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Mapping routine measles vaccination in low- and middle-income countries
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The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs) 1–4 . Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19) 5–8 . Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km 2 pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
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“Inequalities in coverage, including large numbers of children who remain unvaccinated, persist across and within regions, countries and territories, and communities.8,9,14,15,60,61”
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- Authors
- Collaborators, L. B. O. D. V. C., Sbarra, A. N., Rolfe, S., Nguyen, J. Q., Earl, L., Galles, N. C., Marks, A., Abbas, K. M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abegaz, K. H., Abiy, H. A. A., Abolhassani, H., Abreu, L. G., Abrigo, M. R. M., Abushouk, A. I., Accrombessi, M. M. K., Adabi, M., Adebayo, O. M., Adekanmbi, V., Adetokunboh, O. O., Adham, D., Afarideh, M., Aghaali, M., Ahmad, T., Ahmadi, R., Ahmadi, K., Ahmed, M. B., Alanezi, F. M., Alanzi, T. M., Alcalde-Rabanal, J. E., Alemnew, B. T., Ali, B. A., Ali, M., Alijanzadeh, M., Alinia, C., Alipoor, R., Alipour, V., Alizade, H., Aljunid, S. M., Almasi, A., Almasi-Hashiani, A., Al-Mekhlafi, H. M., Altirkawi, K. A., Amare, B., Amini, S., Amini-Rarani, M., Amiri, F., Amit, A. M. L., Amugsi, D. A., Ancuceanu, R., Andrei, C. L., Anjomshoa, M., Ansari, F., Ansari-Moghaddam, A., Ansha, M. G., Antonio, C. A. T., Antriyandarti, E., Anvari, D., Arabloo, J., Arab-Zozani, M., Aremu, O., Armoon, B., Aryal, K. K., Arzani, A., Asadi-Aliabadi, M., Asgari, S., Atafar, Z., Ausloos, M., Awoke, N., Quintanilla, B. P. A., Ayanore, M. A., Aynalem, Y. A., Azadmehr, A., Azari, S., Babaee, E., Badawi, A., Badiye, A. D., Bahrami, M. A., Baig, A. A., Bakhtiari, A., Balakrishnan, S., Banach, M., Banik, P. C., Barac, A., Baradaran-Seyed, Z., Baraki, A. G., Basu, S., Bayati, M., Bayou, Y. T., Bedi, N., Behzadifar, M., Bell, M. L., Berbada, D. A., Berhe, K., Bhattarai, S., Bhutta, Z. A., Bijani, A., Birhanu, M., Bisanzio, D., Biswas, A., Bohlouli, S., Bolla, S. R., Borzouei, S., Brady, O. J., Bragazzi, N. L., Briko, A. N., Briko, N. I., Nagaraja, S. B., Butt, Z. A., Cámera, L. A., Campos-Nonato, I. R., Car, J., Cárdenas, R., Carvalho, F., Castaldelli-Maia, J. M., Castro, F., Chattu, V. K., Chehrazi, M., Chin, K. L., Chu, D.-T., Cook, A. J., Cormier, N. M., Cunningham, B., Dahlawi, S. M. 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H., Monasta, L., Moosavi, M. A., Moosazadeh, M., Moradi, G., Moradi, M., Moradi-Joo, M., Moradi-Lakeh, M., Moradzadeh, R., Moraga, P., Mosapour, A., Mouodi, S., Mousavi, S. M., Khaneghah, A. M., Mueller, U. O., Muluneh, A. G., Munro, S. B., Murray, C. J. L., Murthy, G. V. S., Muthupandian, S., Naderi, M., Nagarajan, A. J., Naghavi, M., Nangia, V., Nansseu, J. R., Nayak, V. C., Nazari, J., Ndwandwe, D. E., Negoi, I., Ngunjiri, J. W., Nguyen, H. L. T., Nguyen, C. T. K., Nguyen, T. H., Nigatu, Y. T., Nikbakhsh, R., Nikfar, S., Nikpoor, A. R., Ningrum, D. N. A., Nnaji, C. A., Oh, I.