Abstract:
Background -In 2019, 19% of children in Ethiopia were non vaccinated and 38% are incomplete
vaccinated. Achieving recommended vaccination coverage is challenging and outbreak of
vaccine preventable disease (VPD) occurs in many parts of Ethiopia. Hence, the objective of this
study is to investigate vaccination status and identify their determinants among 12-23-month age
children in Ginnir district of East , Bale Zone
Methods: Cross-sectional study supplemented with qualitative study was conducted in Ginnir
district from April 25-June10/ 2021. A total of 563 mothers of children 12-23-months were
participated. Study participants were selected using computer generated random number. Sample
was proportionally allocated to size of children 12-23 months in each kebele. Interviewer
administered structured questionnaire was used to collect data using face to face interview. Epi –
data version 3.1 was used for data entry and SPSS version 25 software was used for data
analysis. Bi-variate and Ordinal logistic regression analysis was used to identify the
determinants of vaccination status at P. value of less than 0.05. Seven in-depth interview and
two focused group discussion was conducted and analyzed manually by coding.
Result: Of the total 563 children- 307 (54%) were fully vaccinated, 142(26%) were
incompletely vaccinated and 114(20%) were not vaccinated. Poor knowledge on VPD
[AOR=1.75; 95% CI: 1.22-2.51], poor knowledge on vaccination schedule [AOR=2.93; 95%CI:
2.00-4.29], negative attitude towards vaccination [AOR= 2.23; 95% CI:1.52-3.26], transportation
incur cost [AOR=3.12; 95%CI: 2.08-4.69] ,not perceived benefits of vaccine [AOR= 1.79
;95%CI ;1.23-2.63] ,not attending antenatal care [AOR=1.9 ;95%CI: 1.23-2.94, and health
facility inaccessibility [AOR=3.29 ;95% CI: 1.96-5.57) were associated with non vaccination .
Conclusion and recommendation:- Poor knowledge about VPD and vaccine schedule ,
negative attitude , maternal health seeking behaviour during pregnancy were found risk factors of
vaccination status . Improving mothers understanding about vaccine, VPD, vaccine schedule ,
and vaccination side effects is recommended
