Factors Affecting Immunization Coverage of Children 12-23 months old in Ejere District, West Shewa Zone of Oromia Regional State

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Ababa University


Vaccination is one of the most powerful protective strategies to reduce disability, morbidity and mortality among children under five years old. Existing evidence suggests that immunization prevents 2 to 3 million deaths every year at globally. 1.5 million deaths of children could be prevented if global vaccination coverage and outreach improved. Although global coverage rates for the third dose of the diphtheria, tetanus and pertussis vaccine (DTP3) had increased substantially. The existing evidence also showed that 19.4 million children under 1 year of age worldwide did not receive the three recommended doses of DTP in 2018, and 13.5 million children in the same age group did not benefit from any vaccination. In Ethiopia, 60–80% of the health problems were accounted by infectious and communicable diseases, about 16% of whose underfive mortality is attributable to vaccine-preventable diseases. The objective of this study used to identify immunization coverage level and associated factors with it among the children12-23 months old in Ejere District, West Shewa Zone, Oromia region. The method of study was conducted a community- based cross sectional study among 694 mothers who had children of aged among 12-23 months from March to April 2020 in ten kebeles selected by clustering and simple sampling technique from Ejere District, West Shewa Zone, Oromia region. Data were entered and,cleaned using SPSS version 26. And also,data were analyszed using logistic regression. Results show that 38.6% of the children were fully vaccinated, whereas 39.6% didn’t complete their vaccination according to schedule for routine immunization, the 21.8% of children were not took any immunization. Mothers who complete the attendance of ANC were 365(56.4 %) and mothers who delivered at health service center during their last child were 282(43.6%). Married mothers vaccinated their children were 2.813 times more than unmarried mother. The governmental employment of mothers vaccinated their children were 4.17 (81%) times greater than not governmental employment of mothers. As the conclusion derived from the result, the vaccination coverage in the Ejere woreda (38%) is low compared to the national target (90%) and global target (100%). And also, mothers` educational level, the mothers had information on benefit of vaccinating the child, age of children, ANC follow up and institutional delivery are significantly associated with in completion of the immunization coverage of children. The results of this study clearly show the great importance for the EPI practice of the vaccination coverage of children. Therefore, the woreda health office, Health Bureaus and Federal Ministry of Health should be allocating specific budget, policy and strategy for EPI plan performance and need to increase community awareness through health education about fully vaccination coverage of children.



Immunization coverage, vaccination, Children aged 12–23 months, Ejere,Oromia