Assessment of Magnitude and Factors Associated With Fullimmunization Coverage in Children Aged 12-23 Months in Addis Ketema Sub-City, Addis Ababa, Ethiopia

Tolera, Demeke (2014) Assessment of Magnitude and Factors Associated With Fullimmunization Coverage in Children Aged 12-23 Months in Addis Ketema Sub-City, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Child immunization is one of the most cost-effective public health interventions for reducing child morbidity and mortality. In order to control and eliminate the vaccine preventable diseases it is important to know the vaccination coverage and reasons for non-vaccination. Inadequate levels of immunization against childhood diseases remain a significant public health problem in resource-poor areas of the globe. Nonetheless, the reasons for incomplete vaccination and non-uptake of immunization services are vary from place to place. This study aimed at finding out the reasons for incomplete vaccination of children in 12-23 months of age in Addis Ababa, Addis Ketema Sub- city, Ethiopia. Objectives: To determine full immunization coverage and the predictors that influence the complete immunization of children among 12-23 months of age. Methods: Across-sectional community based study was conducted by using the revised 2005 WHO-EPI coverage cluster survey manual, from February 2013 to March 2013 in Addis Ketema Sub-City of Addis Ababa city administration.. A sample of 585 children between 12-23 months from 40 clusters in the sub-city were surveyed. Pre-tested structured questionnaire was used for data collection. Data were entered into computer using EPI-Info version 3.5.1 then bivariate and multivariate analysis was done using SPSS statistical software version 16. 0 Results Seventy three percent of the children in Addis Ketema sub-city were fully immunized. Occupation of the mother (AOR=0.22, 95% CI: 0.13,0.51), postnatal care follow up (PNC) (AOR=1.85, 95% CI: 1.10, 2.90) , knowledge about objective of vaccination (AOR=2.39, 95% CI: 1.01, 5.63), knowledge about start age of immunization (AOR=2.17, 95% CI: 1.26, 3.67), knowledge about number of session required to complete routine immunization (AOR=1.61, 95% CI: 1.09, 2.41), Place of delivery (AOR=2.26, 95% CI: 1.38, 3.67), were the independent predictors of full vaccination among children aged 12-23 months. Conclusions. Women with health seeking behavior were found to have their children fully immunized. And also knowledge of mother about immunization of children and socio-demographic characteristics of mother had association with full immunization of children. Significant number (3.2%) of children in this survey had not been vaccinated at all. The low full immunization coverage documented in this study among children particularly for measles vaccination during routine EPI program was found low.

Item Type: Thesis (Masters)
Subjects: Q Science > Q Science (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 17 Oct 2018 14:03
Last Modified: 17 Oct 2018 14:03
URI: http://thesisbank.jhia.ac.ke/id/eprint/6895

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