Vaccination coverage and associated factors among children aged 12 – 23 months in Northwest Ethiopia

Tadesse Dagget Tesfaye · Worku Animaw Temesgen · Ayele Semachew Kasa

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Vaccine Coverage and Hesitancy Child Nutrition and Water Access Global Maternal and Child Health

Abstract

BACKGROUND: Full vaccination coverage has been identified as the foundation for the prevention of morbidity and mortality from the childhood illnesses. However, a significant number of children do not get recommended vaccinations. The problem is much worse in low-income countries with varied figures and evidence gap. Therefore, this study was conducted to assess vaccination coverage and its predicting factors in one of the low-income country Ethiopia, particularly in northwest Ethiopia. METHODS: A community-based cross-sectional study was conducted in Northwest Ethiopia in 2016 on 846 children aged 12 to 23 completed months. Cluster sampling method was used. Mothers or caretakers were interviewed. SPSS version 20 was used for analysis. RESULTS: In Northwest Ethiopia, full-vaccination coverage for the children aged 12-23 months was 58.4%, while 17% and 24.6% were partially vaccinated and not vaccinated at all respectively. Child full vaccination status has a positive association with urban residence, having antenatal care visit, institutional delivery for the study child, vaccination site at health institutions, mothers who knows vaccination schedule of a catchment area, and mothers taking a child for vaccination even if the child is sick. However, mothers who ever-married and their travel time to the nearest vaccination site ≤ 30 minutes were negatively associated with child full-vaccination status. CONCLUSION: Vaccination coverage in Northwest Ethiopia, East Gojam, is better than the national coverage. Yet, it is far below the plan. Encouraging antenatal care utilization, delivery at health institutions, and providing adequate information on child vaccination (including when to start, return and finish) for mothers would increase full-vaccination coverage.

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References

2012Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia 2011Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children 2012Validity of vaccination cards and parental recall to estimate vaccination coverage: A systematic review of the literature 2014Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia 2009Predictors of defaulting from completion of child immunization in south Ethiopia, May 2008 – A case control study 2016Immunisation coverage and its determinants among children aged 12-23 months in Atakumosa-west district, Osun State Nigeria: a cross-sectional study 2011Maternal determinants of complete child immunization among children aged 12–23 months in a southern district of Nigeria 2014Expanded program of immunization coverage and associated factors among children age 12 – 23 months in Arba Minch town and Zuria District, Southern Ethiopia, 2013

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2019Incomplete childhood vaccination and associated factors among children aged 12–23 months in Gondar city administration, Northwest, Ethiopia 2018 2020Predictors of immunization coverage among 12–23 month old children in Ethiopia: systematic review and meta-analysis 2020

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