Prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, northwest of Ethiopia: findings from the primary health care project

ObjectiveEthiopia is one of the Africa’s signatory countries for implementation of the primary healthcare strategy including immunisation. In Ethiopia, however, 16% of child death is due to vaccine-preventable disease. Thus, this study aimed to assess the prevalence and determinants of incomplete or...

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Published in:BMJ open 2020-12, Vol.10 (12), p.e041163-e041163
Main Authors: Atnafu, Asmamaw, Andargie, Gashaw, Yitayal, Mezgebu, Ayele, Tadesse Awoke, Alemu, Kassahun, Demissie, Getu Debalkie, Wolde, Haileab Fekadu, Dellie, Endalkachew, Azale, Telake, Geremew, Bisrat Misganaw, Kebede, Adane, Teshome, Destaw Fetene, Gebremedhin, Tsegaye, Derso, Terefe
Format: Article
Language:English
Subjects:
Caregivers
Child, Preschool
Children & youth
Childrens health
Community
community child health
Cross-Sectional Studies
Epidemiology
Ethiopia - epidemiology
Female
Health facilities
Health services
Humans
Immunization
Infant
Maternal & child health
Measles
Mothers
paediatric infectious disease & immunisation
Pediatrics
Poliomyelitis
Pregnancy
Prevalence
Primary Health Care
Public Health
Questionnaires
Rural areas
Sample size
Sociodemographics
Supervisors
Vaccination
Vaccines
Variables
Womens health
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cited_by cdi_FETCH-LOGICAL-b578t-18b84b0538137b2154fafa74027980d472350e6f3e53e043605f780ebb131cd33
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container_issue 12
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creator Atnafu, Asmamaw
Andargie, Gashaw
Yitayal, Mezgebu
Ayele, Tadesse Awoke
Alemu, Kassahun
Demissie, Getu Debalkie
Wolde, Haileab Fekadu
Dellie, Endalkachew
Azale, Telake
Geremew, Bisrat Misganaw
Kebede, Adane
Teshome, Destaw Fetene
Gebremedhin, Tsegaye
Derso, Terefe
description ObjectiveEthiopia is one of the Africa’s signatory countries for implementation of the primary healthcare strategy including immunisation. In Ethiopia, however, 16% of child death is due to vaccine-preventable disease. Thus, this study aimed to assess the prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, Northwest Ethiopia.Study designThe study is community-based cross-sectional study.Study settingDabat and Gondar Zuria districts, Northwest Ethiopia.ParticipantsMothers/caregivers with children aged 12–36 months were enrolled in the study. Participants were randomly selected through systematic sampling and a total of 603 participants were included in the analysis.MethodsA binary logistic regression analysis was done. In the multivariable logistic regression analysis, a p value of
doi_str_mv 10.1136/bmjopen-2020-041163
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In Ethiopia, however, 16% of child death is due to vaccine-preventable disease. Thus, this study aimed to assess the prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, Northwest Ethiopia.Study designThe study is community-based cross-sectional study.Study settingDabat and Gondar Zuria districts, Northwest Ethiopia.ParticipantsMothers/caregivers with children aged 12–36 months were enrolled in the study. Participants were randomly selected through systematic sampling and a total of 603 participants were included in the analysis.MethodsA binary logistic regression analysis was done. In the multivariable logistic regression analysis, a p value of &lt;0.05 and adjusted OR (AOR) with 95% CI were used to identify statistically associated factors with incomplete or not at all vaccination.OutcomesIncomplete or not at all vaccination.ResultsThe prevalence of incomplete or not at all vaccinated children was 23.10% (95% CI 16.50 to 29.70). The multivariable analysis revealed that the odds of incomplete or not at all vaccination were higher among mothers who had no antenatal care (ANC) visit (AOR: 1.81, 95% CI 1.21 to 4.03) and no postnatal care (PNC) visit (AOR=1.52, 95% CI 1.05 to 2.25).ConclusionsIn the study area, nearly one-fourth of children are incompletely or not at all vaccinated. Our finding suggests that ANC and PNC visits are key determinants of incomplete or not at all vaccination. Thus, in low-resource settings like Ethiopia, the health system approaches to improved ANC and PNC services should be intensified with more effective advice on child immunisation to reduce vaccine preventable disease.