o Vaccination Coverage Benefitting Children: 205 According to the Demographic and Health Survey of 2012, the vaccination coverage is not homogeneous. Indeed, in rural areas, 46% of children from 12-23 months are completely vaccinated versus 56% in Cotonou. In departments, the ratio of children having received all recommended vaccinations varies from a maximum of 66% in the Collines to a minimum of 26% in Alibori. The same survey reveals tendency to the improvement of the vaccination coverage with the increase of the mother's instruction level and the socio-economic status of the household: thus, one can notice rates of 59% among children from a mother of high school or more, of 54% among those whose mother has a primary level, and only 44% among children whose mother is uneducated. According to the economic welfare level, one can notice that in the lowest quintile households, only 36% of children are completely vaccinated versus 52% in medium quintile households and 57% in highest quintile ones. For years, Benin has been implementing an Expanded Program of Immunization but visibly, vaccination coverage does not know any improvement since 2006 and struggles to find again the level of 2001 (59%) (DHS, 2012). In more details, BCG coverage remains almost stable since 2001 (90% in 2001 versus 88% in 2006 and in 2011-2012) but DTCoq 3 vaccination coverage has improved (67% in 2006 versus 74% in 2011-2012). However, the ratio of children without any vaccination, which was constant (7%) from 2001 to 2006 has increased of 3 points of percentage in 2011-2012; in other words that ratio has gone from 7% in 2006 to 10% in 2011-2012. According to analyses, this counter performance could be explained by the fact that children's mothers no longer bring spontaneously their children to health centers for routine vaccination but wait for health agents to come, going door-to-door as it happens during National Immunization Days (NIDs). 206 207 208 209 210

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