Moges Muluneh Boke1, Getaw Tenaw2, Neamin M Berhe3, Woynhareg Kassa Tiruneh1. 1. Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. 2. Dabat Health Office, Dabat, Ethiopia. 3. Department of Public Health, ABH Campus, Jimma University, Jimma, Ethiopia.
Abstract
BACKGROUND: Despite the effort to increase access to routine immunization, majority of children in low-resource countries including Ethiopia are still either unvaccinated or under-vaccinated. In Ethiopia for the past four decades, the completion rate of routine childhood immunization remains low particularly in a rural area. In this study setting, evidence regarding the socio-economic, maternal continuum care, and caregiver characteristics effect on child immunization is limited. Hence, this study aimed to identify the determinants of incomplete vaccination among children aged 12-23 months in Dabat district, Northwest Ethiopia. METHODS: A community-based unmatched case-control study design was employed among 132 cases and 262 controls. Multi-stage sampling method was used to recruit eligible study participants. Logistic regression analysis was used to identify the determinants to children's incomplete vaccination. RESULTS: Caregivers' attitude towards vaccine (AOR: 6.1, 95% CI 3.4 to 11.1), knowledge on the schedule of vaccination (AOR: 4, 95% CI 2.2 to 7.1), Place of delivery (AOR: 2.7, 95% CI 1.3 to 5.5), and marital status (AOR: 2.36, 95% CI 1.22 to 4.56) were statistically significant association with incomplete childhood vaccination. CONCLUSION: Home delivery, caregivers' poor knowledge on the schedule of vaccination, caregivers' negative perception towards vaccine and unmarried marital status were predictors to incomplete vaccination. Therefore, to enhance full vaccination coverage, immunization health education program needs to address vaccine related safety enquiries in a meaningful method to caregivers, in order to improve the perception of caregivers towards vaccine. Moreover, improving maternal continuum care coverage is crucial.
BACKGROUND: Despite the effort to increase access to routine immunization, majority of children in low-resource countries including Ethiopia are still either unvaccinated or under-vaccinated. In Ethiopia for the past four decades, the completion rate of routine childhood immunization remains low particularly in a rural area. In this study setting, evidence regarding the socio-economic, maternal continuum care, and caregiver characteristics effect on child immunization is limited. Hence, this study aimed to identify the determinants of incomplete vaccination among children aged 12-23 months in Dabat district, Northwest Ethiopia. METHODS: A community-based unmatched case-control study design was employed among 132 cases and 262 controls. Multi-stage sampling method was used to recruit eligible study participants. Logistic regression analysis was used to identify the determinants to children's incomplete vaccination. RESULTS: Caregivers' attitude towards vaccine (AOR: 6.1, 95% CI 3.4 to 11.1), knowledge on the schedule of vaccination (AOR: 4, 95% CI 2.2 to 7.1), Place of delivery (AOR: 2.7, 95% CI 1.3 to 5.5), and marital status (AOR: 2.36, 95% CI 1.22 to 4.56) were statistically significant association with incomplete childhood vaccination. CONCLUSION: Home delivery, caregivers' poor knowledge on the schedule of vaccination, caregivers' negative perception towards vaccine and unmarried marital status were predictors to incomplete vaccination. Therefore, to enhance full vaccination coverage, immunization health education program needs to address vaccine related safety enquiries in a meaningful method to caregivers, in order to improve the perception of caregivers towards vaccine. Moreover, improving maternal continuum care coverage is crucial.
Authors: T Mohamed Mohamud Hayir; Mohamed A Magan; Lul M Mohamed; Mohamed A Mohamud; Abdishakur A Muse Journal: J Family Med Prim Care Date: 2020-06-30
Authors: Raymond Boon Tar Lim; Wei Keong Wee; Wei Chek For; Jayalakshmy Aarthi Ananthanarayanan; Ying Hua Soh; Lynette Mei Lim Goh; Dede Kam Tyng Tham; Mee Lian Wong Journal: BMC Public Health Date: 2020-01-02 Impact factor: 3.295
Authors: Widad Fadhullah; Nor Iffah Najwa Imran; Sharifah Norkhadijah Syed Ismail; Mohd Hafiidz Jaafar; Hasmah Abdullah Journal: BMC Public Health Date: 2022-01-05 Impact factor: 3.295
Authors: B L Harrison; C Ogara; M Gladstone; E D Carrol; J Dusabe-Richards; A Medina-Lara; J Ditai; A D Weeks Journal: BMC Public Health Date: 2019-01-03 Impact factor: 3.295