Factors influencing child immunization coverage in a rural District of Ethiopia, 2000

Kidane, Teklay; Tekie, Michael

doi:10.4314/ejhd.v17i2.9850

Cited by 37 publications

(58 citation statements)

References 3 publications

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“…The dropout rate of pentavalent1 to pentavalent3 was 33.1% which is less than 43% as reported in the EDHS 2011 [21], but higher than 22.6% reported from Kenya [15]. The dropout rate from BCG to measles in the present study was 40.3% which is comparatively higher than that in other districts of Ethiopia [12, 17]. The difference might be due to high percentage of defaulters, lack of local motivators for reminding/tracking and absence of health workers at health facilities.…”

Section: Discussioncontrasting

confidence: 69%

“…The percentage of fully vaccinated children was also found to be higher than that among pastoral community of Amibara district, ANRS (8.3%) [13] and almost close to that reported from Ambo Woreda of Central Ethiopia (36%) [14]. But it was lower than that reported from the northern rural district of Ethiopia [75.5% (80% urban and 67.5% rural)] [12]. The reasons for such differences in immunization coverage within the same country might be better access to immunization services in the northern rural district of Ethiopia as evinced by the 97.3% coverage of OPV1/DPT1 there [12].…”

Section: Discussionmentioning

confidence: 63%

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Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

et al. 2014

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BackgroundImmunization coverage in Ethiopia is less than the herd immunity level desired to prevent the spread of eight target diseases targeted by the World Health Organization’s Expanded Program of Immunization. In particular, the Somali region of the country still has by far the lowest level of immunization coverage. The objective of this study was to measure the immunization coverage of 12–23 months old children and associated factors in the urban and rural areas of Jigjiga district.MethodsA community based cross-sectional survey was conducted in 582 households with 12–23 months old children in two urban and four rural wards. The data were collected from mothers or caregivers through interviews based on pre-tested and structured questionnaires and from the review of vaccination cards. Data were processed using SPSS version 16. To identify factors associated with the immunization status of children, bivariate and multiple logistic regression analyses were worked out and the Hoshmer and Lemeshow’s goodness-of-fit was used to assess the fitness of multiple logistic regression model.ResultsThree–fourth (74.6%) of the children surveyed were ever vaccinated, whereas 36.6% were fully vaccinated. The immunization coverage rate from card assessment for Bacillus Calmette-Guérin was 41.8%, while for Oral Polio Vaccine Zero, Oral Polio Vaccine One /Pentavalent1, Oral Polio Vaccine Two /Pentavalent2, Oral Polio Vaccine Three /Pentavalent3, and measles were 10.4%, 41.1%, 33.9%, 27.5%, and 24.9%, respectively. Maternal literacy (AOR = 3.06, 95% CI = 1.64, 5.71), Tetanus Toxoid Vaccine (AOR = 2.43, 95% CI = 1.56, 3.77), place of delivery (AOR = 2.02, 95% CI = 1.24, 3.28), place of residence (AOR = 2.04, 95% CI = 1.33, 3.13), and household visits by health workers (AOR = 1.92, 95% CI = 1.17, 3.16), were found to be factors significantly associated with full immunization in the multivariate logistic regression analysis.ConclusionsThe overall immunization coverage was found to be low. Hence, to increase the immunization coverage and reduce the incidences of missed opportunity, delivery in the health institution should be promoted, the outreach activities of the health institutions should be strengthened and greater utilization of health services by mothers should be encouraged.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 63%

Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

et al. 2014

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“…Though Barwala is a village but 82% of the mothers were literate with majority having education at least till middle school. Other studies have also shown that mother's education is strongly related to the immunization status of the child [3][4][5][6].…”

Section: Demand Side Factors Influencing Immunizationmentioning

confidence: 99%

Demand and Supply Side Factors Affecting Utilization of Immunization Services in an Urban Village Of Delhi

Rathi¹,

Meena²

2017

Adv Tech Biol Med

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“…Here EPI had its objective to control high deaths of infant and increase immunization coverage by 10% annually and reach 100% in 1990. Unfortunately, the program had not succeeded as the plan; however, current EPI coverage increases significantly [4], [5]. The country has adapted and used the Reaching Every District (RED) and the Sustainable Outreach Services (SOS) approach to enhance immunization coverage since 2003.…”

Section: Introductionmentioning

confidence: 99%

“…Despite, EPI services exists in all kebeles and delivered by health extension workers to community, still there is high number of defaulters, due to the major determinants to achieving universal immunization including low access to services, inadequate awareness of caregivers, missed opportunities, and high dropout rates that have been recognized since the early years of EPI effort [4], [6]. But after health extension program was launched exact factors for immunization defaulting was not assessed in southern Ethiopia, so the study assessed predictors of immunization defaulting among children age 12-23 months in Hawasa Zuriya district of southern Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Immunization Defaulting among Children Age 12-23 Months in Hawassa Zuria District of Southern Ethiopia: Community Based Unmatched Case Control Study

Tesfaye¹,

Tamiso²,

Birhan³

et al. 2014

IJPHS

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As part of the overall package of maternal and child health services in Ethiopia, all children are provided with free immunization services and it is available in all government health facilities, both in rural and urban areas. But significant number of children was defaulted from Immunization schedule, even after the health extension program was launched. Therefore, the study was assessed predictors of immunization defaulting among children age range of 12-23 months, in Hawassa Zuria district of southern Ethiopia. Unmatched case control study was conducted in six Kebeles which were selected from 26 kebeles by simple random sampling techniques. Cases were children in the age ranges of 12 -23 months who did not complete the recommended immunization. All cases (105) and controls (209) in the kebeles were identified by using health posts Vaccine registration book. Bivariable and multiple logistic regression model were used to identify important predictor of immunization defaulting. P-value of less than 0.05 was considered as the level of significances. The study identified educational status, place of delivery, immunization related knowledge, ANC follow up and household wealth status as significant predictors of defaulting from immunization schedules. Sustained health education on vaccination related knowledge and institutional delivery services utilization will be needed. The household literacy and economic status should also get emphasis so as to decreases defaulting of children from immunization schedule.

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Factors influencing child immunization coverage in a rural District of Ethiopia, 2000

Cited by 37 publications

References 3 publications

Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

Demand and Supply Side Factors Affecting Utilization of Immunization Services in an Urban Village Of Delhi

Predictors of Immunization Defaulting among Children Age 12-23 Months in Hawassa Zuria District of Southern Ethiopia: Community Based Unmatched Case Control Study

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