-H., Oladnabi, M., Olagunju, A. T., Olusanya, J. O., Olusanya, B. O., Bali, A. O., Omer, M. O., Onwujekwe, O. E., Osgood-Zimmerman, A. E., Owolabi, M. O., P A, M., Padubidri, J. R., Pakshir, K., Pana, A., Pandey, A., Pando-Robles, V., Pashaei, T., Pasupula, D. K., Paternina-Caicedo, A. J., Patton, G. C., Pazoki Toroudi, H., Pepito, V. C. F., Pescarini, J. M., Pigott, D. M., Pilgrim, T., Pirsaheb, M., Poljak, M., Postma, M. J., Pourjafar, H., Pourmalek, F., Pourmirza Kalhori, R., Prada, S. I., Prakash, S., Quazi Syed, Z., Quintana, H., Rabiee, N., Rabiee, M., Radfar, A., Rafiei, A., Rahim, F., Rajati, F., Rameto, M. A., Ramezanzadeh, K., Ranabhat, C. L., Rao, S. J., Rasella, D., Rastogi, P., Rathi, P., Rawaf, S., Rawaf, D. L., Rawal, L., Rawassizadeh, R., Rawat, R., Renjith, V., Renzaho, A. M. N., Reshmi, B., Reta, M. A., Rezaei, N., Rezai, M. S., Rezapour, A., Riahi, S. M., Ribeiro, A. I., Rickard, J., Rios-Blancas, M., Rios-González, C. M., Roever, L., Rostamian, M., Rubino, S., Rwegerera, G. M., Saad, A. M., Saadatagah, S., Sabour, S., Sadeghi, E., Moghaddam, S. S., Saeidi, S., Sagar, R., Sahebkar, A., Sahraian, M. A., Sajadi, S. M., Salahshoor, M. R., Salam, N., Salem, H., Salem, M. R., Salomon, J. A., Kafil, H. S., Sambala, E. Z., Samy, A. M., Saraswathy, S. Y. I., Sarmiento-Suárez, R., Saroshe, S., Sartorius, B., Sarveazad, A., Sathian, B., Sathish, T., Schaeffer, L. E., Schwebel, D. C., Senthilkumaran, S., Shabaninejad, H., Shahabi, S., Shaheen, A. A., Shaikh, M. A., Shalash, A. S., Shams-Beyranvand, M., Shamsi, M., Shamsizadeh, M., Sharafi, K., Sharifi, H., Sheikh, A., Sheikhtaheri, A., Shetty, R. S., Shiferaw, W. S., Shigematsu, M., Shin, J. I., Shirkoohi, R., Siabani, S., Siddiqi, T. J., Silverberg, J. I. S., Simonetti, B., Singh, J. A., Sinha, D. N., Sinke, A. H., Soheili, A., Sokhan, A., Soltani, S., Soofi, M., Sorrie, M. B., Soyiri, I. N., Spotin, A., Spurlock, E. E., Sreeramareddy, C. T., Sudaryanto, A., Sufiyan, M. B., Suleria, H. A. R., Abdulkader, R. S., Taherkhani, A., Tapak, L., Taveira, N., Taymoori, P., Tefera, Y. M., Tehrani-Banihashemi, A., Teklehaimanot, B. F., Tekulu, G. H., Tesfay, B. E., Tessema, Z. T., Tessema, B., Thankappan, K. R., Tohidinik, H. R., Topor-Madry, R., Tovani-Palone, M. R., Tran, B. X., Uddin, R., Ullah, I., Umeokonkwo, C. D., Unnikrishnan, B., Upadhyay, E., Usman, M. S., Vaezi, M., Valadan Tahbaz, S., Valdez, P. R., Vasseghian, Y., Veisani, Y., Violante, F. S., Vollmer, S., Waheed, Y., Wakefield, J., Wang, Y., Wang, Y.-P., Weldesamuel, G. T., Werdecker, A., Westerman, R., Wiangkham, T., Wiens, K. E., Wiysonge, C. S., Woldu, G., Wondafrash, D. Z., Wonde, T. E., Wu, A.-M., Yadollahpour, A., Jabbari, S. H. Y., Yamada, T., Yaya, S., Yazdi-Feyzabadi, V., Yeheyis, T. Y., Yeshaw, Y., Yilgwan, C. S., Yip, P., Yonemoto, N., Younis, M. Z., Yousefi, Z., Yousefifard, M., Yousefinezhadi, T., Yu, C., Yusefzadeh, H., Zadey, S., Zahirian Moghadam, T., Zaki, L., Zaman, S. B., Zamani, M., Zamanian, M., Zandian, H., Zangeneh, A., Zarei, F., Zerfu, T. A., Zhang, Y., Zhang, Z.-J., Zhao, X.-J. G., Zhou, M., Ziapour, A., Hay, S. I., Lim, S. S., & Mosser, J. F.
