Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014

Mastewal Worku Lake; Lucy Boulanger; Peter Wasswa; Mulugeta Merbratu; Ayalneh Fenta

doi:doi:10.11648/j.aas.20160101.12

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Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014

Mastewal Worku Lake, Lucy Boulanger, Peter Wasswa, Mulugeta Merbratu, Ayalneh Fenta

Published in Advances in Applied Sciences (Volume 1, Issue 1)

Received: 23 May 2016 Accepted: 14 June 2016 Published: 4 July 2016

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Abstract

Immunization is one of the most cost effective public health interventions in preventing and eradicating communicable diseases. In spite of increase in global immunization coverage, many children around the world especially in developing countries still missing unvaccinated. In 2013, 21.8 million children of under one year of age did not receive DPT3 vaccine worldwide and 75% of them live just in 15countries, of which Ethiopian rank 4th. The aim of this study was to identify factors influencing on low immunization among 12-23 month old children in Dessie Town, Amhara, Ethiopia. A cross-sectional community based survey was conducted. We have used Epi info Version 7 for entry and analyzed by SPSS 20 version statistical software. A total of 724 mothers of children aged between 12-23 months old were interviewed from 10 kebeles, with the response rate of 100%. The mean age of the mother and children were 29.24+ 5.2 SD (range 18 to 51) and 1.4 with SD 0.69 respectively. According to Sex wise distribution of children 241(54.7%) and 193(58.1%) of them were males children in rural and urban setting respectively. Overall 472(65.2%) children finished all recommended doses while 130(17.9%) never get vaccine. On logistic regression analysis, Attained ANC follow-up, knowledge of mother about vaccine, Education status of mother, place of delivery and family size were found predictor of full immunization. The study revealed that there is low immunization coverage among children aged 12-23 months in the study area of Dessie Town. Good access to health facilities or health services does not indicate uptake of immunization services. The reasons are complex and multifaceted but in general relate to the health services' insufficient understanding of and attention to their clients' needs. It is recommended that strength the local specific health service to be adequate and quality service with comprehensive strategy to optimize children immunization coverage.

Published in	Advances in Applied Sciences (Volume 1, Issue 1)
DOI	10.11648/j.aas.20160101.12
Page(s)	7-17
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Immunization Coverage, Dessie Town, Children 12-23 Months, Ethiopia

References

[1]	WHO. Fact sheet N°288 Immunization against diseases of public health importance
[2]	World Health Organization. Immunization, Vaccines and Biological. Available from: http://www.who.int/vaccines&diseases/history.shtml
[3]	World Health Organization Media Center. Global Alliance for Vaccines and Immunization (GAVI): available from: http://www.who.int/entity/ media Centre/factsheets/en. Accessed on 16-07-2004
[4]	http://www.afro.who.int/en/copyright.html (accessed date March 2013)
[5]	World Health Organization. Immunization in practice: Modules for health staff update. Geneva. 2004
[6]	Federal Ministry of Health: Ethiopian child survival strategy. Addis Ababa: department family health; 2005
[7]	World Health Organization, UNICEF, World Bank: State of the World's vaccine and immunization. 3rd edition. Geneva: World Health Organization; 2009
[8]	United Nations: Millennium Development Goal; 2000. [cited 2010 September 13]; Available from: http://www.unmillenniumproject.org/goals/gti.htm
[9]	Edmunds, W. J., et al. Measles vaccination in Africa: by how much could routine Coverage be improved? Vaccine, 2001. 20 (1-2): p. 16-8
[10]	North India. Child: Care, Health & Development, 2006. 32 (4): p. 415-21. Emond, A., et al. The effectiveness of community-based interventions to improve
[11]	Dessie town 2012 Annual report
[12]	Maternal and infant health in the Northeast of Brazil. Pan American Journal of Public Health, 2002. 12 (2): p. 101-10
[13]	Global Health: Science and Practice, doi: 10.9745/GHSP-D-13-00115 Glob Health SciPract November 1, 2013 vol. 1 no. 3 p. 417-427
[14]	Belachew E, Wakgari D. Factors Affecting Immunization Status of Children Aged 12-23 Months in Ambo Woreda, West Shewa Zone of Oromia Regional State. Etana and Deressa BMC Public Health 2012, 12: 566 http://www.biomedcentral.com/1471-2458/12/566
[15]	Mosiur R, Sarker O-N. Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh. Salud Publica Mex 2010; 52 (2): 134-40

