Coverage, Opportunity, and Challenges of Expanded Program on Immunization among 12–23-Month-Old Children in Woldia Town, Northeast Ethiopia, 2018

Abebe, Ayele Mamo; Kassaw, Mesfin Wudu; Zemariam, Alemu Birara; Shewangashaw, Nathan Estifanos

doi:10.1155/2019/5302307

Cited by 30 publications

(17 citation statements)

References 10 publications

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“…This is consistent with research conducted in Oromia regional state, eastern Ethiopia 52.9% [ 23 ]. However, the finding of this study is lower than those of previous studies in Jigjig, Ethiopia 74.6% [ 24 ], Woldiya, Ethiopia 87.7% [ 22 ], and Ghana 89.5% [ 25 ]. These disparities could be due to differences in the availability and accessibility of services.…”

Section: Discussioncontrasting

confidence: 92%

“…This study showed that the proportion of children who were partially vaccinated was 31.4% (95% CI: 2835). This finding was higher than studies conducted in the city of Arba Minch in southern Ethiopia [ 21 ] and the city of Woldiya in northern Ethiopia 11.4% [ 22 ]. This disparity could be explained by differences in sample size and socio-demographic characteristics.…”

Section: Discussioncontrasting

confidence: 63%

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Partial vaccination and associated factors among children aged 12–23 months in eastern Ethiopia

et al. 2022

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Background Vaccine prevents about 2–3 million deaths from vaccine-preventable diseases each year. However, immunization coverage in Ethiopia is lower than the herd immunity level required to prevent the spread of all vaccine-preventable diseases. Thus, this study aimed to assess the partial immunization and associated factors among 12–23-month-old children in Eastern Ethiopia. Method A community-based cross-sectional study design was carried out among 874 randomly selected mothers/caregivers of children aged 12–23 months. A structured questionnaire was adapted and data were collected through face-to-face interviews and review of vaccination cards. Data were coded and analyzed using the Stata version 14 software. A binary logistic regression model was utilized to identify the determinant factors. The predictor of partial immunization was presented by an adjusted odds ratio with a 95% confidence interval. A p-value of < 0.05 was used to establish statistical significance. Result The prevalence of partial immunization was 31.4% (95% CI: 28–35). The dropout rate between the first and third pentavalent vaccine was 17%. Being female child [AOR = 0.73, 95% CI: 0.52–0.95], 18–20 month child [AOR = 1.6, 95% CI: 1.1- 2.4], the child born to mothers who heard about vaccination [AOR = 3.9, 95%CI: 1.92- 8.01], a child born to mother who did not receive immunization counselling [AOR = 1.65, 95%CI: 1.15–2.36], and child whose mother walk 15–30 min, 31–60 min, and > 60 min to reach nearby health facilities [AOR = 1.94, 95% CI: 1.1–3.45], [AOR = 4.5, 95% CI: 2.47–8.15], and [AOR = 3.45, 95% CI: 1.59- 7.48] respectively were factors significantly associated with partial vaccination. Conclusions The prevalence of partial immunization is high compared to other studies. As a result, to decrease the proportion of defaulters and to increase immunization coverage, maternal health care utilization like antenatal care follow-up and mother knowledge about the importance of the vaccine need to be sought cautiously.

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Section: Discussioncontrasting

confidence: 92%

Section: Discussioncontrasting

confidence: 63%

Partial vaccination and associated factors among children aged 12–23 months in eastern Ethiopia

et al. 2022

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“…The findings also revealed that older women aged 30–34, 35–39, 40–44, and 45–49 are less likely to use contraceptives relative to younger ones (15–19 years); this corroborates a study conducted by Abebe [ 24 ]. However, our finding is contrary to studies carried out by Mekuria et al and Maxwell et al [ 19 , 25 ].…”

Section: Discussionsupporting

confidence: 90%

Prevalence and Predictors of Contraceptives Use among Women Aged (15–49 years) with Induced Abortion History in Ghana

