Full immunization coverage and its associated factors among children aged 12-23months in Ethiopia: further analysis from the 2016 Ethiopia demographic and health survey
Full immunization coverage and its associated factors among children aged 12-23months in Ethiopia: further analysis from the 2016 Ethiopia demographic and health survey
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DOI：
10.1186/s12889-019-7356-2
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发表时间：
2019-07-30
影响因子：
4.5
通讯作者：
Sisay, Malede Mequanent
中科院分区：
文献类型：
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作者：
Tamirat, Koku Sisay;Sisay, Malede Mequanent
研究背景疫苗接种是降低儿童发病率和死亡率的有效策略之一。进一步提高免疫覆盖率将使全球约150万人不再死亡。了解儿童的免疫接种水平对于设计适当的干预措施至关重要。因此，本研究旨在评估全面免疫覆盖率及其决定因素之间的儿童年龄在12 - 23months in Ethiopia. MethodsThe study is based on secondary data analysis from the 2016 Ethiopia Demographic and Health Survey（EDHS）.从儿童数据集中提取了1，909名12 - 23个月婴儿的信息。采用双变量和多变量逻辑回归模型评估与完全免疫相关的状态和因素。计算校正比值比（AOR）和95%置信区间（CI）。在多变量Logistic回归模型中，P值小于0.05的变量被认为是统计学和显着相关的结果variable.ResultsThe整体全面免疫覆盖率为38.3%（95%CI：36.7，41.2）。农村宅基（AOR = 0.60，95% CI：0.43，0.84），使用（AOR = 1.62，95% CI：1.31，2.0），女户主（AOR = 0.58，95% CI：0.44，0.76），财富指数[中（AOR = 1.44，95% CI：1.07，1.94）和丰富度（AOR = 1.65，95%CI：1.25，2.19）]，母亲文化程度（AOR = 1.38，95%CI：1.07，1.78），母亲文化程度中等（AOR = 2.19，95% CI：1.43，3.36），文凭毕业的母亲（AOR = 1.99，95% CI：1.09，3.61），ANC随访（AOR = 2.79，95%CI：2.17~3.59）和在卫生机构分娩（AOR = 1.76，95%CI：1.36，2.24）是与完全免疫显著相关的因素。女性户主和农村住宅与全面免疫呈负相关。与此相反，较高的母亲教育，就业，中等和富裕的经济地位，ANC后续行动，并在卫生机构分娩与12 - 23个月大的儿童完全免疫呈正相关。这表明，改善卫生教育和将服务扩大到偏远地区是加强免疫接种的必要条件。
BackgroundVaccination 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 12-23months in Ethiopia.MethodsThe study was based on secondary data analysis from the 2016 Ethiopia Demographic and Health Survey (EDHS). Information about 1,909 babies aged 12-23months 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.ResultsThe 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.ConclusionFull 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 12-23months old children. This suggests that improved health education and service expansion to remote areas are necessary to step immunization access.