- Affiliations
- University of Washington (US)
- London School of Hygiene & Tropical Medicine (GB)
- Advanced Diagnostic and Interventional Radiology Research Center (IR)
- Cairo University (EG)
- Tehran University of Medical Sciences (IR)
- Madda Walabu University (ET)
- Karolinska University Hospital (SE)
- Universidade Federal de Minas Gerais (BR)
- Ain Shams University (EG)
- Hamedan University of Medical Sciences (IR)
- University College Hospital, Ibadan (NG)
- King's College London (GB)
- Stellenbosch University (ZA)
- Ardabil University of Medical Sciences (IR)
- Mayo Clinic (US)
- Qom University of Medical Science and Health Services (IR)
- Southeast University (CN)
- Tabriz University of Medical Sciences (IR)
- University of Nottingham (GB)
- Jimma University (ET)
- Imam Abdulrahman Bin Faisal University (SA)
- Woldia University (ET)
- Erbil Polytechnic University (IQ)
- Quaid-i-Azam University (PK)
- Qazvin University of Medical Sciences (IR)
- Urmia University (IR)
- Hormozgan University of Medical Sciences (IR)
- Iran University of Medical Sciences (IR)
- Kuwait University (KW)
- Kermanshah University of Medical Sciences (IR)
- King Saud University (SA)
- Arak University of Medical Sciences (IR)
- Johns Hopkins University (US)
- African Population and Health Research Center (KE)
- Carol Davila University of Medicine and Pharmacy (RO)
- Rafsanjan University of Medical Sciences (IR)
- Razi Vaccine and Serum Research Institute (IR)
- Zahedan University of Medical Sciences (IR)
- Debre Berhan University (ET)
- Hong Kong Polytechnic University (HK)
- Sebelas Maret University (ID)
- Iranshahr University (IR)
- Birmingham City University (GB)
- Yasuj University of Medical Sciences (IR)
- Abt Associates (Nepal) (NP)
- Babol University of Medical Sciences (IR)
- Shahid Beheshti University (IR)
- University of Leicester (GB)
- Wolaita Sodo University (ET)
- La Trobe University (AU)
- University of Health and Allied Sciences (GH)
- Public Health Agency of Canada (CA)
- Government Institute of Forensic Science, Nagpur (IN)
- Shiraz University of Medical Sciences (IR)
- Sultan Zainal Abidin University (MY)
- Haramaya University (ET)
- Medical University of Lodz (PL)
- Bangladesh University of Health Sciences (BD)
- University of Belgrade (RS)
- University of Gondar (ET)
- Harvard University (US)
- Gandhi Medical College (IN)
- Lorestan University of Medical Sciences (IR)
- Yale University (US)
- Arba Minch University (ET)
- Mekelle University (ET)
- Aga Khan University (PK)
- Bahir Dar University (ET)
- Institute of Post Graduate Medical Education and Research (IN)
- Islamic Azad University of Kermanshah (IR)
- Nazarbayev University (KZ)
- University of Genoa (IT)
- Bauman Moscow State Technical University (RU)
- Sechenov University (RU)
- Employees State Insurance Post Graduate Institute of Medical Sciences and Research (IN)
- University of Waterloo (CA)
- Hospital Italiano de Buenos Aires (AR)
- Nanyang Technological University (SG)
- Universidad Autónoma Metropolitana (MX)
- Universidade do Porto (PT)
- Universidade de São Paulo (BR)
- Instituto Conmemorativo Gorgas de Estudios de la Salud (PA)
- University of Toronto (CA)
- Royan Institute (IR)
- The University of Melbourne (AU)
- Hanoi National University of Education (VN)
- University of Milan (IT)
- Gates Foundation (US)
- University of Human Development (IQ)
- Tanta University (EG)
- University of Peradeniya (LK)
- Far-western University (NP)
- Universidad Autónoma de Sinaloa (MX)
- University of Ibadan (NG)
- Western Sydney University (AU)
- University of Oxford (GB)
- Florida International University (US)
- Universiti Sains Malaysia (MY)
- University of Newcastle Australia (AU)
- John Paul II Catholic University of Lublin (PL)
- Arsi University (ET)
- Shahroud University of Medical Sciences (IR)
- Suez Canal University (EG)
- Kerman University of Medical Sciences (IR)
