Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Apr 21:14:1669-1679.
doi: 10.2147/RMHP.S295806. eCollection 2021.

Determinants of Incomplete Vaccination Among Children Aged 12 to 23 Months in Gindhir District, Southeastern Ethiopia: Unmatched Case-Control Study

Demisu Zenbaba  1 , Biniyam Sahiledengle  1 , Mitiku Bonsa Debela  1 , Tilahun Tufa  1 , Zinesh Teferu  1 , Abate Lette  1 , Habtamu Gezahegn  2 , Damtew Solomon  3 , Yohannes Tekalegn  1
Affiliations

Determinants of Incomplete Vaccination Among Children Aged 12 to 23 Months in Gindhir District, Southeastern Ethiopia: Unmatched Case-Control Study

Demisu Zenbaba et al. Risk Manag Healthc Policy. .

Abstract

Background: Incomplete vaccination can put children at greater risk of acquiring vaccine-preventable diseases. In Ethiopia, vaccination coverage against vaccine-preventable diseases is still a significant and persistent public health challenge. Thus, the aim of this study was to identify the determinants of incomplete childhood vaccination among children aged 12-23 months in Gindhir District, Southeast Ethiopia.

Methods: A community-based unmatched case-control design was employed among children aged 12-23 months from 1 to 28 February 2020. A total of 254 cases and 508 controls were included using the stratified random sampling technique. Cases included children aged 12-23 months who missed at least one dose of the routine vaccination, and controls were the children with complete vaccination with all required doses. Binary logistic regression analyses were used to identify the independent factors for children's incomplete vaccination status.

Results: Of all assessed determinants, maternal knowledge about vaccination (AOR=0.50, 95% CI: 0.31, 0.80), educational status (AOR=2.61, 95% CI: 1.19, 5.67), average monthly income (AOR=0.33, 95% CI: 0.15, 0.77), model family (AOR = 2.50, 95% CI: 1.51, 4.14), taking TT vaccine (AOR= 0.45 95% CI: 0.29, 0.78), number of under five children (AOR= 4.90 95% CI: 1.72, 13.93) and birth order (AOR= 6.33, 95% CI: 1.89, 14.87) were found to have statistically significant association with childhood incomplete vaccination.

Conclusion: In this study, the mother's education, model family, birth order, average monthly income, and knowledge were some of the independent determinants of incomplete childhood vaccination. Improving maternal knowledge, income, and educational status should be the expectable measure to reduce incomplete vaccination.

Keywords: Bale; Ethiopia; children; determinant; incomplete vaccination.

PubMed Disclaimer

Conflict of interest statement

The authors reported no conflicts of interest for this work.

Figures

Figure 1
Figure 1
Shows the reasons for childhood incomplete vaccination mentioned by primary caretakers of children aged 12–23 months in Gindhir District, Southeast Ethiopia, 2020.
Figure 2
Figure 2
Shows types of vaccines defaulted by children aged 12–23 months in Gindhir District, Southeast Ethiopia, 2020.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Lee BY, Haidari LA. The importance of vaccine supply chains to everyone in the vaccine world Vaccine. Vaccine. 2017;35(35):4475. doi:10.1016/j.vaccine.2017.05.096 - DOI - PMC - PubMed
    1. Vallbona C. Importance of immunization in child care and prevention. Child Adolesc Soc Work J. 1993;10(5):365–377. doi:10.1007/BF00844674 - DOI
    1. Danielsson N, Fakakovikaetau T, Szegedi E. Improved immunization practices reduce childhood hepatitis B infection in Tonga. Vaccine. 2009;27(33):4462–4467. doi:10.1016/j.vaccine.2009.05.051. - DOI - PubMed
    1. Lee EH, Lewis RF, Makumbi I, et al. Haemophilus influenzae type b conjugate vaccine is highly effective in the Ugandan routine immunization program: a case-control study. Trop Med Int Health. 2008;13(4):495–502. doi:10.1111/j.1365-3156.2008.02027 - DOI - PubMed
    1. Feikin DR, Flannery B, Hamel MJ, Stack M, Hansen PM. Vaccines for Children in Low-And Middle-Income Countries. world bank group economic review library; 2016. doi:10.1596/978-1-4648-0348-2 - DOI - PubMed

LinkOut - more resources