Predictors and Barriers to Full Vaccination among Children in Ethiopia

doi:10.3390/vaccines6020022

. 2018 Apr 10;6(2):22.

doi: 10.3390/vaccines6020022.

Predictors and Barriers to Full Vaccination among Children in Ethiopia

Yemesrach A Tefera¹, Abram L Wagner², Eyoel B Mekonen³, Bradley F Carlson⁴, Matthew L Boulton^{5

6}

Affiliations

¹ Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia. yemieye197@gmail.com.
² Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. awag@umich.edu.
³ Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia. eyulovethiopia@gmail.com.
⁴ Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. bcarlson@umich.edu.
⁵ Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. mboulton@umich.edu.
⁶ Department of Internal Medicine, Division of Infectious Diseases, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. mboulton@umich.edu.

PMID: 29642596
PMCID: PMC6027055
DOI: 10.3390/vaccines6020022

Free PMC article

Predictors and Barriers to Full Vaccination among Children in Ethiopia

Yemesrach A Tefera et al. Vaccines (Basel). 2018.

Free PMC article

. 2018 Apr 10;6(2):22.

doi: 10.3390/vaccines6020022.

Authors

Yemesrach A Tefera¹, Abram L Wagner², Eyoel B Mekonen³, Bradley F Carlson⁴, Matthew L Boulton^{5

6}

Affiliations

¹ Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia. yemieye197@gmail.com.
² Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. awag@umich.edu.
³ Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia. eyulovethiopia@gmail.com.
⁴ Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. bcarlson@umich.edu.
⁵ Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. mboulton@umich.edu.
⁶ Department of Internal Medicine, Division of Infectious Diseases, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. mboulton@umich.edu.

PMID: 29642596
PMCID: PMC6027055
DOI: 10.3390/vaccines6020022

Abstract

Predictors of immunization status outside of large cities in Ethiopia are not well known, and Muslims have lower vaccination coverage. The aim of this study is to assess factors associated with full immunization among children 12-23 months in Worabe, Ethiopia, a Muslim-majority community. A cross-sectional study is conducted in summer 2016. Multivariable logistic regression was used to assess the significance of predictors of full immunization. Among 484 children, 61% are fully vaccinated. Children whose mothers had fewer antenatal care (ANC) visits have decreased odds of full vaccination (zero visits: odds ratio (OR) = 0.09; one visit: OR = 0.15; two visits: OR = 0.46; three visits: OR = 0.89). The most common reasons that the mother gave for not vaccinating the child are fear of side reactions (36%), being too busy (31%), or hearing rumors about vaccines (28%). Local interventions incorporating interventions with religious authorities could raise awareness in the community of the importance of childhood immunizations and ANC visits.

Keywords: Ethiopia; perinatal care; religion; vaccination coverage; vaccine hesitancy.

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Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

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[1] Centers for Disease Control and Prevention Ten great public health achievements, 1900–1999: Impact of vaccines universally recommended for children. Morb. Mortal. Wkly. Rep. 1999;48:243–248. - PubMed

[2] Centers for Disease Control and Prevention Ten great public health achievements, 1900–1999: Impact of vaccines universally recommended for children. Morb. Mortal. Wkly. Rep. 1999;48:243–248. - PubMed

[3] World Health Organization Immunization Coverage. [(accessed on 21 January 2017)]; Available online: http://www.who.int/mediacentre/factsheets/fs378/en/

[4] World Health Organization Immunization Coverage. [(accessed on 21 January 2017)]; Available online: http://www.who.int/mediacentre/factsheets/fs378/en/

[5] GAVI Ethiopia. [(accessed on 21 January 2017)]; Available online: http://www.gavi.org/country/ethiopia/

[6] GAVI Ethiopia. [(accessed on 21 January 2017)]; Available online: http://www.gavi.org/country/ethiopia/

[7] Casey R.M., Dumolard L., Danovaro-Holliday M.C., Gacic-Dobo M., Diallo M.S., Hampton L.M., Wallace A.S. Global Routine Vaccination Coverage, 2015. Morb. Mortal. Wkly. Rep. 2016;65:1270–1273. doi: 10.15585/mmwr.mm6545a5. - DOI - PubMed

[8] Casey R.M., Dumolard L., Danovaro-Holliday M.C., Gacic-Dobo M., Diallo M.S., Hampton L.M., Wallace A.S. Global Routine Vaccination Coverage, 2015. Morb. Mortal. Wkly. Rep. 2016;65:1270–1273. doi: 10.15585/mmwr.mm6545a5. - DOI - PubMed

[9] Institute for Health Metrics and Evaluation Global Burden of Disease Compare|Viz Hub. [(accessed on 21 January 2017)]; Available online: http://vizhub.healthdata.org/gbd-compare/

[10] Institute for Health Metrics and Evaluation Global Burden of Disease Compare|Viz Hub. [(accessed on 21 January 2017)]; Available online: http://vizhub.healthdata.org/gbd-compare/

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Predictors and Barriers to Full Vaccination among Children in Ethiopia

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Predictors and Barriers to Full Vaccination among Children in Ethiopia

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