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APA Style

Mastewal Worku Lake, Lucy Boulanger, Peter Wasswa, Mulugeta Merbratu, Ayalneh Fenta. (2016). Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Advances in Applied Sciences, 1(1), 7-17. https://doi.org/10.11648/j.aas.20160101.12

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ACS Style

Mastewal Worku Lake; Lucy Boulanger; Peter Wasswa; Mulugeta Merbratu; Ayalneh Fenta. Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Adv. Appl. Sci. 2016, 1(1), 7-17. doi: 10.11648/j.aas.20160101.12

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AMA Style

Mastewal Worku Lake, Lucy Boulanger, Peter Wasswa, Mulugeta Merbratu, Ayalneh Fenta. Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Adv Appl Sci. 2016;1(1):7-17. doi: 10.11648/j.aas.20160101.12

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@article{10.11648/j.aas.20160101.12,
  author = {Mastewal Worku Lake and Lucy Boulanger and Peter Wasswa and Mulugeta Merbratu and Ayalneh Fenta},
  title = {Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014},
  journal = {Advances in Applied Sciences},
  volume = {1},
  number = {1},
  pages = {7-17},
  doi = {10.11648/j.aas.20160101.12},
  url = {https://doi.org/10.11648/j.aas.20160101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aas.20160101.12},
  abstract = {Immunization is one of the most cost effective public health interventions in preventing and eradicating communicable diseases. In spite of increase in global immunization coverage, many children around the world especially in developing countries still missing unvaccinated. In 2013, 21.8 million children of under one year of age did not receive DPT3 vaccine worldwide and 75% of them live just in 15countries, of which Ethiopian rank 4th. The aim of this study was to identify factors influencing on low immunization among 12-23 month old children in Dessie Town, Amhara, Ethiopia. A cross-sectional community based survey was conducted. We have used Epi info Version 7 for entry and analyzed by SPSS 20 version statistical software. A total of 724 mothers of children aged between 12-23 months old were interviewed from 10 kebeles, with the response rate of 100%. The mean age of the mother and children were 29.24+ 5.2 SD (range 18 to 51) and 1.4 with SD 0.69 respectively. According to Sex wise distribution of children 241(54.7%) and 193(58.1%) of them were males children in rural and urban setting respectively. Overall 472(65.2%) children finished all recommended doses while 130(17.9%) never get vaccine. On logistic regression analysis, Attained ANC follow-up, knowledge of mother about vaccine, Education status of mother, place of delivery and family size were found predictor of full immunization. The study revealed that there is low immunization coverage among children aged 12-23 months in the study area of Dessie Town. Good access to health facilities or health services does not indicate uptake of immunization services. The reasons are complex and multifaceted but in general relate to the health services' insufficient understanding of and attention to their clients' needs. It is recommended that strength the local specific health service to be adequate and quality service with comprehensive strategy to optimize children immunization coverage.},
 year = {2016}
}

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TY - JOUR
T1 - Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014
AU - Mastewal Worku Lake
AU - Lucy Boulanger
AU - Peter Wasswa
AU - Mulugeta Merbratu
AU - Ayalneh Fenta
Y1 - 2016/07/04
PY - 2016
N1 - https://doi.org/10.11648/j.aas.20160101.12
DO - 10.11648/j.aas.20160101.12
T2 - Advances in Applied Sciences
JF - Advances in Applied Sciences
JO - Advances in Applied Sciences
SP - 7
EP - 17
PB - Science Publishing Group
SN - 2575-1514
UR - https://doi.org/10.11648/j.aas.20160101.12
AB - Immunization is one of the most cost effective public health interventions in preventing and eradicating communicable diseases. In spite of increase in global immunization coverage, many children around the world especially in developing countries still missing unvaccinated. In 2013, 21.8 million children of under one year of age did not receive DPT3 vaccine worldwide and 75% of them live just in 15countries, of which Ethiopian rank 4th. The aim of this study was to identify factors influencing on low immunization among 12-23 month old children in Dessie Town, Amhara, Ethiopia. A cross-sectional community based survey was conducted. We have used Epi info Version 7 for entry and analyzed by SPSS 20 version statistical software. A total of 724 mothers of children aged between 12-23 months old were interviewed from 10 kebeles, with the response rate of 100%. The mean age of the mother and children were 29.24+ 5.2 SD (range 18 to 51) and 1.4 with SD 0.69 respectively. According to Sex wise distribution of children 241(54.7%) and 193(58.1%) of them were males children in rural and urban setting respectively. Overall 472(65.2%) children finished all recommended doses while 130(17.9%) never get vaccine. On logistic regression analysis, Attained ANC follow-up, knowledge of mother about vaccine, Education status of mother, place of delivery and family size were found predictor of full immunization. The study revealed that there is low immunization coverage among children aged 12-23 months in the study area of Dessie Town. Good access to health facilities or health services does not indicate uptake of immunization services. The reasons are complex and multifaceted but in general relate to the health services' insufficient understanding of and attention to their clients' needs. It is recommended that strength the local specific health service to be adequate and quality service with comprehensive strategy to optimize children immunization coverage.
VL - 1
IS - 1
ER -

