Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study
Science Journal of Public Health
Volume 2, Issue 4, July 2014, Pages: 342-348
Received: Jul. 3, 2014;
Accepted: Jul. 18, 2014;
Published: Jul. 30, 2014
Views 2673 Downloads 606
Ayal Debie, Department of Public Health, Bahirdar Private Clinic, Bahirdar, Ethiopia
Bekele Taye, Department of Public Health Health, College of Medicine and Health Sciences, Bahirdar University, Bahirdar, Ethiopia
Follow on us
Background: About 85% of the world's children under one year of age have received life-saving vaccines. An estimated 1.7 million children died in 2008 from vaccine-preventable diseases and in 2011, only 24% of the children were fully vaccinated. Objectives: To assess fully vaccination coverage and associated factors among children aged 12–23 months in Mecha district. Methods: A cross-sectional community-based study was conducted in 8 rural and 1 urban kebeles from April to October, 2013. A systematic sampling method was used for sample selection. Data were collected on 497 children aged 12–23 months from 497 representative households were collected using trained nurses. The data collectors assessed collected the vaccination status of the children based on vaccination cards or mother’s verbal reports using a pre-tested semi-structured interviewer administered questionnaire through house-to-house visits. Data were coded and entered into SPSS 20.0 versions. Bivariate and multivariate logistic regression analyses were used to assess factors associated with vaccination status of children.Those predictor variables with p-value < 0.05 were considered significantly associated with the outcome variable. Results: About 49.3 % of children aged 12–23 months were fully vaccinated by card and mother’s recall, and 1.6% children were not started vaccination. Using multivariate logistic regression models, factors significantly associated with fully vaccination were urban residence (AOR :2.401, 95% CI:1.011,5.705), mothers who have good knowledge on vaccination (AOR: 2.131, 95% CI:1.076, 4.217), taking the child to health institution during illness in the first year of life (AOR: 2.147 , 95% CI: 1.275, 3.615) ,institutional delivery (AOR :1.593 , 95% CI :1.037,2.445) and complete primary & above education of father of the child( AOR:1.814, 95% CI:1.008,3.265). Conclusion and recommendation: Complete vaccination coverage among children aged 12–23 months remains very low in the district. Health institution delivery , urban residence, mother's knowledge on vaccination and father complete primary and above level of education were found to be independent factors for fully child vaccination status of children in the district. Therefore both HEWs and other staff members of health centres should be improve awareness of the people by designing proper health education targeting the mother on vaccination.
Fully Vaccination, Mecha District, Amhara Region
To cite this article
Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study, Science Journal of Public Health.
Vol. 2, No. 4,
2014, pp. 342-348.
UNICEF: Expanding immunization coverage,2010.
WHO: Global elimination of measles, 2009. (source: IVB/measles model 2012) available from www.thelancet.com Published online April 24, 2012 DOI:10.1016/S0140-6736(12)60522-4
Center of diseases control: Global immunization strategic framework, 2011-2015. Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348.
FMOH: Ethiopian child survival strategy department of family health, 2005.
Central Statistical Agency Addis Ababa, Ethiopia ICF International Calverton, Maryland, USA March, 2012: Child vaccination coverage. Ethiopian demographic and Health Survey, 2011.
WHO, UNICEF: Global immunization coverage data, July,2012
Phukan R, Barman M, Mahanta. Factors associated with immunization coverage of children in Assam, India: over the first year of life. J. Tro. Pediat,2009 Aug;55(4):249-52
Charles S., Olalekan A, Olalekan A,etal. Individual and contextual factors associated with low Childhood immunization coverage in Sub-Saharan Africa.
Uganda Bureau of Statistics (UBOS) and ICF International Inc. 2012: Child vaccination coverage. Uganda Demographic and Health Survey ,2011.
Lilian C.,Simon K., Janeth K.,et al. Immunization coverage and its determinant among children aged 12 - 23 months in a peri-urban area of Kenya. The Pan African Medical Journal. 2013;14:3
Central Statistical Agency Addis Ababa, Ethiopia ORC Macro Calverton, Maryland, USA September, 2006: child vaccination coverage. Ethiopian Demographic and Health Survey,2005.
Bizuhan A., Wale, Yibeltal T.and Bayou. Inequalities in Childhood Immunization in Ethiopia, 2011
Belachew E.and Wakgari D. Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia. BMC Public Health, 2012, 12:566.
Henoke T, Amare D and Mirkuzie W. Predictors of defaulting from completion of child immunization in south Ethiopia. BMC Public Health, 2009; 9: 150.
Abdulraheem I., Onajole A., Jimoh A. and Oladipo A. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. Journal of Public Health and Epidemiology Vol. 3(4), pp.194-203, April 2011.