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The relationship between facility delivery and infant immunization in Ethiopia
Cheryl A Moyer1, Lia Tadesse, Senait Fisseha
1Global REACH, University of Michigan Medical School, Ann Arbor, USA; Department of Medical Education, University of Michigan Medical School, Ann Arbor, USA.
Summary
Facility delivery significantly increases the likelihood of infant immunizations, including measles and DPT-HepB-Hib vaccines. This finding highlights the lasting impact of institutional births on child health outcomes.
Area of Science:
- Maternal and Child Health
- Public Health
- Demography
Background:
- Understanding factors influencing infant immunization compliance is crucial for child survival.
- Facility delivery is a key intervention point, but its long-term impact on immunization is less understood.
Purpose of the Study:
- To investigate the association between facility delivery and recommended infant immunizations in Ethiopia.
- To identify correlates of facility delivery and their role in immunization compliance.
Main Methods:
- Retrospective analysis of the 2011 Ethiopia Demographic and Health Survey (EDHS) data.
- Multivariate logistic regression used to identify correlates of facility delivery and assess its impact on immunization.
Main Results:
- Facility delivery was associated with a significantly increased likelihood of DPT-HepB-Hib, polio, and measles vaccination.
- Infants born in facilities were twice as likely to be fully immunized compared to those born at home.
- Education, wealth, urban residence, and household size were key correlates of facility delivery.
Conclusions:
- Facility delivery is a strong predictor of timely and complete infant immunization.
- The positive health impact of facility delivery extends beyond the immediate postpartum period.
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