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2020-041163</identifier><identifier>PMID: 33293394</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Caregivers ; Child, Preschool ; Children &amp; youth ; Childrens health ; Community ; community child health ; Cross-Sectional Studies ; Epidemiology ; Ethiopia - epidemiology ; Female ; Health facilities ; Health services ; Humans ; Immunization ; Infant ; Maternal &amp; child health ; Measles ; Mothers ; paediatric infectious disease &amp; immunisation ; Pediatrics ; Poliomyelitis ; Pregnancy ; Prevalence ; Primary Health Care ; Public Health ; Questionnaires ; Rural areas ; Sample size ; Sociodemographics ; Supervisors ; Vaccination ; Vaccines ; Variables ; Womens health</subject><ispartof>BMJ open, 2020-12, Vol.10 (12), p.e041163-e041163</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b578t-18b84b0538137b2154fafa74027980d472350e6f3e53e043605f780ebb131cd33</citedby><cites>FETCH-LOGICAL-b578t-18b84b0538137b2154fafa74027980d472350e6f3e53e043605f780ebb131cd33</cites><orcidid>0000-0001-6490-7048 ; 0000-0002-5012-3098 ; 0000-0002-7076-6146 ; 0000-0001-5743-5687</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2468063212/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2468063212?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>112,113,230,314,727,780,784,885,3192,25752,27548,27549,27923,27924,37011,37012,44589,53790,53792,55340,55349,74897,77365,77366,77367,77368,77372,77403,77431,77457</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33293394$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Atnafu, Asmamaw</creatorcontrib><creatorcontrib>Andargie, Gashaw</creatorcontrib><creatorcontrib>Yitayal, Mezgebu</creatorcontrib><creatorcontrib>Ayele, Tadesse Awoke</creatorcontrib><creatorcontrib>Alemu, Kassahun</creatorcontrib><creatorcontrib>Demissie, Getu Debalkie</creatorcontrib><creatorcontrib>Wolde, Haileab Fekadu</creatorcontrib><creatorcontrib>Dellie, Endalkachew</creatorcontrib><creatorcontrib>Azale, Telake</creatorcontrib><creatorcontrib>Geremew, Bisrat Misganaw</creatorcontrib><creatorcontrib>Kebede, Adane</creatorcontrib><creatorcontrib>Teshome, Destaw Fetene</creatorcontrib><creatorcontrib>Gebremedhin, Tsegaye</creatorcontrib><creatorcontrib>Derso, Terefe</creatorcontrib><title>Prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, northwest of Ethiopia: findings from the primary health care project</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><addtitle>BMJ Open</addtitle><description>ObjectiveEthiopia is one of the Africa’s signatory countries for implementation of the primary healthcare strategy including immunisation. In Ethiopia, however, 16% of child death is due to vaccine-preventable disease. Thus, this study aimed to assess the prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, Northwest Ethiopia.Study designThe study is community-based cross-sectional study.Study settingDabat and Gondar Zuria districts, Northwest Ethiopia.ParticipantsMothers/caregivers with children aged 12–36 months were enrolled in the study. Participants were randomly selected through systematic sampling and a total of 603 participants were included in the analysis.MethodsA binary logistic regression analysis was done. In the multivariable logistic regression analysis, a p value of &lt;0.05 and adjusted OR (AOR) with 95% CI were used to identify statistically associated factors with incomplete or not at all vaccination.OutcomesIncomplete or not at all vaccination.ResultsThe prevalence of incomplete or not at all vaccinated children was 23.10% (95% CI 16.50 to 29.70). The multivariable analysis revealed that the odds of incomplete or not at all vaccination were higher among mothers who had no antenatal care (ANC) visit (AOR: 1.81, 95% CI 1.21 to 4.03) and no postnatal care (PNC) visit (AOR=1.52, 95% CI 1.05 to 2.25).ConclusionsIn the study area, nearly one-fourth of children are incompletely or not at all vaccinated. Our finding suggests that ANC and PNC visits are key determinants of incomplete or not at all vaccination. Thus, in low-resource settings like Ethiopia, the health system approaches to improved ANC and PNC services should be intensified with more effective advice on child immunisation to reduce vaccine preventable disease.