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In developing countries, several immunization programs have made progress, but the coverage remains a standstill in some areas. In order to inform policies and practices, the present study aimed at assessing vaccination uptake and contextual-associated factors among children aged 12\u201323\u2009months in rural Gambia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A community-based triangulated cross-sectional design was conducted in January 2020, with 200 caregivers with children aged 12\u201323\u2009months in selected households in rural communities across Upper River Region of the Gambia using multistage sampling technique were recruited. A structured interview questionnaire was developed and Infant Welfare Cards were assessed to elicit information regarding contextual household characteristics towards childhood immunization uptake. Percentages, chi-square\/fisher exact test for variables with\n                      <jats:italic>p<\/jats:italic>\n                      -value \u22640.15 were considered for inclusion into logistic regression model. The significance level was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05. The adjusted Odds Ratio (aOR) with 95% Confidence Interval (CI) were reported to declare significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proportion of children who received all the required vaccines was 66%. At the level of antigen-specific coverage, about 88.5% received BCG, 71% received OPV 3, 82.5% received Penta 3, while 72 and 71% received Measles-Rubella and yellow fever, respectively. Caregivers who had primary education level 88.8% (aOR\u2009=\u20090.112; 95% CI\u2009=\u20090.029\u20130.434), secondary &amp; above 87.2% (aOR\u2009=\u20090.128; 95% CI\u2009=\u20090.029, 0. 561) and arabic\/madrassa 95.7% (aOR\u2009=\u20090.043; 95% CI\u2009=\u20090.008\u20131.227) were less likely to be fully vaccinated when compared to those who have never been to school. Farmers are less likely by 88.9% (aOR\u2009=\u20090.111; 95% CI 0.020, 0.635) while children from family size of more than 20 members had reduced odds (aOR\u2009=\u20090.420; 95% CI\u2009=\u20090.197, 0.894) for their children to complete their vaccination schedule as compared to those with at most 20 household members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is moderately a burden of incomplete vaccination in rural Gambia. Vaccination programs should be constantly monitored and evaluated by the Ministry of Health, especially in rural areas. To increase societal awareness and vaccine acceptance, a robust community-based health education efforts are desperately needed as part of initiatives to increase vaccine service utilization for these high-risk classes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-021-11810-9","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T20:04:41Z","timestamp":1632513881000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Childhood vaccination uptake and associated factors among children 12\u201323\u2009months in rural settings of the Gambia: a community-based cross-sectional study"],"prefix":"10.1186","volume":"21","author":[{"given":"Ebrima","family":"Touray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amadou","family":"Barrow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bakary","family":"Kinteh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansour","family":"Badjie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa","family":"Nget","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jainaba","family":"Touray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sambou L. 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J Trop Pediatr. 2011;57(4):251\u20137. https:\/\/doi.org\/10.1093\/tropej\/fmq086.","journal-title":"J Trop Pediatr"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-021-11810-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-021-11810-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-021-11810-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T20:06:51Z","timestamp":1632514011000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-021-11810-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,25]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["11810"],"URL":"https:\/\/doi.org\/10.1186\/s12889-021-11810-9","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,25]]},"assertion":[{"value":"6 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was reviewed and ethical clearance was issued by the Gambia College\u2019s Research Committee for the study. All methods were carried out in accordance with relevant guidelines and regulations. Before the commencement of the study, ethical approval was also obtained from URR Regional Health Directorate of the Ministry of Health and the community leaders of sampled communities. The people were sensitized about the nature of the study in their local languages (Mandinka, Fula, Wolof, and Serahule). Participation in the study was entirely voluntary and only those that accepted to be part of the study were recruited. A written informed consent form was signed by each participant who accepted to be enrolled in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"No conflicts of interest was disclosed.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1740"}}