- Islamic Azad University, Tehran (IR)
- University of Maragheh (IR)
- Hawassa University (ET)
- University of the Philippines Manila (PH)
- Imam Mohammad ibn Saud Islamic University (SA)
- Mazandaran University of Medical Sciences (IR)
- University of Bologna (IT)
- Non-Communicable Diseases Research Center (IR)
- University of Ottawa (CA)
- Kaiser Permanente (US)
- University of Applied Sciences Ravensburg-Weingarten (DE)
- D. F. Chebotarev State Institute of Gerontology of the National Academy of Medical Sciences of Ukraine (UA)
- Abadan University of Medical Sciences (IR)
- Kobe University (JP)
- University of North Carolina at Chapel Hill (US)
- Kotebe University of Education (ET)
- Addis Ababa University (ET)
- Tarbiat Modares University (IR)
- Kurdistan University of Medical Sciences (IR)
- University of Exeter (GB)
- University of Lahore (PK)
- University of Warwick (GB)
- Aksum University (ET)
- Department of Health and Social Affairs (FM)
- Boston University (US)
- Universidade Federal de Goiás (BR)
- Binzhou Medical University (CN)
- West Virginia University (US)
- Wachemo University (ET)
- Al-Azhar University (EG)
- The University of Queensland (AU)
- Maragheh University of Medical Sciences (IR)
- Guilan University of Medical Sciences (IR)
- Manipal Academy of Higher Education (IN)
- Duy Tan University (VN)
- Hamad bin Khalifa University (QA)
- Central South University (CN)
- The University of Sydney (AU)
- Bangalore Baptist Hospital (IN)
- Taipei Medical University (TW)
- Research Institute for Endocrine Sciences (IR)
- South African Medical Research Council (ZA)
- Isfahan University of Medical Sciences (IR)
- Duke University (US)
- UNSW Sydney (AU)
- University of Opole (PL)
- University College Cork (IE)
- Golestan University of Medical Sciences (IR)
- Shaheed Benazir Bhutto University (PK)
- All India Institute of Medical Sciences Jodhpur (IN)
- University of Münster (DE)
- Utrecht University (NL)
- University of Nairobi (KE)
- Jordan University of Science and Technology (JO)
- Ahvaz Jundishapur University of Medical Sciences (IR)
- John H. Stroger, Jr. Hospital of Cook County (US)
- Health Services Academy (PK)
- International Institute for Population Sciences (IN)
- Jatiya Kabi Kazi Nazrul Islam University (BD)
- Ohio University Zanesville (US)
- Datta Meghe Institute of Higher Education and Research (IN)
- Iranian Academy of Medical Sciences (IR)
- Ministry of Health and Medical Education (IR)
- New Mexico State University (US)
- Xiamen University Malaysia (MY)
- Simmons University (US)
- OsloMet – Oslo Metropolitan University (NO)
- Ambo University (ET)
- Sher-i-Kashmir Institute of Medical Sciences (IN)
- Institució Catalana de Recerca i Estudis Avançats (ES)
- Panjab University (IN)
- Public Health Foundation of India (IN)
- University of Indonesia (ID)
- Post Graduate Institute of Medical Education and Research (IN)
- Clinton Health Access Initiative (US)
- University of Baghdad (IQ)
- Instituto Mexicano de Oftalmología IAP (MX)
- Father Muller Medical College Hospital (IN)
- Monash University Malaysia (MY)
- Monash University (AU)
- University of California, Los Angeles (US)
- Saveh University of Medical Sciences (IR)
- Tribhuvan University (NP)
- Rajiv Gandhi University of Health Sciences (IN)
- Indian Institute of Technology Roorkee (IN)
- Botho University (BW)
- University of California, San Francisco (US)
- University of Maryland, Baltimore (US)
- United Nations Population Fund (US)
- Adigrat University (ET)
- McMaster University (CA)
- The University of Western Australia (AU)
- Kyrgyz State Medical Academy (KG)
- Kashan University of Medical Sciences (IR)
- Heidelberg University (DE)
- Health Equity Research Center (IR)
- Karolinska Institutet (SE)
- Salahaddin University-Erbil (IQ)
- Shahrekord University of Medical Sciences (IR)
- Mashhad University of Medical Sciences (IR)
- Ahmadu Bello University (NG)
- Dire Dawa University (ET)
