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Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study

Received: 3 July 2014     Accepted: 18 July 2014     Published: 30 July 2014
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Abstract

Background: About 85% of the world's children under one year of age have received life-saving vaccines. An estimated 1.7 million children died in 2008 from vaccine-preventable diseases and in 2011, only 24% of the children were fully vaccinated. Objectives: To assess fully vaccination coverage and associated factors among children aged 12–23 months in Mecha district. Methods: A cross-sectional community-based study was conducted in 8 rural and 1 urban kebeles from April to October, 2013. A systematic sampling method was used for sample selection. Data were collected on 497 children aged 12–23 months from 497 representative households were collected using trained nurses. The data collectors assessed collected the vaccination status of the children based on vaccination cards or mother’s verbal reports using a pre-tested semi-structured interviewer administered questionnaire through house-to-house visits. Data were coded and entered into SPSS 20.0 versions. Bivariate and multivariate logistic regression analyses were used to assess factors associated with vaccination status of children.Those predictor variables with p-value < 0.05 were considered significantly associated with the outcome variable. Results: About 49.3 % of children aged 12–23 months were fully vaccinated by card and mother’s recall, and 1.6% children were not started vaccination. Using multivariate logistic regression models, factors significantly associated with fully vaccination were urban residence (AOR :2.401, 95% CI:1.011,5.705), mothers who have good knowledge on vaccination (AOR: 2.131, 95% CI:1.076, 4.217), taking the child to health institution during illness in the first year of life (AOR: 2.147 , 95% CI: 1.275, 3.615) ,institutional delivery (AOR :1.593 , 95% CI :1.037,2.445) and complete primary & above education of father of the child( AOR:1.814, 95% CI:1.008,3.265). Conclusion and recommendation: Complete vaccination coverage among children aged 12–23 months remains very low in the district. Health institution delivery , urban residence, mother's knowledge on vaccination and father complete primary and above level of education were found to be independent factors for fully child vaccination status of children in the district. Therefore both HEWs and other staff members of health centres should be improve awareness of the people by designing proper health education targeting the mother on vaccination.

Published in Science Journal of Public Health (Volume 2, Issue 4)
DOI 10.11648/j.sjph.20140204.26
Page(s) 342-348
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Fully Vaccination, Mecha District, Amhara Region

References
[1] UNICEF: Expanding immunization coverage,2010.
[2] WHO: Global elimination of measles, 2009. (source: IVB/measles model 2012) available from www.thelancet.com Published online April 24, 2012 DOI:10.1016/S0140-6736(12)60522-4
[3] Center of diseases control: Global immunization strategic framework, 2011-2015. Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348.
[4] FMOH: Ethiopian child survival strategy department of family health, 2005.
[5] Central Statistical Agency Addis Ababa, Ethiopia ICF International Calverton, Maryland, USA March, 2012: Child vaccination coverage. Ethiopian demographic and Health Survey, 2011.
[6] WHO, UNICEF: Global immunization coverage data, July,2012
[7] Phukan R, Barman M, Mahanta. Factors associated with immunization coverage of children in Assam, India: over the first year of life. J. Tro. Pediat,2009 Aug;55(4):249-52
[8] Charles S., Olalekan A, Olalekan A,etal. Individual and contextual factors associated with low Childhood immunization coverage in Sub-Saharan Africa.
[9] Uganda Bureau of Statistics (UBOS) and ICF International Inc. 2012: Child vaccination coverage. Uganda Demographic and Health Survey ,2011.
[10] Lilian C.,Simon K., Janeth K.,et al. Immunization coverage and its determinant among children aged 12 - 23 months in a peri-urban area of Kenya. The Pan African Medical Journal. 2013;14:3
[11] Central Statistical Agency Addis Ababa, Ethiopia ORC Macro Calverton, Maryland, USA September, 2006: child vaccination coverage. Ethiopian Demographic and Health Survey,2005.
[12] Bizuhan A., Wale, Yibeltal T.and Bayou. Inequalities in Childhood Immunization in Ethiopia, 2011
[13] Belachew E.and Wakgari D. Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia. BMC Public Health, 2012, 12:566.
[14] Henoke T, Amare D and Mirkuzie W. Predictors of defaulting from completion of child immunization in south Ethiopia. BMC Public Health, 2009; 9: 150.
[15] Abdulraheem I., Onajole A., Jimoh A. and Oladipo A. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. Journal of Public Health and Epidemiology Vol. 3(4), pp.194-203, April 2011.
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    Ayal Debie, Bekele Taye. (2014). Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study. Science Journal of Public Health, 2(4), 342-348. https://doi.org/10.11648/j.sjph.20140204.26

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    ACS Style

    Ayal Debie; Bekele Taye. Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study. Sci. J. Public Health 2014, 2(4), 342-348. doi: 10.11648/j.sjph.20140204.26

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    AMA Style

    Ayal Debie, Bekele Taye. Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study. Sci J Public Health. 2014;2(4):342-348. doi: 10.11648/j.sjph.20140204.26

