Determinants of fully immunization among children aged 12-23 months in Ethiopia. Further analysis of the 2016 Ethiopian Demographics Health Survey

Abstract

Back ground: Immunization has become the most effective public health measure for the control vaccine preventable disease. It can avert 2 to 3 million children deaths annually. Eighty eight percent of under one year children received diphtheria-tetanus-pertussis in 2015, however still an estimated 19.4 million infants worldwide missed out on basic vaccines. This analysis aims to identify determinant factors for fully immunization among children aged 12-23 months in Ethiopia. Methods: The analysis done based on 2016 Ethiopian Demography and Health Survey. Total of 2004 children aged 12-23 months recruited for this analysis. Descriptive analysis done to characterize the study participants. In addition, binary and multivariable logistic regression analysis done to identify determinants of fully immunization among children. All analysis was done using STATA. Result: Fully immunization coverage among children was positively associated with children of mothers had primary (AOR=1.73,95%CI:1.13,2.65) and secondary (AOR=2.79,95%CI:1.11,7.02) education level, at least one ANC visit (AOR=2.28,95%CI:1.47,3.52), live in Dire Dewa city administration (AOR=2.45,95%CI:1.10,5.

Determinants of Immunization Status Among 12-24 Months Old Children in Ethiopia: Using 2019 Ethiopian Mini Demographic and Health Survey Data

“…The study discovered that children's immunization status was greatly influenced by their region. This finding is in line with research from Ethiopia [11,17,27], which found that non-immunization was higher in the Afar, Oromia, and Somali regions. Compared to children in urban areas, children from rural areas were more likely to be in the worst category of immunization status.…”

“…This study's findings suggest that not only ANC visiting but also the mother's delivery place can help children's immunization status. This research is in line with previous research in Ethiopia [10,11,31] and Nigeria [32]. Women who attended ANC follow-up were encouraged to protect their children by health professionals, and prenatal care counseling can assist women in remembering to immunize their children.…”

“…Mothers with the delivery place of health institutions increased the likelihood of child immunization. This conclusion is in line with the studies in Ethiopia [11,28] and Nigeria [32]. It may be because the mothers get enough information and basic advice about child health from health professionals.…”

“…Several studies on immunization status among children have been undertaken in Ethiopia; however, they used a restricted number of factors and small sample sizes based on EDHS 2011 and EDHS 2016 data without considering the ordinality properties of immunization status. They did not evaluate the impact of each explanatory variable on a single immunization status category [10][11][12]. As a result, the current study was carried out nationwide using the 2019 EDHS mini data to evaluate the immunization status of children under the age of 12-24 months and identify pertinent risk factors.…”

“…Explanatory variables were selected based on theoretical considerations and research on factors affecting childhood immunization status. Previous studies used to form categories for naturally continuous and discrete variables [11,17,18]. Socioeconomic, demographic, and health-related factors are the independent variables used in the study.…”