Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

Objective The objective of the study was to examine association between maternal healthcare utilisation and complete childhood vaccination in sub-Saharan Africa. Design Our a cross-sectional that used pooled data from 29 countries Participants A total 60 964 mothers children aged 11–23 months were included study. Outcome variables main outcome variable vaccination. explanatory number antenatal care (ANC) visits, assistance during delivery postnatal (PNC). Results average prevalence 85.6%, ranging 67.0% Ethiopia 98.5% Namibia. adjusted model, whose had maximum three ANC visits 56% less likely have vaccination, compared with those who at least four (adjusted OR (aOR)=0.44, 95% CI 0.42 0.46). Children assisted by traditional birth attendant/other (aOR=0.43, 0.41 0.56) lower odds among did not attend PNC clinics (aOR=0.26, 0.24 0.29) as against attended. Conclusion found significant variations across Maternal (ANC skilled delivery, attendance) These findings suggest programmes, interventions strategies aimed improving should incorporate can enhance utilisation. Such include education sensitisation, reducing cost encouraging male involvement service