Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia

IF 0.1 Q4 PEDIATRICS
Ayalew Kassaw, A. G. Mariam, Alemi Kebede, Fassikaw Kebede
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引用次数: 2

Abstract

Vaccination is the epicenter of preventive care for good children's health outcomes in each nation. Nevertheless, a number of factors have been hindering the attainment of targets from providing complete vaccination in different nations. This study aims to assess predictors of immunizations in 12-23 months aged children in Abobo District, Gambela regions southwest Ethiopia. Method: A community-based cross-sectional study was employed in 436 pairs of mothers to children aged 12–23 months from 12 marches---27 April 2019. The study participant was recruited by multistage-sampling were used for each kebele. Data were entered into Epi-Data version 3.1 after cleaning and coded, exported to STATA/SE-14/R logistic regression analysis. Variables with P-value <0.25 in bivariate logistic regression were transported into multivariable logistic regression. A variable with 95%CI in AOR was used as claim predictors for the dropout rate. Results: The overall dropout rate of immunization from completion was found 25.8% (95%CI: 21.5--30.2). Factors like mothers did not attend ANC (AOR= 4.59, 95% CI: 2.58, 7.84), being home delivery (AOR=6.46, 95% CI: (3.5--- 11.4), postponed last immunization scheduled (AOR=3.44, 95% CI: 1.98---5.97), children ill during measles vaccine (AOR=1.83, 95% CI: (1.02---3.28), Mothers refused ≥30 minutes for vaccine service waiting (AOR=3.58, 95% CI: (1.99, 6.44) were significantly associated with immunization dropout out. Conclusion: The immunization dropout rate was unacceptable and higher compared to WHO reference (<10%). Home delivery postponed measles vaccine, child illness, ANC status Service refusal ≥30 minutes waiting for the vaccine were independently associated with dropout.
埃塞俄比亚西南部阿波波区12-23月龄儿童免疫失学率及其预测因素
疫苗接种是各国儿童良好健康结果的预防保健的中心。然而,许多因素阻碍了在不同国家实现提供完全疫苗接种的目标。本研究旨在评估埃塞俄比亚西南部甘贝拉地区阿波波区12-23月龄儿童免疫接种的预测因素。方法:在2019年4月27日至12月27日期间,对436对12 - 23个月儿童的母亲进行了基于社区的横断面研究。研究参与者采用多阶段抽样的方法进行招募。数据清洗后输入Epi-Data 3.1版本进行编码,导出至STATA/SE-14/R逻辑回归分析。双变量逻辑回归中p值<0.25的变量被转移到多变量逻辑回归中。AOR中95%CI的变量被用作退率的索赔预测因子。结果:免疫接种完成后的总辍学率为25.8% (95%CI: 21.5—30.2)。母亲未参加ANC (AOR= 4.59, 95% CI: 2.58, 7.84)、在家分娩(AOR=6.46, 95% CI: 3.5—11.4)、推迟最后一次免疫计划(AOR=3.44, 95% CI: 1.98—5.97)、儿童在接种麻疹疫苗期间生病(AOR=1.83, 95% CI: 1.02—3.28)、母亲拒绝等待疫苗服务≥30分钟(AOR=3.58, 95% CI: 1.99, 6.44)等因素与免疫退出显著相关。结论:与世界卫生组织(WHO)的参考值(<10%)相比,该地区的免疫退出率是不可接受的。家中分娩推迟接种麻疹疫苗、儿童疾病、ANC状态与辍学独立相关。拒绝服务等待接种时间≥30分钟。
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CiteScore
0.60
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