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Determinants of Full Child Immunization; Evidence from Ethiopia

Received: 15 February 2016     Accepted: 26 February 2016     Published: 26 April 2016
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Abstract

Background: Immunization is one of the main health interventions to prevent childhood morbidity and mortality. The health of under 5 children has been a major problem in developing countries like Ethiopia. Immunization will become more effective if the child receive the full course of recommended immunization doses. Objective: The main objective of this study is to statistically identify and analyze the various possible determinants of full immunization among children in rural and urban households of SNNPRS, Ethiopia. Design: The sampling technique employed was multistage stratified cluster sampling. Results: Analysis of the study revealed that only 18.3% of children under 5 years of age are fully immunized in the region. Results of the multiple binary logistic regression show that place of residence, age of the child, educational status of mothers, access to media and place of child delivery are the most important determinant factors affecting full child immunization (p-value<5%) in the region. It is observed that children living in rural parts of the region whose community is usually facing shortage of basic services like education, access to media and health services are at higher risk of complete immunization. Conclusion: Primary health care and education programs which would fit the features of the region should be designed and implemented to safeguard children from immunization deficiency.

Published in Science Journal of Public Health (Volume 4, Issue 3)
DOI 10.11648/j.sjph.20160403.13
Page(s) 155-164
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Full Childhood Immunization, SNNPPR, Ethiopia, EDHS

References
[1] New, S., & Senior, M. (1991). I dont believe in needles: Qualitative aspects of a study into uptake of infant immunization in two English Health Authorities. Journal of social science Medicine, 33: 509-519.
[2] WHO. Immunization coverage cluster survey reference manual. 2005.
[3] WHO. Immunization practice module 1and 2. Expanded program on immunization 1998.
[4] Agresti A. (2002). Categorical Data Analysis, 3rd edition.
[5] Hosmer D. and Lemeshow H. (1989). Applied Logistic Regression, 2nd edition.
[6] Ethiopia demographic and health survey, EDHS 2005. Addis Ababa.
[7] Ethiopia demographic and health survey, EDHS 2011. Addis Ababa.
[8] MOH, Health and health related indicators In: department planning and program, editor. Addis Ababa 2008.
[9] UN. Millinium Development Goal, 2000.Available from: http://www.unmillenniumproject.org/goals/gti.htm
[10] WHO. Ethiopian routine EPI activities, immunization schedule. 2008; Available from:http://www.who.int/countries/eth/areas/immunization/routine/en/index3.html.
[11] Adebiyi F. Determinants of Full Child Immunization Among 12-23 Months old in Nigeria.
[12] Berhane Y, Yigzaw A. Vaccine Preventable Disease and Immunization program in Ethiopia.
[13] Birhane Y. Universal Childhood Immunization: a realistic yet not achieved goal Ethiopian Journal of Health Development. [editorial]. 2008; 22(2): 146-7.
[14] Tadesse H, Deribew A, Woldie M. Predictors of defaulting from completion of child immunization in south Ethiopia, May 2008 – A case control study. BMC Public Health 2009; 9(150).
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    Amanuel Disassa Abshoko. (2016). Determinants of Full Child Immunization; Evidence from Ethiopia. Science Journal of Public Health, 4(3), 155-164. https://doi.org/10.11648/j.sjph.20160403.13

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    ACS Style

    Amanuel Disassa Abshoko. Determinants of Full Child Immunization; Evidence from Ethiopia. Sci. J. Public Health 2016, 4(3), 155-164. doi: 10.11648/j.sjph.20160403.13

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    AMA Style

    Amanuel Disassa Abshoko. Determinants of Full Child Immunization; Evidence from Ethiopia. Sci J Public Health. 2016;4(3):155-164. doi: 10.11648/j.sjph.20160403.13

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  • @article{10.11648/j.sjph.20160403.13,
      author = {Amanuel Disassa Abshoko},
      title = {Determinants of Full Child Immunization; Evidence from Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {4},
      number = {3},
      pages = {155-164},
      doi = {10.11648/j.sjph.20160403.13},
      url = {https://doi.org/10.11648/j.sjph.20160403.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160403.13},
      abstract = {Background: Immunization is one of the main health interventions to prevent childhood morbidity and mortality. The health of under 5 children has been a major problem in developing countries like Ethiopia. Immunization will become more effective if the child receive the full course of recommended immunization doses. Objective: The main objective of this study is to statistically identify and analyze the various possible determinants of full immunization among children in rural and urban households of SNNPRS, Ethiopia. Design: The sampling technique employed was multistage stratified cluster sampling. Results: Analysis of the study revealed that only 18.3% of children under 5 years of age are fully immunized in the region. Results of the multiple binary logistic regression show that place of residence, age of the child, educational status of mothers, access to media and place of child delivery are the most important determinant factors affecting full child immunization (p-valueConclusion: Primary health care and education programs which would fit the features of the region should be designed and implemented to safeguard children from immunization deficiency.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Full Child Immunization; Evidence from Ethiopia
    AU  - Amanuel Disassa Abshoko
    Y1  - 2016/04/26
    PY  - 2016
    N1  - https://doi.org/10.11648/j.sjph.20160403.13
    DO  - 10.11648/j.sjph.20160403.13
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    EP  - 164
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    UR  - https://doi.org/10.11648/j.sjph.20160403.13
    AB  - Background: Immunization is one of the main health interventions to prevent childhood morbidity and mortality. The health of under 5 children has been a major problem in developing countries like Ethiopia. Immunization will become more effective if the child receive the full course of recommended immunization doses. Objective: The main objective of this study is to statistically identify and analyze the various possible determinants of full immunization among children in rural and urban households of SNNPRS, Ethiopia. Design: The sampling technique employed was multistage stratified cluster sampling. Results: Analysis of the study revealed that only 18.3% of children under 5 years of age are fully immunized in the region. Results of the multiple binary logistic regression show that place of residence, age of the child, educational status of mothers, access to media and place of child delivery are the most important determinant factors affecting full child immunization (p-valueConclusion: Primary health care and education programs which would fit the features of the region should be designed and implemented to safeguard children from immunization deficiency.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • School of Mathematical and Statistical Sciences, Hawassa University, Hawassa, Ethiopia

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