Incomplete immunization and associated factors among children 12-23 months in Aletawondo district, Sidama zone, South

Binyam Tayu1, Nebiyu Melaku2, Kebede Tefera3

  • 1Aleta Wondo Primary Hospital, Hawassa, Ethiopia.

Insights

In Ethiopia, 21.8% of children aged 12-23 months had incomplete immunization. Factors like maternal literacy, home birth, and poor knowledge of immunization were associated with this gap.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Child mortality remains a significant global health challenge.
  • Immunization is a cornerstone of child survival strategies.
  • Understanding immunization coverage gaps is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of incomplete childhood immunization.
  • To identify factors associated with incomplete immunization in children aged 12-23 months.
  • To inform public health strategies in Southern Ethiopia.

Main Methods:

  • Community-based cross-sectional study.
  • Modified WHO-Expanded Program on Immunization cluster sampling.
  • Logistic regression analysis of data from 634 mother-child pairs.

Main Results:

  • 21.8% of children aged 12-23 months had incomplete immunization.
  • Maternal literacy, home birth, distance to vaccination sites, inconvenient service times, postponed schedules, lack of health worker visits, and poor immunization knowledge were significant factors.
  • Incomplete immunization rates exceeded national targets.

Conclusions:

  • Targeted interventions are needed to address the high prevalence of incomplete immunization.
  • Enhancing outreach services and addressing identified barriers are essential.
  • Improving maternal knowledge and access to vaccination services are critical.

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