Individual and community-level determinants of childhood vaccination in 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...
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-021-00581-9 |
| _version_ | 1818607369228124160 |
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| author | Setegn Muche Fenta Haile Mekonnen Fenta |
| author_facet | Setegn Muche Fenta Haile Mekonnen Fenta |
| author_sort | Setegn Muche Fenta |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T14:25:39Z |
| format | Article |
| id | doaj.art-8fc0b699671843edaeb5d751d3a63657 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-16T14:25:39Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-8fc0b699671843edaeb5d751d3a636572022-12-21T22:28:22ZengBMCArchives of Public Health2049-32582021-04-0179111110.1186/s13690-021-00581-9Individual and community-level determinants of childhood vaccination in EthiopiaSetegn Muche Fenta0Haile Mekonnen Fenta1Department of Statistics, Faculty of Natural and Computational Sciences, Debre Tabor UniversityDepartment of Statistics, College of Science, Bahir Dar UniversityAbstract 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.https://doi.org/10.1186/s13690-021-00581-9Child vaccinationOrdinalMultilevelEthiopia |
| spellingShingle | Setegn Muche Fenta Haile Mekonnen Fenta Individual and community-level determinants of childhood vaccination in Ethiopia Archives of Public Health Child vaccination Ordinal Multilevel Ethiopia |
| title | Individual and community-level determinants of childhood vaccination in Ethiopia |
| title_full | Individual and community-level determinants of childhood vaccination in Ethiopia |
| title_fullStr | Individual and community-level determinants of childhood vaccination in Ethiopia |
| title_full_unstemmed | Individual and community-level determinants of childhood vaccination in Ethiopia |
| title_short | Individual and community-level determinants of childhood vaccination in Ethiopia |
| title_sort | individual and community level determinants of childhood vaccination in ethiopia |
| topic | Child vaccination Ordinal Multilevel Ethiopia |
| url | https://doi.org/10.1186/s13690-021-00581-9 |
| work_keys_str_mv | AT setegnmuchefenta individualandcommunityleveldeterminantsofchildhoodvaccinationinethiopia AT hailemekonnenfenta individualandcommunityleveldeterminantsofchildhoodvaccinationinethiopia |