- IRCCS Materno Infantile Burlo Garofolo (IT)
- National Institute of Genetic Engineering and Biotechnology (IR)
- King Abdullah University of Science and Technology (SA)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Federal Institute for Population Research (DE)
- Suraj Eye Institute (IN)
- Université de Yaoundé I (CM)
- University of Embu (KE)
- Trường ĐH Nguyễn Tất Thành (VN)
- Centre for Addiction and Mental Health (CA)
- State University of Semarang (ID)
- Kyung Hee University (KR)
- University of Lagos (NG)
- Centre for Healthy Start Initiative (NG)
- Jigjiga University (ET)
- University of Nigeria (NG)
- University of Pittsburgh Medical Center (US)
- Ateneo de Manila University (PH)
- University of Bern (CH)
- University of Ljubljana (SI)
- University Medical Center Groningen (NL)
- Alborz University of Medical Sciences (IR)
- University of British Columbia (CA)
- Fundación Valle del Lili (CO)
- Sharif University of Technology (IR)
- Amirkabir University of Technology (IR)
- University of Central Florida (US)
- Government of Nepal (NP)
- Universidade Federal da Bahia (BR)
- Public Health England (GB)
- University College Hospital (GB)
- Royal College of Surgeons in Ireland - Bahrain (BH)
- Universal Scientific Education and Research Network (IR)
- Birjand University of Medical Sciences (IR)
- University of Minnesota (US)
- Instituto Nacional de Salud Pública (MX)
- Universidade Federal de Uberlândia (BR)
- Gonabad University of Medical Sciences (IR)
- University of Sassari (IT)
- University of Botswana (BW)
- Cleveland Clinic (US)
- All India Institute of Medical Sciences (IN)
- Cihan University-Erbil (IQ)
- Central University of Punjab (IN)
- Stanford University (US)
- Foundation for Advancement of International Medical Education and Research (US)
- Instituto de Salud Carlos III (ES)
- Mahatma Gandhi Memorial Medical College (IN)
- Hamad Medical Corporation (QA)
- Population Health Research Institute (CA)
- University of Alabama at Birmingham (US)
- Shiraz University (IR)
- An-Najah National University (PS)
- University of Borås (SE)
- National Institute of Infectious Diseases (JP)
- Yonsei University (KR)
- University of Technology Sydney (AU)
- Dow University of Health Sciences (PK)
- George Washington University (US)
- University of Sannio (IT)
- United States Department of Veterans Affairs (US)
- Patna University (IN)
- Pathfinder International (US)
- Semnan University of Medical Sciences (IR)
- Kharkiv National Medical University (UA)
- University of Hull (GB)
- IMU University (MY)
- Muhammadiyah University of Surakarta (ID)
- University of Lisbon (PT)
- Wollo University (ET)
- Central University of Kerala (IN)
- Hanoi Medical University (VN)
- Deakin University (AU)
- Iqra National University (PK)
- Federal Teaching Hospital Abakaliki (NG)
- Amity University Jaipur (IN)
- Medical University of Ilam (IR)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- Foundation University Islamabad (PK)
- Naresuan University (TH)
- Wenzhou Medical University (CN)
- University of Sheffield (GB)
- Milad Hospital (IR)
- The University of Tokyo (JP)
- University of Jos (NG)
- University of Hong Kong (HK)
- Juntendo University (JP)
- Jackson State University (US)
- Wuhan University (CN)
- International Centre for Diarrhoeal Disease Research (BD)
- Dilla University (ET)
- Wuhan University of Science and Technology (CN)
- Wuhan Polytechnic University (CN)
- Chinese Center For Disease Control and Prevention (CN)
- Corresponding author
- Hay, Simon I.
- Lim, Stephen S.
- Mosser, Jonathan F.
- ORCID
- Sbarra, Alyssa N.
- Abbas, Kaja M.
- Abbastabar, Hedayat
- Abd-Allah, Foad
- Abdelalim, Ahmed
- Abdollahi, Mohammad
- Abegaz, Kedir Hussein
- Abolhassani, Hassan
- Abreu, Lucas Guimarães
- Abrigo, Michael R. M.
- Abushouk, Abdelrahman I.
- Accrombessi, Manfred Mario Kokou
- Adabi, Maryam
- Adekanmbi, Victor
- Adetokunboh, Olatunji O.
