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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.
Abstract:
Immunization is one of the most cost-effective and commonly used public health strategies for preventing child mortality. The goal of this study was to determine the prevalence of incomplete immunization and associated variables in children aged 12-23 months in the Aleta Wondo district of Southern Ethiopia. The researchers utilized a community-based cross-sectional study approach. A modified World Health Organization-Expanded Program on Immunization cluster sampling method was used to choose 634 mothers/caregivers of children aged 12-23 months. Data were collected by trained data collectors between March and April 2019. Descriptive statistics and logistic regression were done. In this study, 138 (21.8%) of children were not completed their immunization. Mothers who were literate [AOR = 2.1; (95% CI: 1.1, 4.2)]. Home birth [AOR = 2.9; (95% CI: 1.7, 5.3)], walking time from home to vaccination site [AOR = 1.95; (95% CI: 1.1,3.3)], inconvenience times for vaccination service [AOR = 2.4; (95% CI: 1.3,4.5)], postponing vaccination session schedule [AOR = 2.4; (95% CI:1.1,5.4)], households not visited by health extension workers [AOR = 4.1; (95% CI: 2.2,7.4)], poorer knowledge about child immunization [AOR = 4; (95% CI:2.2,7.5)] were factors associated with incomplete immunization. Incomplete immunization was higher compared to the national target. It is necessary to strengthen the program by enhancing the number of outreach sites considering the size of the target group.
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