Background Childhood immunization is one of the most cost-effective prevention measures for children’s mortality and morbidity, saving 2–3 million lives per year. In Ethiopia, under-five mortality rates, about 190,000 children die each year. Different research conducted in Ethiopia on childhood vaccination have focused on either vaccination coverage of individual vaccine or complete and incomplete vaccination. As far as my literature searching, studies separated the vaccination status into non-vaccinated, partially vaccinated and full vaccinated and assorted factors among children age 12–23 month in Ethiopia were limited. Therefore, the aim of this study was to identify factors associated with vaccination status among children 12–23 months of age in Ethiopia. Method A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS). A total weighted sample of 1911 children age 12–23 months of age were included in the study. Logit based Multinomial logistic regression analysis was computed to distinguish factors associated with routine vaccination of children aged 12–23 months. P-value less than 0.05 was used to declare statistical significance of each independent variables, and adjusted odd ratio (AOR) with 95% confidence interval were used to present the result and STATA 14 was utilized for data management and analysis. Result Overall the prevalence of full vaccinated children was 35%, while 49% of children were partially vaccinated and 16% were non-vaccinated. In multinomial analysis, having focused ANC (at least four visits) contrasted to no ANC visits at all had 9.7 higher odd of being fully vaccinated than not vaccinated [AOR = 9.74, 95% CI = 3.52–26.94], and 5 times higher odd of being partially vaccinated than not vaccinated [AOR = 4.97, 95% CI = 2.00–12.33]. Conclusion The present study found that childhood full vaccination status was low compared with the World Health Organization targets. Frequency of ANC visit and visited by field worker were significantly associated both partially and full vaccination whereas, visited health facility last 12 months and wealth status were significantly associated with childhood full vaccination.

Introduction: Study estimated in 2019 iron deficiency related anemia accounts 1.89% and 1.07% of total disability adjusted life years (DALYS) to reproductive age women globally and sub saran Africa respectively. Anemia at the time of pregnancy may cause small sized baby, preterm birth, and perinatal, neonatal and maternal mortality. Iron and folic acid supplementation during pregnancy will minimize the risk of iron deficiency and risk of anemia.Methods: For this time series analysis, dataset of 2005, 2011 and Ethiopian demographic health surveys was used. A total weighted sample of 7234 in 2005, 7786 in 2011 and 7543 in 2016 are encompassed in this study. The Logit based Multivariate decomposition analysis for non-linear response outcome was calibrated to detect the factors contributed to the change in iron supplementation between 2005 and 2016 study period. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in iron supplementation over time into two components. Stata version 16.0 was used to analysis the data.Results: Proportion of iron supplementation during pregnancy increased by more than a third (32%) between the period of 2005 and 2016. From the output of multivariate decomposition regression, major of the change in iron supplementation was due to change in coefficients. Women’s age, working s status and region of living (all except Dire Dawa) were variables as sources of change in iron supplementation under the category of change in coefficients. Additionally, age, region, wealth status, employment status/working status, ANC follow up to the last pregnancy and media exposure were variables attributable to the change of iron supplementation during pregnancy under the category of endowment.Conclusion: Rate of iron supplementation at the time of pregnancy increased dramatically over the last decade in Ethiopia. Change in the proportion of women aged ≥ 35 years, population of each region, wealth status (poorer, middle & richer), working women, ANC follow up and media exposed as well as change in behavior of women aged ≥ 35 years, employed women and region of living were sources of change for iron supplementation between 2005 and 2016 period.