- Adham, Davoud
- Afarideh, Mohsen
- Aghaali, Mohammad
- Ahmad, Tauseef
- Ahmadi, Raman
- Ahmadi, Keivan
- Ahmed, Muktar Beshir
- Alanezi, Fahad Mashhour
- Alanzi, Turki M.
- Alemnew, Birhan Tamene
- Alinia, Cyrus
- Alipoor, Reza
- Alizade, Hesam
- Almasi, Ali
- Altirkawi, Khalid A.
- Amini, Saeed
- Amit, Arianna Maever L.
- Amugsi, Dickson A.
- Ansari, Fereshteh
- Ansha, Mustafa Geleto
- Antonio, Carl Abelardo T.
- Antriyandarti, Ernoiz
- Anvari, Davood
- Arabloo, Jalal
- Aremu, Olatunde
- Armoon, Bahram
- Arzani, Afsaneh
- Asadi-Aliabadi, Mehran
- Asgari, Samaneh
- Atafar, Zahra
- Ausloos, Marcel
- Awoke, Nefsu
- Quintanilla, Beatriz Paulina Ayala
- Ayanore, Martin Amogre
- Azari, Samad
- Babaee, Ebrahim
- Badawi, Alaa
- Badiye, Ashish D.
- Bahrami, Mohammad Amin
- Baig, Atif Amin
- Bakhtiari, Ahad
- Banik, Palash Chandra
- Barac, Aleksandra
- Baraki, Adhanom Gebreegziabher
- Basu, Sanjay
- Bayati, Mohsen
- Bayou, Yibeltal Tebekaw
- Bedi, Neeraj
- Behzadifar, Masoud
- Bell, Michelle L.
- Berhe, Kidanemaryam
- Bhattarai, Suraj
- Bhutta, Zulfiqar A.
- Bijani, Ali
- Birhanu, Minyichil
- Bisanzio, Donal
- Bohlouli, Somayeh
- Bolla, Srinivasa Rao
- Borzouei, Shiva
- Brady, Oliver J.
- Bragazzi, Nicola Luigi
- Briko, Andrey Nikolaevich
- Briko, Nikolay Ivanovich
- Nagaraja, Sharath Burugina
- Cámera, Luis Alberto
- Car, Josip
- Cárdenas, Rosario
- Castaldelli-Maia, João Maurício
- Chattu, Vijay Kumar
- Chehrazi, Mohammad
- Cormier, Natalie Maria
- Dahlawi, Saad M. A.
- Damiani, Giovanni
- Dandona, Rakhi
- Daoud, Farah
- Darwesh, Aso Mohammad
- Das, Jai K.
- Weaver, Nicole Davis
- Demeke, Feleke Mekonnen
- Desalew, Assefa
- Desta, Desilu Mahari
- Dharmaratne, Samath Dhamminda
- Dhungana, Govinda Prasad
- Dianatinasab, Mostafa
- Dipeolu, Isaac Oluwafemi
- Doshmangir, Leila
- Doyle, Kerrie E.
- Dunachie, Susanna J.
- Kalan, Mohammad Ebrahimi
- Leylabadlo, Hamed Ebrahimzadeh
- Edinur, Hisham Atan
- Effiong, Andem
- Eftekhari, Aziz
- Elema, Teshome Bekele
- El-Jaafary, Shaimaa I.
- Emamian, Mohammad Hassan
- Enany, Shymaa
- Eshrati, Babak
- Eskandari, Khalil
- Eskandarieh, Sharareh
- Esmaeilnejad, Saman
- Esmaeilzadeh, Firooz
- Esteghamati, Alireza
- Farahmand, Mohammad
- Faraon, Emerito Jose A.
- Fareed, Mohammad
- Faridnia, Roghiyeh
- Farioli, Andrea
- Farzadfar, Farshad
- Filip, Irina
- Foigt, Nataliya A.
- Foroutan, Masoud
- Fullman, Nancy
- Gad, Mohamed M.
- Gebrehiwot, Tsegaye Tewelde
- Gebremariam, Kidane Tadesse
- Gebremedhin, Ketema Bizuwork
- Gebremeskel, Gebreamlak Gebremedhn
- Gedefaw, Getnet Azeze
- Gezae, Kebede Embaye
- Ghadiri, Keyghobad
- Ghajarzadeh, Mahsa
- Gheshlagh, Reza Ghanei
- Ghashghaee, Ahmad
- Ghiasvand, Hesam
- Gholamian, Asadollah
- Gill, Paramjit Singh
- Gopalani, Sameer Vali
- Grada, Ayman
- Guimarães, Rafael Alves
- Guo, Yuming
- Handiso, Demelash Woldeyohannes
- Haririan, Hamidreza
- Hasaballah, Ahmed I.
