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
. 2024 Jul 30:12:1395802.
doi: 10.3389/fpubh.2024.1395802. eCollection 2024.

Measles second dose vaccine uptake and associated factors among under-five children in Jigjiga City, Somali Region, Eastern Ethiopia: a community-based cross-sectional study

Hafso Abdirahman Ibrahim  1 , Abdi Wariyo  2 , Elsai Mati Asefa  3 , Abera Cheru  3 , Arega Abebe Lonsako  4 , Gebisa Dirirsa  3
Affiliations

Measles second dose vaccine uptake and associated factors among under-five children in Jigjiga City, Somali Region, Eastern Ethiopia: a community-based cross-sectional study

Hafso Abdirahman Ibrahim et al. Front Public Health. .

Abstract

Background: Measles is one of the leading causes of under-five mortality and morbidity worldwide. Although the routine service for the second dose of the measles-containing vaccine (MCV2) was introduced in Ethiopia recently, there is a paucity of evidence regarding its coverage and the factors that hinder its uptake at both the local and national levels. Thus, this study aimed to assess the uptake of MCV2 and its associated factors among children aged between 15 and 36 months old in Jigjiga City, Somali Region, Ethiopia.

Methods: A community-based cross-sectional study was conducted among 429 children aged between 15 and 36 months old with their mothers/caregivers in Jigjiga City from April 1 to May 1, 2023. A multistage sampling technique was used and data were collected by using structured interviewer-administered questionnaires. The collected data were entered into Epi-data version 3.2 and analyzed in a statistical package for the social sciences (SPSS) version 26. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with the uptake of the measles second dose vaccine. An adjusted odds ratio with 95% CI were reported and statistical significance was declared at p < 0.05.

Results: The coverage of MCV2 among children aged between 15 and 36 months was 21.4% (95% CI: 17.7, 25.2). The educational status of the mother (AOR = 3.154; 95% CI: 1.68, 5.93), place of delivery (AOR = 1.90; 95% CI: 1.08, 3.25), postnatal care visits of the mother (AOR = 2.40; 95% CI: 1.37, 4.22), time taken to reach a health facility (AOR = 2.67; 95% CI: 1.28, 5.57), and knowledge about child vaccination (AOR = 2.43; 95% CI: 1.45, 4.08) were factors significantly associated with the uptake of the measles second dose vaccine.

Conclusion: The coverage of MCV2 in the study area was low compared to the national immunization targets. Educational status of the mother/caregivers, place of delivery, postnatal care visits of the mother, time to reach a health facility, and knowledge about vaccination of children were significantly associated with measles second dose vaccination. The focus should be given to improving the awareness of mothers on the importance of child vaccination to improve the uptake of measles second dose vaccine and reduce the burden of measles in the region.

Keywords: Ethiopia; MCV2; Somalia; children; measles.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Immunization coverage among under-five children in Jigjiga City, Somali Region, Ethiopia, 2023.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Estofolete CF, Milhim BHGDA, França CCGD, Silva GCDD, Augusto MT, Terzian ACB, et al. . Prevalence of measles antibodies in São José do Rio Preto, São Paulo, Brazil: a serological survey model. Sci Rep. (2020) 10:1–8. doi: 10.1038/s41598-020-62151-3 - DOI - PMC - PubMed
    1. Mina MJ, Kula T, Leng Y, Li M, De Vries RD, Knip M, et al. . Measles virus infection diminishes preexisting antibodies that offer protection from other pathogens. Science. (2019) 366:599–606. doi: 10.1126/science.aay6485, PMID: - DOI - PMC - PubMed
    1. Kanyiru RW. Factors associated with uptake of measles-rubella vaccine among children age 9–18 months in Eastleigh north Ward Nairobi county, Kenya. Int J Sci Res Publ. (2020) 9:p8905. doi: 10.29322/IJSRP.9.05.2019.p8905 - DOI
    1. Dixon MG, Ferrari M, Antoni S, Li X, Portnoy A, Lambert B, et al. . Progress toward regional measles elimination—worldwide, 2000–2020. Morb Mortal Wkly Rep. (2021) 70:1563–9. doi: 10.15585/mmwr.mm7045a1, PMID: - DOI - PMC - PubMed
    1. WHO (2016). “WHO vaccine-preventable diseases: monitoring system,” Global summary. Available at: http://who.int/ (Accessed November 23, 2022).

Substances

LinkOut - more resources