Assessment of Vaccination Status And Associated Factors Among 6-23 Months Street Children In Addis Ababa, Ethiopia
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Date
2020-12
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Addis Abeba University
Abstract
Background: Vaccination is one of the most cost-effective interventions to prevent
major illnesses that contribute to child mortality in the country, particularly in
environments where malnourished children, overcrowding, poverty and illiteracy region
(2).despite the fact that the vaccination service is free in Ethiopia, the vaccination
coverage is very low among the lower economic class. However, there are limited studies
among children born from vulenrable population especially among street women.
Therefore, this study aimed finding out & describing the vaccination status of street
children in the Ethiopian context. The survey result will serve as worthy data as a
baseline.
Objectives: To assess vaccination status and its associated factors among 6-23 months
age children born from women at the street and currently living at the streets of Addis
Ababa, Ethiopia.
Method: A community-based cross sectional study was conducted from August 2019 to
September 2019 in three Sub cites; Addis ketema, Kirkos & Arada which was selected
from Addis Ababa by using simple random sampling method and the total 392 study
participants were selected from each sub city by using proportionated to number of
children and simple random sampling method. Data were entered cleaned and analyzed
using SPSS version 22.
Result: A review of the vaccination cards and maternal recall children indicated that
38.04% of 6-23 months old street children living around Addis Ababa in the selected Sub
cities were fully vaccinated. 95.7% were ever vaccinated, 65.2% vaccinated for age &
4.3% unvaccinated. From the total, BCG is in general the most taken by the majority of
children (95.7%) followed by polio1 (94.4%) penta 1 (92.1%), measles was the least
taken vaccine type which was 44.96%. The coverage showed a decrement from the first
doses of vaccine to the last doses. Maternal age less than 20 year were more likely
practicing child vaccination AOR= 0.6 (CI= 0.2, 0.8) compared to maternal age greater
or equal to 31 years. Maternal literacy (AOR = 1.5(CI= 1.05, 2.4), daily income (AOR =
1.9(CI = 1.13, 4.6) were found to be factors significantly associated with full
immunization in the logistic regression analysis.
Conclusion: There is low immunization coverage among children aged 6-23 months in
the study Sub cities. Age of mother & knowledge of mother & institutional delivery is
significant predictor of child vaccination status. The Addis Ababa health bureau, Sub
cities, woredas and Health centers especially live around street children concentrated
areas should work to raise awareness of street living community on vaccination and
vaccine preventable diseases.
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Keywords
Immunization practice; street children; Addis Ababa; Ethiopia