{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T14:01:23Z","timestamp":1771855283563,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"vor","delay-in-days":82,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005712","name":"University of Jordan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005712","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Clinical Practice"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The healthcare system in Jordan faced substantial burden during the 2020 COVID\u201019 pandemic including disruption of routine childhood vaccination services. <jats:italic>Aims<\/jats:italic>. We sought, for the first time, to describe the impact of the 2020 pandemic on vaccination coverage of Jordanian children in Jordan and to identify the key contributing factors. <jats:italic>Methods<\/jats:italic>. Nationwide vaccination rates were retrieved from the electronic records at the Ministry of Health (2018\u20132020) enrolling crude births of 220,057 Jordanian children during 2020. Records of doses administered were compared for each month of 2020 with the baseline of 2018\u20132019. A cross\u2010sectional survey (March\u2013August 2021) was also conducted enrolling a convenient sample of adults aged \u226518 who were Jordanian caregivers for vaccine\u2010eligible children (0\u201323 months) between 1 January 2020 and the date of the interview. The survey aimed to address caregivers\u2019 adherence to routine vaccination during 2020\u20132021 and to describe the determinants of the current and future adherence to vaccination where multiple logistic regression model was utilized. <jats:italic>Results<\/jats:italic>. The electronic records revealed a significant decline in vaccination coverage during 2020. The greatest decline was observed during the lockdown period from 21 March 2020 to 21 April 2020 (32.4%\u201346.8%) followed by the decline observed by the entry of the first wave during September\u2010October 2020 (18.4%\u201322.8%). A drop of 14\u201316% was observed for the vaccines recommended under the age of 12 months and of 6\u20137% for those recommended in 1\u20102\u2010year\u2010old children. The yearly coverage rates for measles\u20101 (at 9 months), 2 (at 12 months as part of measles\u2010mumps\u2010rubella (MMR) vaccine), and 3 (at 18 months as part of MMR) were 76%, 90%, and 87%, respectively, and for hexavalent\u20101, 2, and 3 were 78%, 78%, and 77%, respectively. The results of the survey revealed that the main reason for vaccination delay for at least 1 month from the recommended administration time was the lockdown, followed by child illness and smart lockdowns (regional lockdown\/health center closure). Vaccination delay was less likely to be observed in children aged \u226512 months (<jats:italic>P<\/jats:italic> value\u2009&lt;\u20090.001; OR: 0.18; CI: 0.11\u20130.29) or children with chronic diseases (<jats:italic>P<\/jats:italic> value\u2009&lt;\u20090.05; OR: 0.5; CI: 0.33\u20130.88). <jats:italic>Conclusion<\/jats:italic>. The current study demonstrates a decline in vaccination coverage of Jordanian children during the 2020 COVID\u201019 pandemic. It is important to formulate future strategies to promote catch\u2010up vaccination and to avoid future backsliding of vaccination rates during further waves of the COVID\u201019 pandemic or other pandemics. These include improving health services, allaying caregivers\u2019 concerns about contracting COVID\u201019, and arranging vaccination campaigns outside health centers.<\/jats:p>","DOI":"10.1155\/2022\/7918604","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T19:31:43Z","timestamp":1648150303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Nationwide Routine Childhood Vaccination Coverage During the COVID\u201019 Pandemic in Jordan: Current Situation, Reasons, and Predictors of Vaccination"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4274-9354","authenticated-orcid":false,"given":"Eman Y.","family":"Abu-rish","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1315-0609","authenticated-orcid":false,"given":"Yasser","family":"Bustanji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamel","family":"Abusal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"COVID-19 Pandemic Leads to Major Backsliding on Childhood Vaccinations,","author":"UNICEF","year":"2021"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2020.08.019"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2020.25.19.2000848"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16112"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines8040581"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.08.044"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00512-X"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7043a1"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102298"},{"key":"e_1_2_11_10_2","volume-title":"Jordan: WHO Coronavirus Diseaes (covid-19) Dashboard,","author":"World Health Organization (WHO)","year":"2021"},{"key":"e_1_2_11_11_2","volume-title":"Defense Orders","author":"Prime Ministry of Jordan","year":"2020"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2021.01.005"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15949"},{"key":"e_1_2_11_14_2","unstructured":"Jordan department OD statistics 2021 http:\/\/dosweb.dos.gov.jo\/."},{"key":"e_1_2_11_15_2","unstructured":"Jordan ministry of health 2021 https:\/\/corona.moh.gov.jo\/en."},{"key":"e_1_2_11_16_2","volume-title":"Where We Work","author":"UNRWA","year":"2021"},{"key":"e_1_2_11_17_2","volume-title":"Demographic Projections in Jordan 2015\u20132050","author":"Jordan department of statistics","year":"2016"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2020.1802973"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.18-0715"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-321792"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2306.161682"},{"key":"e_1_2_11_22_2","volume-title":"Measles Vaccines","author":"WHO","year":"2017"},{"key":"e_1_2_11_23_2","volume-title":"Global Health Observatory Data Repository\/Immunization","author":"World Health Organization (WHO)","year":"2021"},{"key":"e_1_2_11_24_2","volume-title":"WHO\/UNICEF Estimates of National Immunization Coverage","author":"WHO","year":"2020"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2021.663074"},{"key":"e_1_2_11_26_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244049"},{"key":"e_1_2_11_27_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines8030556"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(20)30308-9"},{"key":"e_1_2_11_29_2","doi-asserted-by":"publisher","DOI":"10.2174\/157488631001150407110306"}],"container-title":["International Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijclp\/2022\/7918604.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijclp\/2022\/7918604.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2022\/7918604","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T09:07:33Z","timestamp":1757581653000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2022\/7918604"}},"subtitle":[],"editor":[{"given":"Tomas Jose","family":"Gonzalez-Lopez","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1155\/2022\/7918604"],"URL":"https:\/\/doi.org\/10.1155\/2022\/7918604","archive":["Portico"],"relation":{},"ISSN":["1368-5031","1742-1241"],"issn-type":[{"value":"1368-5031","type":"print"},{"value":"1742-1241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2021-12-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7918604"}}