Assessment of Vaccination Status And Associated Factors Among 6-23 Months Street Children In Addis Ababa, Ethiopia

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Addis Abeba University


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.



Immunization practice; street children; Addis Ababa; Ethiopia