Abstract
ABSTRACT
Background and Aims
Zero‐dose children face significant risks of vaccine‐preventable diseases. This study aims to identify the sociodemographic, economic, and healthcare‐related determinants of zero‐dose BCG vaccination among children under 5 years of age in Somaliland.
Methods
This cross‐sectional study analyzed data from 2039 children from the 2020 Somaliland Demographic and Health Survey (SLDHS). We employed bivariate analysis (chi‐square tests) and multivariate logistic regression to identify predictors of BCG vaccination.
Results
Overall BCG coverage was 72.5%. Adjusted analysis revealed that facility‐based delivery (AOR = 4.50; 95% CI: 3.51–5.77), maternal secondary education (AOR = 2.15; 95% CI: 1.25–3.70), and the highest wealth quintile (AOR = 3.10; 95% CI: 2.35–4.09) were significant predictors of BCG receipt.
Conclusion
Facility delivery is the most critical intervention point to prevent zero‐dose status. Strengthening maternal health integration and targeted outreach to marginalized populations are essential to reducing vaccination disparities.