Gebeyaw Biset1, Abay Woday2, Setegn Mihret1, Mekonnen Tsihay3. 1. Departments of Pediatrics and Child Health Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. 2. School of Public Health, College of Health Sciences, Samara University, Samara, Ethiopia. 3. Department of Psychiatric Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Abstract
Background: Millions of children in developing countries remained unvaccinated and under-vaccinated. This study was aimed to determine the pooled full vaccination coverage and associated factors in Ethiopia. Methods: This review and meta-analysis were included observational studies conducted from 2013 to 2020. The international online databases as well as gray literatures were retrieved from April 15 to 30/2020. The quality of each study was assessed using the Newcastle-Ottawa Quality Assessment Scale (NOS). Data were extracted using Microsoft excel 2016 and analyzed using STATA 11.0 statistical software. Heterogeneity among studies was assessed using the Cochran Q statistics and I2 test. The pooled effect sizes were determined using pooled proportion for the full vaccination coverage and odds ratios for the associated factors with the corresponding 95% confidence interval.Result: Sixteen studies with 8305 children aged 12-23 months were included. The overall pooled full vaccination coverage was 65% (95% CI: 56%-74%). Institutional delivery (OR: 2.12, 95% CI: 1.78-2.52), travel to vaccination site for <2 hours (OR: 2.43, 95%CI: 1.97-3.00), received at least one antenatal (ANC) visit (OR: 3.2, 95%CI: 2.46-4.1), good maternal knowledge of immunization (OR: 3.63, 95%CI: 2.82-4.67), being informed on immunization schedule (OR: 2.54, 95%CI: 2.02-3.2), living in urban areas (OR: 2, 95% CI: 1.54-2.6), and a household visit by health-care providers during the postnatal period (OR: 2.23, 95%CI: 1.22-4.09) were the independent predictors of full immunization coverage among children age 12-23 months. Conclusion: The study showed that the pooled full immunization coverage is still far from the national target (90%). Therefore, the government should strengthen both the outreach and facility-based immunization services.
Background: Millions of children in developing countries remained unvaccinated and under-vaccinated. This study was aimed to determine the pooled full vaccination coverage and associated factors in Ethiopia. Methods: This review and meta-analysis were included observational studies conducted from 2013 to 2020. The international online databases as well as gray literatures were retrieved from April 15 to 30/2020. The quality of each study was assessed using the Newcastle-Ottawa Quality Assessment Scale (NOS). Data were extracted using Microsoft excel 2016 and analyzed using STATA 11.0 statistical software. Heterogeneity among studies was assessed using the Cochran Q statistics and I2 test. The pooled effect sizes were determined using pooled proportion for the full vaccination coverage and odds ratios for the associated factors with the corresponding 95% confidence interval.Result: Sixteen studies with 8305 children aged 12-23 months were included. The overall pooled full vaccination coverage was 65% (95% CI: 56%-74%). Institutional delivery (OR: 2.12, 95% CI: 1.78-2.52), travel to vaccination site for <2 hours (OR: 2.43, 95%CI: 1.97-3.00), received at least one antenatal (ANC) visit (OR: 3.2, 95%CI: 2.46-4.1), good maternal knowledge of immunization (OR: 3.63, 95%CI: 2.82-4.67), being informed on immunization schedule (OR: 2.54, 95%CI: 2.02-3.2), living in urban areas (OR: 2, 95% CI: 1.54-2.6), and a household visit by health-care providers during the postnatal period (OR: 2.23, 95%CI: 1.22-4.09) were the independent predictors of full immunization coverage among children age 12-23 months. Conclusion: The study showed that the pooled full immunization coverage is still far from the national target (90%). Therefore, the government should strengthen both the outreach and facility-based immunization services.
Authors: Leora R Feldstein; Stephanie Mariat; Marta Gacic-Dobo; Mamadou S Diallo; Laura M Conklin; Aaron S Wallace Journal: MMWR Morb Mortal Wkly Rep Date: 2017-11-17 Impact factor: 17.586