Immunization Coverage Rates Attained By Health Care Units in North - Eastern Arsi and Factors Characterizing Their Performance

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Addis Abeba University


Low achei vements in the Expanded Programme on Immunization (EPI) has been found to be one of the major health problems in the North-Eastern Arsi region of Ethiopia. This study was conducted to assess fact ors having influence on the attainment of EPI rates at the level of individual health care units. The factors studied were categorized as follows: a) Factors related to the health workers' knowledge, attitude and practice. b) Factors related to the the health care delivery system, with emphasis on the provision of EPI service. c) Factors related to the char acteristics of the health care uni ts, and d) factors related to the socio-cul tural, demographic and other characteristics of mothers. Two health workers from each one of the 17 health care units were included in the study population and from the area serviced by each health care unit, 50 mothers of undertwo children were selected . The study found that the immunization coverage rates attained by the individual health care units ranged from 18% to 96%. In the case of pregnant women the rate ranged from 12% to 96%. The mean immunization rates were 52.8% and 51% in the under-two children and pregnant mothers, respectively. other findings were that daily EPI session, using occasions of mass meetings or other public gatherings for informing the public about EPI, weekly tracing of EPI defaulters, vi and involving the community in EPI activities were found to be associated with high coverage. Mothers' educational status, attitude towards the health care system, and EPI, were positively associated with immunization coverage.



Immunization Coverage Rates Attained By Health Care Units