Vaccination Status and it’s Determinants Among 12-23 Months Children in Ginnir District, East Bale Zone, Southeast of Ethiopia; Cross Sectional Study,2021

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