Background: Family planning is a key method for reducing population growth and improving maternal and child health by spacing births and preventing unwanted pregnancies. have an unmet need for family planning is defined as women believed to be sexually involved but are not using some form of contraception, either do not want to have more children (Limiting) or want to delay their next birth for at least two years, (Spacing).Methods: The data for this study arrived from the Ethiopia Demographic Health Surveys (EDHS) in20005, 2011, and 2016 to investigate trends and Predictors of change of unmet need for family planning among reproductive age women in Ethiopia. A pooled weighted sample of 26,230 (7,761 in EDHS 2005, 9,136 in EDHS 2011 and 9,333 in EDHS 2016) reproductive-age women used for this study. For the overall trend (2005-2016) multivariate decomposition analysis for non-linear response outcome was calibrated to identify the factors contributed to the change of unmet need for family planning across the two surveys. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in in unmet need for family planning over time into components. Stata version 16.0 was used to analysis the data.Result: among reproductive age women in Ethiopia the magnitude of unmet need for family planning decreased from 39.6% in 2005 to 23.6% in 2016. From the decomposition analysis change of unmet need for family planning was due to change in characteristics and coefficients. About nine in ten changes in unmet need for family planning was attributable to the difference in coefficients. Factors that associated with the change of unmet need for family planning over the last 11 years were educational status, birth order, and desired number of children.Conclusion: Remarkable change in unmet need for FP was observed between the period of 2005 and 2016. Both change in characteristics and coefficient were the contributing to observed change. Majority of the change in unmet need for FP was due to difference in coefficient over the study period. Mainly the change of unmet need for FP was due to change in women having birth order of five and above, having secondary education and women who desired number of children below five.

Background: Childhood immunization is one of the most cost-effective prevention measures for children's mortality and morbidity, saving 2–3 million lives per year. Therefore, the aim of this study was to identify factors associated with vaccination status among children 12–23 months of age in Ethiopia.Method: A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS). A total weighted sample of 1911 children age 12–23 months of age were included in the study. Logit based Multinomial logistic regression analysis was computed to distinguish factors associated with routine vaccination of children aged 12-23 months. P-value less than 0.05 was used to declare statistical significance of each independent variables, and adjusted Relative risk ratio (RRR) with 95% confidence interval were used to present the result and STATA 14 was utilized for data management and analysis. Result: Overall the prevalence of full vaccinated children was 35%, while 49% of children were partially vaccinated and 16% were non-vaccinated. In multinomial analysis, having focused ANC (at least four visits) contrasted to no ANC visits at all had 9.7 higher relative risk of being fully vaccinated than not vaccinated [RRR= 9.74, 95% CI=3.52-26.94], and 5 times higher relative risk of being partially vaccinated than not vaccinated [RRR=4.97, 95% CI=2.00-12.33]. Conclusion: The present study found that childhood full vaccination status was low compared with the World Health Organization targets. Frequency of ANC visit and visited by field worker were significantly associated both partially and full vaccination whereas, visited health facility last 12 months and wealth status were significantly associated with childhood full vaccination.

Background: Family planning is a key method for reducing population growth and improving maternal and child health by spacing births and preventing unwanted pregnancies. have an unmet need for family planning is defined as women believed to be sexually involved but are not using some form of contraception, either do not want to have more children (Limiting) or want to delay their next birth for at least two years, (Spacing).Methods: The data for this study arrived from the Ethiopia Demographic Health Surveys in 2005, 2011, and 2016 to investigate trends and Predictors of change of unmet need for family planning among reproductive age women in Ethiopia. A pooled weighted sample of 26,230 (7761 in 2005, 9136 in 2011 and 9,333 in 2016 Ethiopian demographic health surveys) reproductive-age women used for this study. For the overall trend (2005-2016) multivariate decomposition analysis for non-linear response outcome was calibrated to identify the factors contributed to the change of unmet need for family planning. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in in unmet need for family planning over time into two components. Stata version 16.0 was used to analysis the data.Result: among reproductive age women in Ethiopia the magnitude of unmet need for family planning decreased from 39.6% in 2005 to 23.6% in 2016. From the decomposition analysis change of unmet need for family planning was due to change in characteristics and coefficients. About nine in ten changes in unmet need for family planning was attributable to the difference in coefficients. Factors that associated with the change of unmet need for family planning over the last 11 years were educational status, birth order, and desired number of children.Conclusion: Remarkable change in unmet need for FP was observed between the period of 2005 and 2016. Both change in characteristics and coefficient were the contributing to observed change. Majority of the change in unmet need for FP was due to difference in coefficient over the study period. Mainly the change of unmet need for FP was due to change in women having birth order of five and above, having secondary education and women who desired number of children below five.