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Individual- and Community-Level Determinants for Complete Vaccination among Children Aged 12-23 Months in Ethiopia: A

Ayal Debie1, Getasew Amare1, Simegnew Handebo2

  • 1Department of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Biomed Research International
|October 16, 2020
PubMed

Insights

Childhood complete vaccination in Ethiopia is low at 39%. Key factors for full vaccination include maternal education, wealth, and urban residence, highlighting areas for improved public health interventions.

Area of Science:

  • Public Health
  • Epidemiology
  • Global Health

Background:

  • Childhood vaccination is crucial for reducing child mortality, especially in sub-Saharan Africa (SSA).
  • Despite progress, millions of children in SSA still die annually from vaccine-preventable diseases.
  • Ethiopia faces challenges in achieving high childhood vaccination rates.

Purpose of the Study:

  • To investigate individual and community-level factors influencing complete childhood vaccination in Ethiopia.
  • To identify determinants for improving vaccination coverage in a vulnerable population.

Main Methods:

  • Secondary data analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS).
  • Inclusion of 1,984 children aged 12-23 months.
  • Two-level multilevel logistic regression analysis to assess determinants.

Main Results:

  • Overall complete vaccination coverage was 39%.
  • Positive associations with complete vaccination included higher maternal education, higher wealth status, at least four antenatal care (ANC) visits, employed mothers, and urban residence.
  • Negative association found for children with a female household head.

Conclusions:

  • Childhood vaccination rates in Ethiopia fall short of WHO targets.
  • Maternal education, socioeconomic status, ANC utilization, maternal employment, and place of residence are significant predictors.
  • Recommendations include financial support for low-income families and enhanced awareness campaigns for rural populations to improve vaccination uptake.
Abstract

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