Full immunization coverage and its associated factors among children aged 12–23 months in Ethiopia: further analysis from the 2016 Ethiopia demographic and health survey
| Autor: | Malede Mequanent Sisay, Koku Sisay Tamirat |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Vaccination Coverage Mothers 030209 endocrinology & metabolism Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Full immunization 12–23 months children Epidemiology Humans Medicine 030212 general & internal medicine Socioeconomic status Demography business.industry lcsh:Public aspects of medicine Associated factors Public health Public Health Environmental and Occupational Health Infant lcsh:RA1-1270 Secondary data Odds ratio Socioeconomic Factors Female Health education Ethiopia Biostatistics business Research Article |
| Zdroj: | BMC Public Health BMC Public Health, Vol 19, Iss 1, Pp 1-7 (2019) |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-019-7356-2 |
| Popis: | Background Vaccination is one of the cost effective strategies reducing childhood morbidity and mortality. Further improvement of immunization coverage would halt about 1.5 million additional deaths globally. Understanding the level of immunization among children is vital to design appropriate interventions. Therefore, this study aimed to assess full immunization coverage and its determinants among children aged 12–23 months in Ethiopia. Methods The study was based on secondary data analysis from the 2016 Ethiopia Demographic and Health Survey (EDHS). Information about 1,909 babies aged 12–23 months was extracted from children dataset. Both bivariate and multivariable logistic regression models were utilized to assess the status and factors associated with full immunization. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed. Variables with less than 0.05 p-values in the multivariable logistic regression model were considered as statistically and significantly associated with the outcome variable. Results The overall full immunization coverage was 38.3% (95% CI: 36.7, 41.2). Rural residence (AOR = 0.60, 95% CI: 0.43, 0.84), employed (AOR = 1.62, 95% CI: 1.31, 2.0), female household head (AOR = 0.58, 95% CI: 0.44, 0.76), wealth index [middle (AOR = 1.44, 95% CI: 1.07, 1.94) and richness (AOR = 1.65, 95% CI: 1.25,2.19)], primary school maternal education (AOR = 1.38,95% CI: 1.07, 1.78), secondary school maternal education (AOR = 2.19, 95% CI: 1.43, 3.36), diploma graduated mothers (AOR = 1.99, 95% CI: 1.09, 3.61), ANC follow ups (AOR = 2.79, 95% CI:2.17 3.59), and delivery at health facilities (AOR = 1.76, 95% CI: 1.36, 2.24) were significantly associated factors with full immunization. Conclusion Full immunization coverage in Ethiopia was significantly lower than the global target. Female household head and rural dwellings were negatively associated with full immunization. In contrast higher maternal education, employment, middle and rich economic status, ANC follow up, and delivery at health facility were positively associated with full immunization among 12–23 months old children. This suggests that improved health education and service expansion to remote areas are necessary to step immunization access. |
| Databáze: | OpenAIRE |
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