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Factors associated with complete immunization coverage in children aged 12-23 months in Ambo Woreda, Central Ethiopia

BMC public health, 2012-07, Vol.12 (1), p.566-566, Article 566 [Peer Reviewed Journal]

COPYRIGHT 2012 BioMed Central Ltd. ;2012 Etana and Deressa; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ;Copyright ©2012 Etana and Deressa; licensee BioMed Central Ltd. 2012 Etana and Deressa; licensee BioMed Central Ltd. ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/1471-2458-12-566 ;PMID: 22839418

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  • Title:
    Factors associated with complete immunization coverage in children aged 12-23 months in Ambo Woreda, Central Ethiopia
  • Author: Etana, Belachew ; Deressa, Wakgari
  • Subjects: Adolescent ; Adult ; Ambo ; Analysis ; Children ; Children & youth ; Communicable diseases ; Complete immunization ; Cross-Sectional Studies ; Ethiopia ; Female ; Health aspects ; Health facilities ; Health Knowledge, Attitudes, Practice ; Households ; Humans ; Immunization ; Immunization - statistics & numerical data ; Infant ; Male ; Middle Aged ; Mortality ; Mothers - statistics & numerical data ; Patient Acceptance of Health Care - statistics & numerical data ; Prevention ; Public health ; Qualitative Research ; Rural Population - statistics & numerical data ; Socioeconomic Factors ; Urban Population - statistics & numerical data ; Vaccination ; Vaccines ; Young Adult
  • Is Part Of: BMC public health, 2012-07, Vol.12 (1), p.566-566, Article 566
  • Description: Vaccination is a proven tool in preventing and eradicating communicable diseases, but a considerable proportion of childhood morbidity and mortality in Ethiopia is due to vaccine preventable diseases. Immunization coverage in many parts of the country remains low despite the efforts to improve the services. In 2005, only 20% of the children were fully vaccinated and about 1 million children were unvaccinated in 2007. The objective of this study was to assess complete immunization coverage and its associated factors among children aged 12-23 months in Ambo woreda. A cross-sectional community-based study was conducted in 8 rural and 2 urban kebeles during January- February, 2011. A modified WHO EPI cluster sampling method was used for sample selection. Data on 536 children aged 12-23 months from 536 representative households were collected using trained nurses. The data collectors assessed the vaccination status of the children based on vaccination cards or mother's verbal reports using a pre-tested structured questionnaire through house-to-house visits. Bivariate and multivariate logistic regression analyses were used to assess factors associated with immunization coverage. About 96% of the mothers heard about vaccination and vaccine preventable diseases and 79.5% knew the benefit of immunization. About 36% of children aged 12-23 months were fully vaccinated by card plus recall, but only 27.7% were fully vaccinated by card alone and 23.7% children were unvaccinated. Using multivariate logistic regression models, factors significantly associated with complete immunization were antenatal care follow-up (adjusted odds ratio(AOR = 2.4, 95% CI: 1.2- 4.9), being born in the health facility (AOR = 2.1, 95% CI: 1.3-3.4), mothers' knowledge about the age at which vaccination begins (AOR = 2.9, 95% CI: 1.9-4.6) and knowledge about the age at which vaccination completes (AOR = 4.3, 95% CI: 2.3-8), whereas area of residence and mother's socio-demographic characteristics were not significantly associated with full immunization among children. Complete immunization coverage among children aged 12-23 months remains low. Maternal health care utilization and knowledge of mothers about the age at which child begins and finishes vaccination are the main factors associated with complete immunization coverage. It is necessary that, local interventions should be strengthened to raising awareness of the community on the importance of immunization, antenatal care and institutional delivery.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1471-2458
    EISSN: 1471-2458
    DOI: 10.1186/1471-2458-12-566
    PMID: 22839418
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    Springer Nature OA/Free Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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