Incomplete vaccination and associated factors among children aged 12-23 months in Yirgalem Town, South Ethiopia
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Date
2015-05
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Addis Abeba Universty
Abstract
Background: Immunization is one of the most successful public health initiatives. Each year, vaccination averts an estimated 2-3 million deaths from diphtheria, tetanus, pertussis (whooping cough) and measles. In 2011, nearly 107 million infants (83%) worldwide received at least 3 doses of diphtheria, tetanus, pertussis (DTP) vaccine; however, approximately 22.4 million failed to receive 3 doses, leaving large numbers of children susceptible to vaccine-preventable diseases and death. EPI cluster survey conducted in Ethiopia on 2012 revealed; only 50% of children 12-23 months of age fully complete their vaccination Objective: To assess incomplete vaccination and associated factors among children aged 12-23 months in Yirgalem Town, South Ethiopia
Methodology: Community based cross-sectional study was conducted in Yirgalem Town from February15- march 30, 2015. A total of 473 caregivers who have children of aged between 12-23 months were included in this study from all urban kebeles of Yirgalem town. Modified 2005 WHO EPI cluster sampling method was implemented. Interviewer administered structured questionnaire was used. Data were entered and analyzed using SPSS version 20 for Windows. Bivariate and multivariate analysis was done to test the association between independent and dependent variables using binary logistic regression model. Result: From total of 473 children included in the study 96(20%) of them didn‟t complete their vaccination according to schedule for routine immunization. DPT-HepB-Hib1- DPT-HepB-Hib3 dropout was 15%. More than half of respondents 289(61%) knew that the vaccination program should be finished at the age of nine months. The study revealed that children were less likely to incomplete vaccination if their primary caregivers knew the benefit of vaccinating child, the age to complete vaccination and advised about the importance of full vaccination. Mothers ANC attendance (AOR=5.3, 95% CI: 1.12, 25) and place of delivery during their last child (AOR=8, 95% CI: 1.92, 33) were significantly associated with vaccination incompletion among children aged 12-23 months. Conclusion: There is low Vaccination coverage among children aged 12-23 months in Yirgalem town compared to national and global target. Caregiver‟s educational level, knowledge on benefit of vaccinating child and age to complete immunization, ANC follow up and institutional delivery are significant associated with incomplete vaccination on this study. Yirgalem town health office and health facilities in town should work to Increase community awareness through Intensive health education activities about the benefit and need to complete the entire schedule of vaccination.
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Incomplete vaccination