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Author Information

Mastewal Worku Lake

Amhara Regional State Health Bureau, Public Health Emergency Management Core Process, Bahir Dar, Ethiopia
Lucy Boulanger

Department of Preventive Medicine – Ethiopia Field Epidemiology Training Program Resident Advisor, Addis Ababa, Ethiopia
Peter Wasswa

Africa Field Epidemiology Network (AFENET), Kampala, Uganda
Mulugeta Merbratu

MSH/SCMS Project, Regional Health Systems Strengthening Field Coordinating, Bahir Dar, Ethiopia
Ayalneh Fenta

World Health Organization, NPO/Surveillance & EPI Officer, Amhara Region, Bahir Dar, Ethiopia

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APA Style

Mastewal Worku Lake, Lucy Boulanger, Peter Wasswa, Mulugeta Merbratu, Ayalneh Fenta. (2016). Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Advances in Applied Sciences, 1(1), 7-17. https://doi.org/10.11648/j.aas.20160101.12

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ACS Style

Mastewal Worku Lake; Lucy Boulanger; Peter Wasswa; Mulugeta Merbratu; Ayalneh Fenta. Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Adv. Appl. Sci. 2016, 1(1), 7-17. doi: 10.11648/j.aas.20160101.12

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AMA Style

Mastewal Worku Lake, Lucy Boulanger, Peter Wasswa, Mulugeta Merbratu, Ayalneh Fenta. Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014. Adv Appl Sci. 2016;1(1):7-17. doi: 10.11648/j.aas.20160101.12

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@article{10.11648/j.aas.20160101.12,
  author = {Mastewal Worku Lake and Lucy Boulanger and Peter Wasswa and Mulugeta Merbratu and Ayalneh Fenta},
  title = {Factors for Low Routine Immunization Performance; A Community Based Cross Sectional Study in Dessie Town, South Wollo Zone, Ethiopia, 2014},
  journal = {Advances in Applied Sciences},
  volume = {1},
  number = {1},
  pages = {7-17},
  doi = {10.11648/j.aas.20160101.12},
  url = {https://doi.org/10.11648/j.aas.20160101.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aas.20160101.12},
  abstract = {Immunization is one of the most cost effective public health interventions in preventing and eradicating communicable diseases. In spite of increase in global immunization coverage, many children around the world especially in developing countries still missing unvaccinated. In 2013, 21.8 million children of under one year of age did not receive DPT3 vaccine worldwide and 75% of them live just in 15countries, of which Ethiopian rank 4th. The aim of this study was to identify factors influencing on low immunization among 12-23 month old children in Dessie Town, Amhara, Ethiopia. A cross-sectional community based survey was conducted. We have used Epi info Version 7 for entry and analyzed by SPSS 20 version statistical software. A total of 724 mothers of children aged between 12-23 months old were interviewed from 10 kebeles, with the response rate of 100%. The mean age of the mother and children were 29.24+ 5.2 SD (range 18 to 51) and 1.4 with SD 0.69 respectively. According to Sex wise distribution of children 241(54.7%) and 193(58.1%) of them were males children in rural and urban setting respectively. Overall 472(65.2%) children finished all recommended doses while 130(17.9%) never get vaccine. On logistic regression analysis, Attained ANC follow-up, knowledge of mother about vaccine, Education status of mother, place of delivery and family size were found predictor of full immunization. The study revealed that there is low immunization coverage among children aged 12-23 months in the study area of Dessie Town. Good access to health facilities or health services does not indicate uptake of immunization services. The reasons are complex and multifaceted but in general relate to the health services' insufficient understanding of and attention to their clients' needs. It is recommended that strength the local specific health service to be adequate and quality service with comprehensive strategy to optimize children immunization coverage.},
 year = {2016}
}

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