Measles vaccination dropout rate and associated Factors in children aged 12-23 months, anlemo district, Hadiya zone, southern ethiopia

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.