Salifu

Mohammed

2020

Advances in Preventive Medicine

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Background. The incidence of abortion in Ghana ranges from 27 per 1000 to 61 per 1000 women, causing gynecological complications and maternal mortality. The use of modern contraceptives and its associated factors among women aged 15–49 years have been documented. However, utilization of modern contraceptives specifically among women with induced abortion history is underreported. This study therefore aimed at determining the proportion and identifying predictors of contraceptives use in this underreported population. Methods. This study used secondary data from the 2017 Ghana Maternal Health Survey (GMHS) for the analysis. The analysis is on a weighted sample of 3,039 women aged (15–49 years) with a history of induced abortion. Both descriptive and inferential methods were employed. The chi-square test, univariate and multivariate logistic regression techniques were used to assess statistical associations between the outcome variable and the predictors. Statistical significance was set at 95% confidence interval and p values ≤0.05. Results. Out of the 3,039 participants, 37% (95% CI: 34.6, 38.84) used contraceptives. We identified women’ age, union, place of residence, knowledge of fertile period, total pregnancy outcomes, and region as strong significant (95% CI, p≤0.05) predictors of post induced abortion contraceptives use. Conclusion. Contraceptives use among this vulnerable population is low. Therefore, there is a need to provide widespread access to postabortion contraception services and enhance efforts to efficiently integrate safe abortion practices law into health services in Ghana.

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“…First, the information system does not effectively address whole-process vaccination management of appointments, registration, and AEFI recording. Second, most immunization information cannot be shared between facilities, cities, and provinces [ 34 ], thus exacerbating delayed/missed and repeated vaccinations, particularly among migrant children [ 35 ]. To ensure additional vaccines do not create overwhelming EPI workloads and caregiver confusion, the government must ensure IISs provide whole-process services and whole-link management [ 36 , 37 ], with unified data collection and sharing standards that allow cross-regional data exchange [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Health System Barriers and Facilitators to Delivering Additional Vaccines through the National Immunisation Programme in China: A Qualitative Study of Provider and Service-User Perspectives

et al. 2021

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In China, there are two categories of vaccines available from the Chinese Center for Disease Control and associated public health agencies. Extended Program of Immunization (EPI) vaccines are government-funded and non-EPI vaccines are voluntary and paid for out-of-pocket. The government plans to transition some non-EPI vaccines to EPI in the coming years, which may burden public health system capacity, particularly in terms of budget, workforce, supply chains, and information systems. Our study explored vaccinator and caregiver perspectives on introducing non-EPI vaccines into routine immunization and perceived facilitators and barriers affecting this transition. We conducted a qualitative study from a realist perspective, analysing semi-structured interviews with 26 vaccination providers and 160 caregivers in three provinces, selected to represent regional socioeconomic disparities across Eastern, Central, and Western China. Data were analysed thematically, using deductive and inductive coding. Most participants were positive about adding vaccines to the national schedule. Candidate EPI vaccines most frequently recommended by participants were varicella, mumps vaccine, and hand–foot–mouth disease. Providers generally considered existing workspaces, cold-chain equipment, and funding sufficient, but described frontline staffing and vaccine information systems as requiring improvement. This is the first qualitative study to explore interest, barriers, and facilitators related to adding vaccines to China’s national schedule from provider and caregiver perspectives. Findings can inform government efforts to introduce additional vaccines, by including efforts to retain and recruit vaccine programme staff and implement whole-process data management and health information systems that allow unified nationwide data collection and sharing.

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Coverage, Opportunity, and Challenges of Expanded Program on Immunization among 12–23-Month-Old Children in Woldia Town, Northeast Ethiopia, 2018

Cited by 30 publications

References 10 publications

Partial vaccination and associated factors among children aged 12–23 months in eastern Ethiopia

Partial vaccination and associated factors among children aged 12–23 months in eastern Ethiopia

Prevalence and Predictors of Contraceptives Use among Women Aged (15–49 years) with Induced Abortion History in Ghana

Health System Barriers and Facilitators to Delivering Additional Vaccines through the National Immunisation Programme in China: A Qualitative Study of Provider and Service-User Perspectives

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