- Hasan, Md Mehedi
- Hasanpoor, Edris
- Hasanzadeh, Amir
- Hassankhani, Hadi
- Henry, Nathaniel J.
- Heydarpour, Fatemeh
- Rad, Enayatollah Homaie
- Hoogar, Praveen
- Hossain, Naznin
- Hosseini, Mostafa
- Hosseinzadeh, Mehdi
- Huda, Tanvir M.
- Humayun, Ayesha
- Ibitoye, Segun Emmanuel
- Ilesanmi, Olayinka Stephen
- Imani-Nasab, Mohammad Hasan
- Inbaraj, Leeberk Raja
- Iqbal, Usman
- Irvani, Seyed Sina Naghibi
- Islam, Sheikh Mohammed Shariful
- Iwu, Chinwe Juliana
- Jafarinia, Morteza
- Jahanmehr, Nader
- Jalali, Amir
- Jalilian, Farzad
- Javidnia, Javad
- Jenabi, Ensiyeh
- Johnson, Kimberly B.
- Jozwiak, Jacek Jerzy
- Kabir, Zubair
- Kabir, Ali
- Kalani, Hamed
- Kalankesh, Leila R.
- Kalhor, Rohollah
- Kamal, Zul
- Kanchan, Tanuj
- Kapoor, Neeti
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- Khafaie, Morteza Abdullatif
- Khammarnia, Mohammad
- Khan, Muhammad Shahzeb
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- Mehta, Kala M.
- Memiah, Peter T. N.
- Mengesha, Meresa Berwo
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- Miller-Petrie, Molly K.
- Mills, Edward J.
- Milne, George J.
- Mirabi, Parvaneh
- Mirrakhimov, Erkin M.
- Mirzaei, Roya
- Mirzaei, Maryam
- Mirzaei, Hamid Reza
- Mirzaei, Hamed
- Mirzaei-Alavijeh, Mehdi
- Moazen, Babak
- Mohamadi, Efat
- Mohammad, Dara K.
- Mohammad, Karzan Abdulmuhsin
- Mohammadian-Hafshejani, Abdollah
- Mohammadpourhodki, Reza
- Mohammed, Shafiu
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- Mohebi, Farnam
- Mokdad, Ali H.
- Monasta, Lorenzo
- Moosavi, Mohammad Amin
- Moosazadeh, Mahmood
- Moradi, Ghobad
- Moradi-Joo, Mohammad
- Moradzadeh, Rahmatollah
- Moraga, Paula
- Mosapour, Abbas
- Mouodi, Simin
- Mousavi, Seyyed Meysam
- Khaneghah, Amin Mousavi
- Mueller, Ulrich Otto
- Muluneh, Atalay Goshu
- Munro, Sandra B.
- Murray, Christopher J. L.
- Naderi, Mehdi
- Nagarajan, Ahamarshan Jayaraman
- Nangia, Vinay
- Nansseu, Jobert Richie
- Nayak, Vinod C.
- Ndwandwe, Duduzile Edith
- Nigatu, Yeshambel T.
- Nikbakhsh, Rajan
- Nikfar, Shekoufeh
- Nikpoor, Amin Reza
- Ningrum, Dina Nur Anggraini
- Nnaji, Chukwudi A.
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- Oladnabi, Morteza
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- Pourjafar, Hadi
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- Taymoori, Parvaneh
- Tefera, Yonatal Mesfin
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- Tessema, Zemenu Tadesse
- Tessema, Belay
- Thankappan, Kavumpurathu Raman
- Tohidinik, Hamid Reza
- Tran, Bach Xuan
- Uddin, Riaz
- Ullah, Irfan
- Umeokonkwo, Chukwuma David
- Unnikrishnan, Bhaskaran
- Upadhyay, Era
- Valdez, Pascual R.
- Vasseghian, Yasser
- Veisani, Yousef
- Violante, Francesco S.
- Waheed, Yasir
- Wakefield, Jon
- Werdecker, Andrea
- Westerman, Ronny
- Wiangkham, Taweewat
- Wiens, Kirsten E.
