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Ann Clin Trials Vaccines Res. 2017 | Volume 1 Issue 2
Global Vaccines & Vaccination Summit & B2B
November 01-02, 2017 | Toronto, Canada
Barriers to full immunization among children in a muslim-majority town in the Southern nations,
nationalities, and peoples’ region, Ethiopia
Yemesrach A Tefera
1
, Abram L Wagner
2
, Eyoel B Mekonen
1
, Bradley F Carlson
2
and
Matthew L Boulton
2
1
St. Paul’s Hospital Millennium Medical College, Ethiopia
2
University of Michigan, USA
V
accination is one of the most cost effective health
interventions worldwide, but vaccine preventable
diseases still contribute substantially to under age five
morbidity in Ethiopia. The objective of this study was to
assess complete immunization coverage and its associated
factors among children aged 12–23 months in Worabie town,
Southern Nations, Nationalities, and People’s Region. A cross-
sectional study was conducted in July and August 2016, using
a systematic selection procedure of households. Health
Extension workers assessed the vaccination status of the
children based on vaccination cards ormother’s verbal reports.
Full vaccination was defined as one dose Bacillus Calmette-
Guérin, three doses pentavalent vaccine, three doses oral
polio vaccine, three doses pneumococcal conjugate vaccine,
two doses rotavirus vaccine, and one dose measles vaccine.
Multivariable logistic regression analyses were used to assess
which sociodemographic or knowledge-type factors were
associated with immunization coverage. Among 484 children,
61% were fully vaccinated, 61% had ≥3 antenatal care (ANC)
visits, and 74% were aware that vaccines prevented disease.
Factors associated with full vaccination include the number
of ANC visits (odds ratio (OR) of ≥3 vs. 0 visits: 7.2, 95% CI:
1.9-27.1), mother working outside of home (OR: 2.5, 95% CI:
1.3-3.5), and mother who hesitated to vaccinate their child
(OR, 0.57, 95% CI: 0.3-0.9). Full vaccination coverage among
children aged 12–23 months remains low. The number of ANC
visits and work outside of the home were important predictors
of full vaccination. Local interventions should raise awareness
in the community of the importance of immunizations and
antenatal care visits.
Speaker Biography
Yemesrach Abeje Tefera has completed her master’s in public health from Addis Ababa
University in Ethiopia. She was a Visiting Scholar in University of Michigan School of
Public Health from September to December 2016. She is a Lecturer in Public Health
Department and Director of Continues Professional Development (CPD) Center at St
Paul‘s Hospital Millennium Medical College (SPHMMC) in Ethiopia. She has published
two papers and submitted more than five papers.
e:
yemieye197@gmail.com