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. 2021 Apr 29;6(4):e004595. doi: 10.1136/bmjgh-2020-004595

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Maps A and B present the child vaccination status from the most recent DHS survey used in this study. Table A.1 in online supplemental appendix 1 provides on overview of the DHS surveys used by country. Categories represent quintiles. Map C presents the degree of mistrust in public institutions from the most recent Afrobarometer survey used in this study. Table A.7 in online supplemental appendix 2 provides an overview of the Afrobarometer surveys used by country. Categories represent quintiles of the mistrust in public institutions index we constructed (online supplemental appendix 2 provides detailed information). Using the data presented in these maps, we found that regional mistrust in public institutions was positively correlated with the percentage of children having received none of the basic vaccinations (correlation coefficient: 0.23; p< 0.001) and negatively correlated with the percentage of children having received all basic vaccinations (correlation coefficient: -0.26; p< 0.001).