Socio-Economic Determinants of Child Immunization in Rural Ethiopia

Abebaw, Degnet

doi:10.1002/jid.2975

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…The odds of acute undernutrition were also higher among pregnant women with lack of a basic toilets than their counterparts. This finding was in agreement with the studies conducted in east Hararghe, eastern Ethiopia ( Abebaw & Zewdie, 2013 ), Jimma, southwest Ethiopia ( Shiferaw & Husein, 2019 ), west Oromia, western Ethiopia ( Ayana, Hailemariam & Melke, 2015 ), southeast Amhara, Ethiopia ( Tariku et al, 2014 ), and Iran ( Sharghi, Kamran & Faridan, 2011 ).…”

Section: Discussionsupporting

confidence: 92%

“…Previous risk factors studies conducted were focused on children ( Abebaw & Zewdie, 2013 ; Ayana, Hailemariam & Melke, 2015 ) and non-pregnant women ( Abraham, Miruts & Shumye, 2015 ) and addressed the burden of maternal undernutrition during pregnancy ( Kedir, Berhane & Worku, 2016 ), yet there is a paucity of information on its preventable major determinants. In addition, certain previous studies used Body Mass Index (BMI) <18.5 kg/m 2 as the cuts of point value and parameter to diagnose acute undernutrition among pregnant women ( Abraham, Miruts & Shumye, 2015 ) and used a cross-sectional design which is not fit to identify determinant of acute undernutrition among pregnant women.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Adem

Usso

Jarso

et al. 2023

PeerJ

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Background Women’s undernutrition during pregnancy increases the risks and burdens of maternal and neonatal morbidity, death, and disability through its vicious cycles of irreversible intergenerational negative effects. Despite the high burden of maternal undernutrition during pregnancy in semi-pastoral communities of eastern Ethiopia, there is a paucity of information on its major risk factors. This study revealed determinants of acute undernutrition among pregnant women attending primary healthcare units in Chinaksen district in rural eastern Ethiopia. Method A facility-based case-control study was conducted among 113 cases and 113 controls in Chinaksen district from February 01 to March 30, 2017. Data were entered using EpiData version 3.1 and analyzed using SPSS version 24. Multivariable logistic regression analyses conducted to identify significant determinants of acute undernutrition. Adjusted odds ratio (AOR) with a 95% confidence interval was used to report the strength of association and statistical significance declared at p value < 0.05. Results Sixty (53.1%) of cases and 56 (49.6%) of controls were in the age group of 25-34 years and their mean ± SD age of cases and controls were 26.6 ± 5.7 and 28 ± 5.5 years, respectively. In this study, larger family size (AOR = 6.98, 95 CI [2.82–17.27]), lack of prenatal dietary advice (AOR = 3.68, 95% CI [1.67–8.00]), did not participate in a cooking demonstration (AOR = 5.41, 95% CI [2.39–12.24]), used substances (AOR = 3.65, 95% CI [1.30–10.23]), absence of basic latrine (AOR = 2.91, 95% CI [1.28–6.58]), low minimum dietary diversity of women (AOR = 2.48, 95% CI [1.20–5.12]), and household food insecurity (AOR = 3.06, 95% CI [1.44–6.51]) were significantly increased the odds of acute undernutrition among pregnant women. Conclusions The study revealed that living in crowded families, lack prenatal dietary advice, did not participate in cooking demonstrations, substances use; lack of toilet, low minimum dietary diversity, and household food insecurity were significant risk factors for acute undernutrition among pregnant women. Strengthening multi-sectoral approaches through improving dietary diversity/quality and food access/quantity would be essential to prevent, and reduce the risks, burdens, and impacts of maternal undernutrition during pregnancy.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Adem

Usso

Jarso

et al. 2023

PeerJ

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“…The HEWs are expected to increase demand for different maternal and child health services among community members, including vaccination uptake through awareness-raising. The positive link between childhood immunization and health extension program in Ethiopia has been documented in a number of studies [ 51 , 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Understanding the Improvement in Full Childhood Vaccination Coverage in Ethiopia Using Oaxaca–Blinder Decomposition Analysis

et al. 2020

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In Ethiopia, full vaccination coverage among children aged 12–23 months has improved in recent decades. This study aimed to investigate drivers of the improvement in the vaccination coverage. The Oaxaca–Blinder decomposition technique was applied to identify the drivers using data from Ethiopian Demographic and Health Survey conducted in 2000 and 2016. The vaccination coverage rose from 14.3% in 2000 to 38.5% in 2016. The decomposition analysis showed that most of the rise in vaccination coverage (73.7%) resulted from the change in the effect of explanatory variables over time and other unmeasured characteristics. Muslim religion had a counteracting effect on the observed increase in vaccination coverage. The remaining 26.3% of the increase was attributed to the change in the composition of the explanatory variables between 2000 and 2016, with maternal educational level and maternal health care utilization as significant contributors. The findings highlight the need for further improvements in maternal health care utilization and educational status to maintain the momentum towards universal coverage of childhood vaccination. Targeted intervention among Muslim-dominated communities is also needed to improve the current situation. Besides which, future studies need to be conducted to identify additional potential modifiable factors.

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“…Research on developing economies has found that factors like household socioeconomic characteristics such as income, parental education, access to media and information, household location, and other characteristics such as age, sex, and caste and ethnicity significantly affect the immunization status of children. 8,[12][13][14] However, given this range of factors, there is no consensus on how they weigh against immunization.…”

Section: Introductionmentioning

confidence: 99%

Childhood Immunization and Access to Health Care

Devkota

Panda

2016

Asia Pac J Public Health

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This article examines the effect of access to health care center, in terms of travel time, on childhood immunization in Nepal using the 2004 and 2011 waves of the Nepal Living Standards Measurement Surveys. We employ probit and instrumental variable probit estimation methods to estimate the causal effect of travel time on the probability of immunization. Results indicate that travel time to the nearest health center displays a significant negative association with the probability of immunization (coefficient = -0.015,P< .05). Furthermore, the effect of travel time tends to be stronger in rural and distant areas of Nepal's mountain and hill regions. The results suggest that policy interventions should increase the number of mobile clinics in rural villages and provide conditional cash transfer to incentivize immunization coverage at the household level. In addition, household income, parental education, ethnicity, and household location emerge as important determinants of immunization in Nepal.

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Socio-Economic Determinants of Child Immunization in Rural Ethiopia

Cited by 5 publications

References 26 publications

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Understanding the Improvement in Full Childhood Vaccination Coverage in Ethiopia Using Oaxaca–Blinder Decomposition Analysis

Childhood Immunization and Access to Health Care

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