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  • @article{10.11648/j.sjph.20140204.26,
      author = {Ayal Debie and Bekele Taye},
      title = {Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {4},
      pages = {342-348},
      doi = {10.11648/j.sjph.20140204.26},
      url = {https://doi.org/10.11648/j.sjph.20140204.26},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140204.26},
      abstract = {Background: About 85% of the world's children under one year of age have received life-saving vaccines. An estimated 1.7 million children died in 2008 from vaccine-preventable diseases and in 2011, only 24% of the children were fully vaccinated. Objectives: To assess fully vaccination coverage and associated factors among children aged 12–23 months in Mecha district. Methods: A cross-sectional community-based study was conducted in 8 rural and 1 urban kebeles from April to October, 2013. A systematic sampling method was used for sample selection. Data were collected on 497 children aged 12–23 months from 497 representative households were collected using trained nurses. The data collectors assessed collected the vaccination status of the children based on vaccination cards or mother’s verbal reports using a pre-tested semi-structured interviewer administered questionnaire through house-to-house visits. Data were coded and entered into SPSS 20.0 versions. Bivariate and multivariate logistic regression analyses were used to assess factors associated with vaccination status of children.Those predictor variables with p-value < 0.05 were considered significantly associated with the outcome variable. Results: About 49.3 % of children aged 12–23 months were fully vaccinated by card and mother’s recall, and 1.6% children were not started vaccination. Using multivariate logistic regression models, factors significantly associated with fully vaccination were urban residence (AOR :2.401, 95% CI:1.011,5.705), mothers who have good knowledge on vaccination (AOR: 2.131, 95% CI:1.076, 4.217), taking the child to health institution during illness in the first year of life (AOR: 2.147 , 95% CI: 1.275, 3.615) ,institutional delivery (AOR :1.593 , 95% CI :1.037,2.445) and complete primary & above education of father of the child( AOR:1.814, 95% CI:1.008,3.265). Conclusion and recommendation: Complete vaccination coverage among children aged 12–23 months remains very low in the district. Health institution delivery , urban residence, mother's knowledge on vaccination and father complete primary and above level of education were found to be independent factors for fully child vaccination status of children in the district. Therefore both HEWs and other staff members of health centres should be improve awareness of the people by designing proper health education targeting the mother on vaccination.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Fully Vaccination Coverage and Associated Factors among Children Aged 12-23 Months in Mecha District, North West Ethiopia: A Cross-Sectional Study
    AU  - Ayal Debie
    AU  - Bekele Taye
    Y1  - 2014/07/30
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjph.20140204.26
    DO  - 10.11648/j.sjph.20140204.26
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 342
    EP  - 348
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20140204.26
    AB  - Background: About 85% of the world's children under one year of age have received life-saving vaccines. An estimated 1.7 million children died in 2008 from vaccine-preventable diseases and in 2011, only 24% of the children were fully vaccinated. Objectives: To assess fully vaccination coverage and associated factors among children aged 12–23 months in Mecha district. Methods: A cross-sectional community-based study was conducted in 8 rural and 1 urban kebeles from April to October, 2013. A systematic sampling method was used for sample selection. Data were collected on 497 children aged 12–23 months from 497 representative households were collected using trained nurses. The data collectors assessed collected the vaccination status of the children based on vaccination cards or mother’s verbal reports using a pre-tested semi-structured interviewer administered questionnaire through house-to-house visits. Data were coded and entered into SPSS 20.0 versions. Bivariate and multivariate logistic regression analyses were used to assess factors associated with vaccination status of children.Those predictor variables with p-value < 0.05 were considered significantly associated with the outcome variable. Results: About 49.3 % of children aged 12–23 months were fully vaccinated by card and mother’s recall, and 1.6% children were not started vaccination. Using multivariate logistic regression models, factors significantly associated with fully vaccination were urban residence (AOR :2.401, 95% CI:1.011,5.705), mothers who have good knowledge on vaccination (AOR: 2.131, 95% CI:1.076, 4.217), taking the child to health institution during illness in the first year of life (AOR: 2.147 , 95% CI: 1.275, 3.615) ,institutional delivery (AOR :1.593 , 95% CI :1.037,2.445) and complete primary & above education of father of the child( AOR:1.814, 95% CI:1.008,3.265). Conclusion and recommendation: Complete vaccination coverage among children aged 12–23 months remains very low in the district. Health institution delivery , urban residence, mother's knowledge on vaccination and father complete primary and above level of education were found to be independent factors for fully child vaccination status of children in the district. Therefore both HEWs and other staff members of health centres should be improve awareness of the people by designing proper health education targeting the mother on vaccination.
    VL  - 2
    IS  - 4
    ER  - 

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Author Information
  • Department of Public Health, Bahirdar Private Clinic, Bahirdar, Ethiopia

  • Department of Public Health Health, College of Medicine and Health Sciences, Bahirdar University, Bahirdar, Ethiopia

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