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Other studies reviewed indicated lower immunization coverage for girls compared to boys, although differences were non-significant [ 22, 23].
A search of available literature yielded several studies reporting lower immunization coverage among girls as compared to boys.
Due to structural, cultural and economic factors, Pakistan has lower immunization coverage than other countries in the region [ 4].
According to the reported vaccination coverage rate in Guangdong province, the lower access to health facilities didn't seem to produce lower immunization coverage.
Using three nationally representative surveys from India, our findings indicate that, at the national level, girls have lower immunization coverage than boys.
Many studies have found that rural areas in developing countries have lower immunization coverage and age-appropriate immunization rates due to rural urban inequities [ 29– 31].
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Djibouti had substantially lower measles immunization coverage in 2003 than it did in 1990, although the last few years have actually shown significant rises following a catastrophic drop to little better than 20 per cent in 1998-1999 due to a breakdown in the cold chain.
But, coverage of Penta-3, measles and fully immunized in Sinana district is lower than the immunization coverage reported in 2011 national and Oromia region health and health related indicators [ 8, 11].
However, this proportion is lower than influenza immunization coverage in the general population of Germany in the season 2005/06 (32.5%) [ 21].
Like all children at higher birth orders, these children are vulnerable to lower age-appropriate immunization coverage.
In addition, lower levels of childhood immunization coverage, differing dosing schedules and more limited catch-up campaigns of immunizing older children and possible differences in the dynamics of pneumococcal transmission in developing countries may affect the indirect potential of vaccines in some settings with a high prevalence of HIV-infection.
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