Betre, MulugetaDechassa, Worku2018-07-262023-11-052018-07-262023-11-052013-04http://etd.aau.edu.et/handle/123456789/10045Background: - Immunization remains one of the most important public health intervention and cost effective strategy to reduce child mortality and morbidity associated with infectious diseases and is estimated to avert between 2 and 3 million deaths each year. The objective of this study was to assess complete immunization coverage and its associated factors among children age 12-23 months in Sinana district. Methods: - A cross-sectional community based survey was conducted in 6 kebeles (PA) of Sinana District from 29, December 2012 –16, January 2013. A modified World Health Organization Expanded Program on Immunization cluster sampling methods was used for household selection. Data on 591 children aged 12-23 months and mothers pair were collected by using a pre-tested structured questionnaire through house to house visits from vaccination card and mother’s verbal reports. Bivariate and multivariate logistic regression analyses were used to assess factors associated with fully immunization coverage of children. Results: - of 591 interviewed mothers’ of children, only 10.2% of the mothers have attended secondary and above level of education. Of children included in this study, only 33% of them had vaccination card at time of the survey and about 76.8% of the children aged 12-23 months were fully vaccinated by card plus history. Factors significantly associated with full immunization were antenatal care follow-up (adjusted odds ratio (AOR = 3.7, 95% CI: 2.3- 5.9), mother occupation being farmer (AOD=1.9, 95% CI:1.14-3.1), educational level of father being secondary and above (AOD=3.1, 95%CI:1.3-7.4), household family income greater than one thousand(AOD=3.2, 95% CI:1.4-7.4) , average walking time less than an hour(AOD=3.1, 95% CI:1.5-6.3), ever discuss about immunization with health service extension worker(AOD=2.4, 95%CI:1.32-4.2) and mother’s sufficient knowledge on immunization(AOD=2.5, 95% CI 1.5-4.2) , whereas area of residence , educational level of mother and child sex were not significantly associated. Conclusion: - Even though, immunization coverage of children in sinana district gets improvement over national coverage, yet it is below governmental plan of 90%. Maternal Health care utilization and knowledge of mother about vaccine and Vaccine Preventable Diseases are the main factors associated with complete immunization coverage. It is vital that, local programmatic intervention should be strengthened to upgrade awareness of the community on the importance of immunization, antenatal care and working on advancing economical status of community is the way to optimize children’s immunization coverageenChild ImmunizationThesis