BackgroundThe worldwide COVID-19 pandemic is overstressing health systems and Essential health services and vaccination services are disrupted. Immunization is a confirmed gizmo for governing and even eliminating communicable diseases. An immunization operation carried out by the World Health from 1967 to 1977 exterminated the usual existence of smallpox. When the program instigated, the disease endangered for 60% of the world's population and slayed every fourth victim. ObjectiveThis study aims to assess the challenge and status of immunization during Covid 19 and associated factors among children aged 10-23 months south Nation Nationality and People Region Ethiopia. Methods and Materialscommunity-based mixed quantitative and qualitative cross-sectional study was done in southwest Ethiopia. Data was collected using semi-structured questionnaires and in-depth interviews. After that, the data were edited, coded, and move in into Epi info version 7.2 for data management then transported to SPSS version 25 for analysis. The analyzed data were presented by tables, graphs, figures, and text form. Resultaccording to this study the prevalence of incomplete immunization was found to be 809(62.2%) with (95% CI: 59.5, 64.8). in multivariable analysis waiting time at a health facility (AOR=0.04, 95%CI 0.0001,0.004), education (AOR=5.08,95%CI2.31,11.14), place of delivery(AOR=2.34,95%CI 4.96,6.089), fearing of COVID19(AOR=3.62,95%CI 1.72,7.64) and do not understand the separation care of COVID 19 and other health services (AOR=2.85,95%CI1.38,5.9) were significantly associated factorsConclusionThe prevalence of incomplete immunization among children aged 10-23 months was very high in this study as compared to the other studies done in a different pocket of Ethiopia. Consecutively, reducing waiting time at a health facility, avoiding unnecessary fear of COVID 19, and promoting immunization in a different area of southwest Ethiopia along with health extension workers are recommended.
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