Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia
DOI:
https://doi.org/10.6000/1929-4247.2022.11.01.3Keywords:
Immunization dropout, under-five children, southwest EthiopiaAbstract
Vaccination is the epicenter of preventive care for good children's health outcomes in each nation. Nevertheless, a number of factors have been hindering the attainment of targets from providing complete vaccination in different nations. This study aims to assess predictors of immunizations in 12-23 months aged children in Abobo District, Gambela regions southwest Ethiopia.
Method: A community-based cross-sectional study was employed in 436 pairs of mothers to children aged 12–23 months from 12 marches---27 April 2019. The study participant was recruited by multistage-sampling were used for each kebele. Data were entered into Epi-Data version 3.1 after cleaning and coded, exported to STATA/SE-14/R logistic regression analysis. Variables with P-value <0.25 in bivariate logistic regression were transported into multivariable logistic regression. A variable with 95%CI in AOR was used as claim predictors for the dropout rate.
Results: The overall dropout rate of immunization from completion was found 25.8% (95%CI: 21.5--30.2). Factors like mothers did not attend ANC (AOR= 4.59, 95% CI: 2.58, 7.84), being home delivery (AOR=6.46, 95% CI: (3.5--- 11.4), postponed last immunization scheduled (AOR=3.44, 95% CI: 1.98---5.97), children ill during measles vaccine (AOR=1.83, 95% CI: (1.02---3.28), Mothers refused ≥30 minutes for vaccine service waiting (AOR=3.58, 95% CI: (1.99, 6.44) were significantly associated with immunization dropout out.
Conclusion: The immunization dropout rate was unacceptable and higher compared to WHO reference (<10%). Home delivery postponed measles vaccine, child illness, ANC status Service refusal ≥30 minutes waiting for the vaccine were independently associated with dropout.
References
India FMOH. Immunization_Handbook_for_Health_Workers pdf 2018; pp. 1-172.
WHO. Global Strategies And Immunization Routine Practices (GRISP) 2016; pp. 1-80.
CDC. Global Introduction of New Vaccines : Delivering More to More 2018.
Working_Group_ Vaccine. Report Of The Sage Working Group On Vaccine Hesitancy 2014; [cited 2019 ].
JSI: Research and Training Institute. EPI coverage in selected Ethiopian zones : A baseline survey for L10K's Routine Immunization Improvement Initiative 2015; (June).
Ethiopia demographic and Health Survey(EDHS). Ethiopia, 2016.
WHO. Global Vaccine Action. Strategic Advisory Group of Experts on Immunization. Geneva: Licence: CC BY-NC-SA 3.0 IGO 2018.
Liu P, et al. National vaccination coverage and immunization system indicators in 195 countries from 1980-2016. 2017; 1-21.
Mohamud A, et al. Immunization coverage of 12 – 23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia 2014; 1-9. https://doi.org/10.1186/1471-2458-14-865
Etana B, et al. Factors associated with complete immunization coverage in children aged 12 – 23 months in Ambo. BMC Public Health 2012; 12(1): 1. https://doi.org/10.1186/1471-2458-12-566
Adedemy D, et al. Factors Associated with Drop-Out between Tuberculosis and Measles Immunization among Infants in Parakou (Benin) in 2012. Pediatrics & Therapeutics 2015; 5(1): 1-8. https://doi.org/10.4172/2161-0665.1000219
Abdalsaid E, et al. Immunization Coverage and its determinants in Children Aged 12-23 Months in Basrah. 2015.
Goyal S, et al. Evaluation of primary immunization coverage among children in a rural block of district Rohtak, Haryana, India 2017; 4(5): 1612-9. https://doi.org/10.18203/2394-6040.ijcmph20171773
Animaw W, et al. Expanded program of immunization coverage and associated factors among children age 12 - 23 months in Arba Minch town and zuria district. BMC Public Health 2014; 14(1): 1-10. https://doi.org/10.1186/1471-2458-14-464
Wadoad, et al. Childhood vaccination in rural southwestern Ethiopia: the nexus with demographic factors and women's autonomy 2014; 17(Supp 1): 49-54. https://doi.org/10.11604/pamjs.supp.2014.17.1.3135
State D, et al. Assessment of Routine Immunization Coverage in Nyala Locality, Reasons behind Incomplete Immunization in South. Eur PMC Funders Gr 2015; 6(1): 1-8. https://doi.org/10.19026/ajms.6.5348
Tadesse H, et al. Predictors of defaulting from completion of child immunization in. BMC Public Heal 2009; 9150. https://doi.org/10.1186/1471-2458-9-150
Gambella regional health bureau annual performance report. Unpublished report 2018; pp. 1-6.
Debie A, et al. Assessment of fully vaccination coverage and associated factors among children aged 12-23 months in Mecha district, North West Ethiopia : A cross-sectional study 2014; 2(4): 342-8. https://doi.org/10.11648/j.sjph.20140204.26
Yenit M, et al. Mothers ' health service utilization and attitude were the main predictors of incomplete childhood vaccination in east-central Ethiopia : a case-control study 2018; 1-9. https://doi.org/10.1186/s13690-018-0261-9
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