- Wiysonge, Charles Shey
- Woldu, Gebremariam
- Wondafrash, Dawit Zewdu
- Yadollahpour, Ali
- Yaya, Sanni
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- Yilgwan, Christopher Sabo
- Yonemoto, Naohiro
- Yousefi, Zabihollah
- Yousefifard, Mahmoud
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- Zadey, Siddhesh
- Zaman, Sojib Bin
- Zamanian, Maryam
- Zandian, Hamed
- Zangeneh, Alireza
- Zarei, Fatemeh
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- Zhao, Xiu-Ju George
- Ziapour, Arash
- Hay, Simon I.
- Lim, Stephen S.
- Mosser, Jonathan F.
- Venue
- Nature
- Published
- 2020-12-16
- Volume
- 589
- Issue
- 7842
- Pages
- 415-419
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC7739806
- OpenAlex
- W3118415022
- Cited by
- 125
- References
- 49
- Citations by year
- 2026: 12 · 2025: 27 · 2024: 18 · 2023: 19 · 2022: 24 · 2021: 23 · 2020: 2
- FWCI
- 9.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nature (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DR-NTU (Nanyang Technological University) (publishedVersion, cc-by)
- Research Portal (King's College London) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- Lincoln Repository (University of Lincoln) (acceptedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- City Research Online (City University London) (acceptedVersion)
- Research Open (London South Bank University) (acceptedVersion, cc-by)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (acceptedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion)
- Nazarbayev University Repository (Nazarbayev University) (submittedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Työväentutkimus Vuosikirja (submittedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- King Abdullah University of Science and Technology Repository (King Abdullah University of Science and Technology) (submittedVersion, cc-by)
- Repositorio - Universidad de Ciencias Aplicadas y Ambientales UDCA. (submittedVersion, cc-by)
- The Sydney eScholarship Repository (The University of Sydney) (submittedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion, cc-by)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- Bill and Melinda Gates Foundation (#OPP1132415, OPP1106023, OPP1119467)
- World Health Organization (OPP1132415)
- Alexander von Humboldt-Stiftung
- Florida International University
- Johns Hopkins University
- Birmingham City University
- Wellcome Trust (206471/Z/17/Z, 109949/Z/15/Z)
- Iran University of Medical Sciences
- Australian Government
- National Authority for Scientific Research and Innovation
- Rafsanjan University of Medical Sciences
- Maragheh University of Medical Sciences
- National Institute for Health and Care Research (NIHR300791)
- British Heart Foundation
- University of Leicester
- University of Oxford
- Department of Science and Technology, Ministry of Science and Technology, India
- RMIT University
- Mazandaran University of Medical Sciences
- Tabriz University of Medical Sciences
- Tehran University of Medical Sciences and Health Services
- Universiti Sains Malaysia
- Katolicki Uniwersytet Lubelski Jana Pawla II
- Zahedan University of Medical Sciences
- Ahvaz Jundishapur University of Medical Sciences
- Birjand University of Medical Sciences
- Kermanshah University of Medical Sciences
- BHF Centre of Research Excellence, Oxford
- Babol University of Medical Sciences
- Autoritatea Natională pentru Cercetare Stiintifică
- Shahid Beheshti University of Medical Sciences
- National Institute for Genetic Engineering and Biotechnology
- Unitatea Executiva pentru Finantarea Invatamantului Superior, a Cercetarii, Dezvoltarii si Inovarii (PN-III-P4-ID-PCCF-2016-0084, PN-III-P4-ID-PCCF-2016)
- Yasuj University of Medical Sciences
- University of the Philippines
- Universitas Sebelas Maret
- Universitatea de Medicină şi Farmacie "Carol Davila" Bucureşti
- University of Tabriz
- University of Gondar
- Xiamen University
- African Population and Health Research Center
- Alexandria University
- National Institute for Medical Research Development
- Razi Vaccine and Serum Research Institute
- Universidad Autónoma de Sinaloa
- Western Sydney University
- NIHR Oxford Biomedical Research Centre
- Fogarty International Center (K43TW010716)
- Health Data Research UK
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- measles vaccination, routine childhood immunization, low- and middle-income countries, Global Vaccine Action Plan, urban-rural differences, measles mortality
- MeSH terms
- Vaccination Refusal, Child, Child, Preschool, Humans, Measles, Rural Health, Urban Health, Vaccination, Developed Countries, Uncertainty, Internationality, Healthcare Disparities, Geographic Mapping
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