</description><subject>Caregivers</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>Childrens health</subject><subject>Community</subject><subject>community child health</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Ethiopia - epidemiology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Health services</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Maternal &amp; child health</subject><subject>Measles</subject><subject>Mothers</subject><subject>paediatric infectious disease &amp; immunisation</subject><subject>Pediatrics</subject><subject>Poliomyelitis</subject><subject>Pregnancy</subject><subject>Prevalence</subject><subject>Primary Health Care</subject><subject>Public Health</subject><subject>Questionnaires</subject><subject>Rural areas</subject><subject>Sample size</subject><subject>Sociodemographics</subject><subject>Supervisors</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Variables</subject><subject>Womens health</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNUs1qVDEUvohiy9gnECTgxoXT5vf-uBBKrbVQ0IWuQ5J7MjfDvcmYZEbc-Q6-lY_hk5jpjGPrQgyBJOd833dODl9VPSX4lBBWn-lpGVbg5xRTPMeckJo9qI4p5nxeYyEe3rkfVScpLXFZXHRC0MfVEWO0Y6zjx9WPDxE2agRvACnfox4yxMl55XNCwSLnTZhWY4miEJEPGamyxxFtlDEFll3wSE3BL5AZ3NhHKM8F9IjQn9--sxqVVB5S0UFvlN5yS5Gr4HsVUe9Sjs7k9LIIxzx8gZS3NS_z4MLKqVfIOt87v0jIxjChPABaRTep-BUNoMY8IKPiNhaWYPKT6pFVY4KT_TmrPr29_Hjxbn7z_ur64vxmrkXT5jlpdcs1FqwlrNGUCG6VVQ3HtOla3POGMoGhtgwEA8xZGaFtWgxaE0ZMz9isut7p9kEt5b4hGZSTt4EQF1LF7MwIkmkOTdPrpgPLuSVaqwa6VlsqDLNcF63XO63VWk_QG_A5qvGe6P2Md4NchI1sGipI6W5WvdgLxPB5XQYoJ5cMjKPyENZJUl63tag7ggv0-V_QZVhHX0Z1i8I1o4QWFNuhTAwpRbCHZgiWW-vJvfXk1npyZ73Cenb3HwfOb6MVwOkOUNj_qXj2h3Bo9F-MXzAY9_s</recordid><startdate>20201208</startdate><enddate>20201208</enddate><creator>Atnafu, Asmamaw</creator><creator>Andargie, Gashaw</creator><creator>Yitayal, Mezgebu</creator><creator>Ayele, Tadesse Awoke</creator><creator>Alemu, Kassahun</creator><creator>Demissie, Getu Debalkie</creator><creator>Wolde, Haileab Fekadu</creator><creator>Dellie, Endalkachew</creator><creator>Azale, Telake</creator><creator>Geremew, Bisrat Misganaw</creator><creator>Kebede, Adane</creator><creator>Teshome, Destaw Fetene</creator><creator>Gebremedhin, Tsegaye</creator><creator>Derso, Terefe</creator><general>British Medical Journal Publishing Group</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6490-7048</orcidid><orcidid>https://orcid.org/0000-0002-5012-3098</orcidid><orcidid>https://orcid.org/0000-0002-7076-6146</orcidid><orcidid>https://orcid.org/0000-0001-5743-5687</orcidid></search><sort><creationdate>20201208</creationdate><title>Prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, northwest of Ethiopia: findings from the primary health care project</title><author>Atnafu, Asmamaw ; Andargie, Gashaw ; Yitayal, Mezgebu ; Ayele, Tadesse Awoke ; Alemu, Kassahun ; Demissie, Getu Debalkie ; Wolde, Haileab Fekadu ; Dellie, Endalkachew ; Azale, Telake ; Geremew, Bisrat Misganaw ; Kebede, Adane ; Teshome, Destaw Fetene ; Gebremedhin, Tsegaye ; Derso, Terefe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b578t-18b84b0538137b2154fafa74027980d472350e6f3e53e043605f780ebb131cd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Caregivers</topic><topic>Child, Preschool</topic><topic>Children &amp; youth</topic><topic>Childrens health</topic><topic>Community</topic><topic>community child health</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Ethiopia - epidemiology</topic><topic>Female</topic><topic>Health facilities</topic><topic>Health services</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Maternal &amp; child health</topic><topic>Measles</topic><topic>Mothers</topic><topic>paediatric infectious disease &amp; immunisation</topic><topic>Pediatrics</topic><topic>Poliomyelitis</topic><topic>Pregnancy</topic><topic>Prevalence</topic><topic>Primary Health Care</topic><topic>Public Health</topic><topic>Questionnaires</topic><topic>Rural areas</topic><topic>Sample size</topic><topic>Sociodemographics</topic><topic>Supervisors</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Variables</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Atnafu, Asmamaw</creatorcontrib><creatorcontrib>Andargie, Gashaw</creatorcontrib><creatorcontrib>Yitayal, Mezgebu</creatorcontrib><creatorcontrib>Ayele, Tadesse Awoke</creatorcontrib><creatorcontrib>Alemu, Kassahun</creatorcontrib><creatorcontrib>Demissie, Getu Debalkie</creatorcontrib><creatorcontrib>Wolde, Haileab Fekadu</creatorcontrib><creatorcontrib>Dellie, Endalkachew</creatorcontrib><creatorcontrib>Azale, Telake</creatorcontrib><creatorcontrib>Geremew, Bisrat Misganaw</creatorcontrib><creatorcontrib>Kebede, Adane</creatorcontrib><creatorcontrib>Teshome, Destaw Fetene</creatorcontrib><creatorcontrib>Gebremedhin, Tsegaye</creatorcontrib><creatorcontrib>Derso, Terefe</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health &amp; 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In Ethiopia, however, 16% of child death is due to vaccine-preventable disease. Thus, this study aimed to assess the prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, Northwest Ethiopia.Study designThe study is community-based cross-sectional study.Study settingDabat and Gondar Zuria districts, Northwest Ethiopia.ParticipantsMothers/caregivers with children aged 12–36 months were enrolled in the study. Participants were randomly selected through systematic sampling and a total of 603 participants were included in the analysis.MethodsA binary logistic regression analysis was done. In the multivariable logistic regression analysis, a p value of &lt;0.05 and adjusted OR (AOR) with 95% CI were used to identify statistically associated factors with incomplete or not at all vaccination.OutcomesIncomplete or not at all vaccination.ResultsThe prevalence of incomplete or not at all vaccinated children was 23.10% (95% CI 16.50 to 29.70). The multivariable analysis revealed that the odds of incomplete or not at all vaccination were higher among mothers who had no antenatal care (ANC) visit (AOR: 1.81, 95% CI 1.21 to 4.03) and no postnatal care (PNC) visit (AOR=1.52, 95% CI 1.05 to 2.25).ConclusionsIn the study area, nearly one-fourth of children are incompletely or not at all vaccinated. Our finding suggests that ANC and PNC visits are key determinants of incomplete or not at all vaccination. Thus, in low-resource settings like Ethiopia, the health system approaches to improved ANC and PNC services should be intensified with more effective advice on child immunisation to reduce vaccine preventable disease.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>33293394</pmid><doi>10.1136/bmjopen-2020-041163</doi><orcidid>https://orcid.org/0000-0001-6490-7048</orcidid><orcidid>https://orcid.org/0000-0002-5012-3098</orcidid><orcidid>https://orcid.org/0000-0002-7076-6146</orcidid><orcidid>https://orcid.org/0000-0001-5743-5687</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 2044-6055
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source BMJ Open Access Journals; PubMed (Medline); Publicly Available Content Database; BMJ Journals
subjects Caregivers
Child, Preschool
Children & youth
Childrens health
Community
community child health
Cross-Sectional Studies
Epidemiology
Ethiopia - epidemiology
Female
Health facilities
Health services
Humans
Immunization
Infant
Maternal & child health
Measles
Mothers
paediatric infectious disease & immunisation
Pediatrics
Poliomyelitis
Pregnancy
Prevalence
Primary Health Care
Public Health
Questionnaires
Rural areas
Sample size
Sociodemographics
Supervisors
Vaccination
Vaccines
Variables
Womens health
title Prevalence and determinants of incomplete or not at all vaccination among children aged 12–36 months in Dabat and Gondar districts, northwest of Ethiopia: findings from the primary health care project
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