Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study
Abstract Background Childhood vaccinations have been shown to be effective in protecting children against vaccine-preventable diseases. The systematic investigation of the causes of incomplete immunization is critical for the full immunization and develop health system interventions to improve immun...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-019-1575-7 |
| _version_ | 1818261035443814400 |
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| author | Alemayehu Gonie Mekonnen Alebachew Demelash Bayleyegn Esubalew Tesfahun Ayele |
| author_facet | Alemayehu Gonie Mekonnen Alebachew Demelash Bayleyegn Esubalew Tesfahun Ayele |
| author_sort | Alemayehu Gonie Mekonnen |
| collection | DOAJ |
| description | Abstract Background Childhood vaccinations have been shown to be effective in protecting children against vaccine-preventable diseases. The systematic investigation of the causes of incomplete immunization is critical for the full immunization and develop health system interventions to improve immunization coverage. To date, no community-based immunization coverage assessment study was conducted in Minjar-shenkora district. Therefore, the aim of this study was to assess the immunization coverage and its factors among 12–23 months old children in Minjar-shenkora district, Ethiopia. Methods Community-based cross-sectional study was conducted from September to November 2017. A total of 566 children aged 12–23 months and their mothers/caregivers were successfully interviewed using structured and pre-tested questionnaire. A stratified sampling technique was employed. Study participants were selected systematically. Data were entered into Epi data version 3.1 and exported into SPSS version 21 for analysis. Logistic regression analyses were done. A significant association was declared at a p-value less than 0.05. Results Three fourth (75.6%) of 12–23 months old children were fully vaccinated. Incorrect appointment date (46.4%), the experience of child sickness with previous vaccination (35.2%) and disrespectful behavior of health professionals (14.3%) were the most common reasons cited by mothers/caregivers for incomplete vaccination of children. Being unmarried (AOR = 3.52, CI = 2.61, 9.15), not being a member of health development army (AOR = 3.31, CI = 2.01, 11.65) and traveling time greater than two hours on foot (AOR = 2.46, CI = 5.01, 17.18) were predictors of incomplete immunization. Conclusions Child immunization coverage was still below the governmental plan of 90% in 2020. Being unmarried, not being a member of health development army and traveling time greater than two hours on foot were predictors of incomplete immunization. Strengthen health development army programmatic interventions in the community will improve child vaccination completion in the district. The issue of long travel time should be addressed by increasing the number of new vaccination sites/clusters in the district. |
| first_indexed | 2024-12-12T18:40:50Z |
| format | Article |
| id | doaj.art-edd9c8873fc44787908e039098383df5 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-12T18:40:50Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-edd9c8873fc44787908e039098383df52022-12-22T00:15:39ZengBMCBMC Pediatrics1471-24312019-06-011911810.1186/s12887-019-1575-7Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based studyAlemayehu Gonie Mekonnen0Alebachew Demelash Bayleyegn1Esubalew Tesfahun Ayele2Department of Nursing, College of Health Sciences, Debre Berhan UniversityDepartment of Nursing, College of Health Sciences, Debre Berhan UniversityDepartment of Public Health, College of Health Sciences, Debre Berhan UniversityAbstract Background Childhood vaccinations have been shown to be effective in protecting children against vaccine-preventable diseases. The systematic investigation of the causes of incomplete immunization is critical for the full immunization and develop health system interventions to improve immunization coverage. To date, no community-based immunization coverage assessment study was conducted in Minjar-shenkora district. Therefore, the aim of this study was to assess the immunization coverage and its factors among 12–23 months old children in Minjar-shenkora district, Ethiopia. Methods Community-based cross-sectional study was conducted from September to November 2017. A total of 566 children aged 12–23 months and their mothers/caregivers were successfully interviewed using structured and pre-tested questionnaire. A stratified sampling technique was employed. Study participants were selected systematically. Data were entered into Epi data version 3.1 and exported into SPSS version 21 for analysis. Logistic regression analyses were done. A significant association was declared at a p-value less than 0.05. Results Three fourth (75.6%) of 12–23 months old children were fully vaccinated. Incorrect appointment date (46.4%), the experience of child sickness with previous vaccination (35.2%) and disrespectful behavior of health professionals (14.3%) were the most common reasons cited by mothers/caregivers for incomplete vaccination of children. Being unmarried (AOR = 3.52, CI = 2.61, 9.15), not being a member of health development army (AOR = 3.31, CI = 2.01, 11.65) and traveling time greater than two hours on foot (AOR = 2.46, CI = 5.01, 17.18) were predictors of incomplete immunization. Conclusions Child immunization coverage was still below the governmental plan of 90% in 2020. Being unmarried, not being a member of health development army and traveling time greater than two hours on foot were predictors of incomplete immunization. Strengthen health development army programmatic interventions in the community will improve child vaccination completion in the district. The issue of long travel time should be addressed by increasing the number of new vaccination sites/clusters in the district.http://link.springer.com/article/10.1186/s12887-019-1575-7Immunization coverageChildren aged 12–23 monthsMinjar-shenkora district |
| spellingShingle | Alemayehu Gonie Mekonnen Alebachew Demelash Bayleyegn Esubalew Tesfahun Ayele Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study BMC Pediatrics Immunization coverage Children aged 12–23 months Minjar-shenkora district |
| title | Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study |
| title_full | Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study |
| title_fullStr | Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study |
| title_full_unstemmed | Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study |
| title_short | Immunization coverage of 12–23 months old children and its associated factors in Minjar-Shenkora district, Ethiopia: a community-based study |
| title_sort | immunization coverage of 12 23 months old children and its associated factors in minjar shenkora district ethiopia a community based study |
| topic | Immunization coverage Children aged 12–23 months Minjar-shenkora district |
| url | http://link.springer.com/article/10.1186/s12887-019-1575-7 |
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