Immunization Coverage Rates Attained By Health Care Units in North - Eastern Arsi and Factors Characterizing Their Performance
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Date
1991-04
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Addis Abeba University
Abstract
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,
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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.
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Keywords
Immunization Coverage Rates Attained By Health Care Units