule should be instituted to curtail possible future outbreaks of vaccine\u2010preventable diseases.<\/jats:p>","DOI":"10.1155\/2021\/6995096","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T23:20:05Z","timestamp":1639524005000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Decline in Uptake of Childhood Vaccinations in a Tertiary Hospital in Northern Ghana during the COVID\u201019 Pandemic"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4299-8919","authenticated-orcid":false,"given":"Kingsley Appiah","family":"Bimpong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4946-508X","authenticated-orcid":false,"given":"Benjamin Demah","family":"Nuertey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8008-0984","authenticated-orcid":false,"given":"Anwar Sadat","family":"Seidu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3550-9531","authenticated-orcid":false,"given":"Stephanie","family":"Ajinkpang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3792-5384","authenticated-orcid":false,"given":"Alhassan","family":"Abdul-Mumin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2020.25.5.200131e"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2830"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30229-1"},{"key":"e_1_2_10_4_2","volume-title":"The impact of COVID-19 on the routine vaccinations: refletions during World Immunization Week","author":"Hirabayashi K.","year":"2020"},{"key":"e_1_2_10_5_2","volume-title":"At least 80 million children under one at risk of diseases such as diphtheria, measles and polio as COVID-19 disrupts routine vaccination efforts, warn Gavi, WHO and UNICEF","author":"Organization WH","year":"2020"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13487"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.642508"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30308-9"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16112"},{"key":"e_1_2_10_10_2","volume-title":"More than 117 million children at risk of missing out on measles vaccine, as COVID-19 surges","author":"Measles I. 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