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The association between routine immunisation and COVID-19 vaccination in small Island developing states

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Listed:
  • Cyra Patel
  • Gizem Bilgin
  • Andrew Hayen
  • Martyn Kirk
  • Akeem Ali
  • Aditi Dey
  • Ginny Sargent
  • Meru Sheel

Abstract

Objectives: Understanding the link between routine immunisation (RI) performance and vaccination during an epidemic can provide insights on health systems resilience and investments to strengthen health systems. We examined the relationship between RI performance and COVID-19 vaccination coverage in small island developing states (SIDS). Methods: We analysed immunisation and health system performance data in 55 SIDS. Our primary outcome was COVID-19 vaccination coverage at four timepoints (June 2021, December 2021, June 2022 and December 2022). We examined associations with coverage of six childhood immunisations (5-year mean annual coverage for 2015–2019), pandemic-related disruptions to RI, new vaccine introductions, health system performance measures, and economic and demographic characteristics. We calculated Spearman correlation coefficients (r) with p-values (p

Suggested Citation

  • Cyra Patel & Gizem Bilgin & Andrew Hayen & Martyn Kirk & Akeem Ali & Aditi Dey & Ginny Sargent & Meru Sheel, 2025. "The association between routine immunisation and COVID-19 vaccination in small Island developing states," PLOS ONE, Public Library of Science, vol. 20(7), pages 1-21, July.
  • Handle: RePEc:plo:pone00:0317327
    DOI: 10.1371/journal.pone.0317327
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