Setegn Muche Fenta1, Haile Mekonnen Fenta2. 1. Department of Statistics, Faculty of Natural and Computational Sciences, Debre Tabor University, Debre Tabor, Ethiopia. setegn14@gmail.com. 2. Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.
Abstract
BACKGROUND: Vaccines are one of our most important tools for preventing outbreaks and keeping the world safe. Most unvaccinated children live in the poorest countries including Ethiopia. Therefore, this study aimed to identify the determinants of vaccination coverage among children aged12-23 months in Ethiopia. METHODS: A cross-sectional secondary data were obtained from the 2016 Ethiopian Demographic and Health Survey data (EDHS). A total of 1929 children were included. A Multilevel Proportional Odds Model was used to identify the individual and community-level factors associated with child vaccination. RESULT: Among 1, 929 children, only 48.6% (95% CI: 46.3 to 50.8%) were fully vaccinated while 37.8% (95% CI: 35.7 to 40.1%) were partially vaccinated.. The multilevel ordinal logistic regression model reveled that housewife mother (AOR =1.522, 95%CI: 1.139, 2.034), institutional delivery (AOR =2.345, 95%CI: 1.766, 3.114),four or above antenatal care visits (AOR = 2.657; 95% CI: 1.906, 3.704), children of mothers with secondary or higher education (AOR = 2.008; 95% CI: 1.209, 3.334),Children whose fathers primary education (AOR = 1.596; 95% CI: 1.215, 2.096), from the rich households (AOR = 1.679; 95% CI: 1.233, 2.287) were significantly associated with childhood vaccination. CONCLUSION: Child vaccination coverage in Ethiopia remains low. Therefore, there is a need to increase child vaccination coverage by promoting institutional delivery and prenatal care visits, as well as maternal tetanus immunization. Besides, public initiatives needed to improve child vaccination coverage, women's and husband's education, poor women, and further advancement of health care services for poor women, housewife women, women living in remote areas should be made to maintain further improvements in child vaccination. Furthermore, policies and programs aimed at addressing cluster variations in child vaccination need to be formulated and their implementation must be strongly pursued.
BACKGROUND: Vaccines are one of our most important tools for preventing outbreaks and keeping the world safe. Most unvaccinated children live in the poorest countries including Ethiopia. Therefore, this study aimed to identify the determinants of vaccination coverage among children aged12-23 months in Ethiopia. METHODS: A cross-sectional secondary data were obtained from the 2016 Ethiopian Demographic and Health Survey data (EDHS). A total of 1929 children were included. A Multilevel Proportional Odds Model was used to identify the individual and community-level factors associated with child vaccination. RESULT: Among 1, 929 children, only 48.6% (95% CI: 46.3 to 50.8%) were fully vaccinated while 37.8% (95% CI: 35.7 to 40.1%) were partially vaccinated.. The multilevel ordinal logistic regression model reveled that housewife mother (AOR =1.522, 95%CI: 1.139, 2.034), institutional delivery (AOR =2.345, 95%CI: 1.766, 3.114),four or above antenatal care visits (AOR = 2.657; 95% CI: 1.906, 3.704), children of mothers with secondary or higher education (AOR = 2.008; 95% CI: 1.209, 3.334),Children whose fathers primary education (AOR = 1.596; 95% CI: 1.215, 2.096), from the rich households (AOR = 1.679; 95% CI: 1.233, 2.287) were significantly associated with childhood vaccination. CONCLUSION:Child vaccination coverage in Ethiopia remains low. Therefore, there is a need to increase child vaccination coverage by promoting institutional delivery and prenatal care visits, as well as maternal tetanus immunization. Besides, public initiatives needed to improve child vaccination coverage, women's and husband's education, poor women, and further advancement of health care services for poor women, housewife women, women living in remote areas should be made to maintain further improvements in child vaccination. Furthermore, policies and programs aimed at addressing cluster variations in child vaccination need to be formulated and their implementation must be strongly pursued.
Authors: Xiang Li; Christinah Mukandavire; Zulma M Cucunubá; Susy Echeverria Londono; Kaja Abbas; Hannah E Clapham; Mark Jit; Hope L Johnson; Timos Papadopoulos; Emilia Vynnycky; Marc Brisson; Emily D Carter; Andrew Clark; Margaret J de Villiers; Kirsten Eilertson; Matthew J Ferrari; Ivane Gamkrelidze; Katy A M Gaythorpe; Nicholas C Grassly; Timothy B Hallett; Wes Hinsley; Michael L Jackson; Kévin Jean; Andromachi Karachaliou; Petra Klepac; Justin Lessler; Xi Li; Sean M Moore; Shevanthi Nayagam; Duy Manh Nguyen; Homie Razavi; Devin Razavi-Shearer; Stephen Resch; Colin Sanderson; Steven Sweet; Stephen Sy; Yvonne Tam; Hira Tanvir; Quan Minh Tran; Caroline L Trotter; Shaun Truelove; Kevin van Zandvoort; Stéphane Verguet; Neff Walker; Amy Winter; Kim Woodruff; Neil M Ferguson; Tini Garske Journal: Lancet Date: 2021-01-30 Impact factor: 79.321
Authors: María Clara Restrepo-Méndez; Aluísio J D Barros; Kerry L M Wong; Hope L Johnson; George Pariyo; Fernando C Wehrmeister; Cesar G Victora Journal: Glob Health Action Date: 2016-05-03 Impact factor: 2.640