Abstract:
Background:-Immunization is a life saving and cost-effective health intervention which
reduces childhood morbidity and mortality. There are still millions who are unprotected by
immunization. Drop-out rates are measured to determine immunization programme
continuity showing the number of the children who start but fail to complete the
immunization process.
The objective of this study is to assess measles vaccination dropout rate and associated
factors among children aged 12-23 months in 2016.
Methods and materials: community based cross-sectional study design was used. Study was
conducted in Anlemo District March 21 to April 21/2016 in 9 randomly selected kebeles.
Study population were selected by multi stage stratified, Simple random sampling from
health post family folder and census frame. Multivariable logistic regression model was used
to control possible effect of confounding. Adjusted odds ratio with corresponding 95%
confidence intervals was used to quantify degree of association.
Results: 90 (24.10%) of the children drop out measles vaccination. Measles vaccination drop
out was 4.50 times more likely among mother who did not follow ANC visit compared to
their counterparts(AOR=4.50;95%CI:(2.1,9.8)), sick child during measles vaccination
schedule was 2.68 times more likely to dropout compared to not ill child(AOR=
2.68;95%CI:(1.22, 5.88), Mothers waiting for long time to immunize child after arriving
health facility was 6.4 times more likely to dropout than their counterparts(AOR=6.40;
95%CI: (3.07, 13.30), mothers fail to follow PNC after delivery of index child 2 were times
more likely to dropout than mothers who received PNC(AOR=2.13; 95%CI: (1.17, 3.87)) and
mothers face postponed measles immunization schedule was 2.73 times more likely to
dropout compared to their counterparts (AOR=2.73; 95%CI: (1.53, 4.87)).
Conclusions: Generally, measles dropout rate in the study area is high and factors associated
with measles vaccination dropout are ANC visit, PNC visit, child sickness during measles
vaccination schedule, postponed measles immunization by care provider and waiting time to
immunize child.
