Timeliness of Childhood Vaccine Uptake Among Children Attending Immunoprophylaxis Clinic in Central India

Jadhao, Ashok; Deshmukh, Jyotsna S; Tekam, Anchlesh Vinod; Raut, Roshan

doi:10.14260/jemds/2017/1136

Cited by 5 publications

(3 citation statements)

References 14 publications

(16 reference statements)

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“…In the previous studies so far, factors such as home delivery ( 19 ), low-education attainment and below four antenatal care visits ( 20 ), unplanned pregnancy and child male sex ( 21 ), highest mothers/caregivers age ( 22 ), vaccine hesitancy ( 5 ), being a multiparous mother ( 23 ), and rural children and poorest quintile ( 17 ) were independently associated with the vaccine timeliness. However, these factors are different depending on the study context ( 24 ).…”

Section: Introductionmentioning

confidence: 95%

Vaccination timeliness and associated factors among children aged 12–23 months in Debre Libanos district of North Shewa Zone, Oromia Regional State, Ethiopia

Dejene¹,

Girma²,

Geleta³

et al. 2022

Front. Pediatr.

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BackgroundGlobally, vaccination is one of the most cost-effective interventions in promoting child survival, preventing 2–3 million child deaths annually from vaccine-preventable diseases (VPDs). In Ethiopia, timely vaccination is stated as key to the prevention of unnecessary childhood mortality from measles, pneumonia, diarrheal diseases, and other VPDs. However, Ethiopia ranked fifth among the ten countries with the most unprotected children. Furthermore, previous vaccine timeliness studies produced widely disparate results. As a result, it was suggested that more research be conducted to investigate the potential factors behind the high proportion of untimely vaccination. Therefore, this study was intended to explore the association between different factors and the proportion of vaccination timeliness administered under the Expanded Program on Immunization in Debre Libanos district, Ethiopia.MethodsA community-based cross-sectional study design was employed from 1 May to 30 May 2021 among children aged 12 to 23 months with their mother/caregiver, who had started vaccination and had vaccination cards in the Debre Libanos. Simple random sampling techniques and pretested semi-structured questionnaires were used for data collection. At last, a multivariable logistic regression was used to identify factors associated with the vaccination timeliness.ResultIn this study, 413 children aged 12 to 23 months were interviewed with their mother/caregiver. Overall, 33.7% [95% CI (29.1–38.3)] of children received their vaccines timely. Having a female child [AOR: 2.9, 95% CI: 1.58–5.35], mother/caregiver attending primary [AOR: 6.33, 95% CI: 2.66–15.06] and secondary/above education [AOR: 5.61, 95% CI: 2.41–13.04], sufficient vaccination knowledge [AOR: 3.46, 95% CI: 1.87–6.38], mother/caregiver with least hesitant [AOR: 3.35, 95% CI: 1.51–7.41] and middle hesitant [AOR: 1.89, 95% CI: 1.05–3.58], utilization of ANC [AOR: 2.89, 95% CI: 1.32–6.33], and giving birth at health facility [AOR: 4.32, 95% CI: 1.95–9.59] were the factors independently associated with vaccination timeliness.ConclusionIn comparison to Ethiopia’s existing vaccination coverage, the proportion of children immunized at the recommended time interval is low in the study district. Policymakers should prioritize vaccine timeliness and integrate it into childhood vaccination strategies.

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Section: Introductionmentioning

confidence: 95%

Vaccination timeliness and associated factors among children aged 12–23 months in Debre Libanos district of North Shewa Zone, Oromia Regional State, Ethiopia

Dejene¹,

Girma²,

Geleta³

et al. 2022

Front. Pediatr.

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“…In sub-Saharan African countries, including Ethiopia, vaccination delays have been a bottleneck issue [ 9 ]. Even though factors of vaccine timeliness vary with the study context [ 10 ], pieces of evidence from the previous study revealed that the risk factors of vaccine timeliness are home delivery [ 11 ], low-education attainment and below four antenatal care visits [ 12 ], unplanned pregnancy and child male sex [ 13 ], highest mothers/caregivers age [ 14 ], vaccine hesitancy [ 15 ], being a multiparous mother [ 16 ], and rural children and poorest quintile [ 8 ]. Like other countries, in Ethiopia, age-appropriate vaccination is the key strategic activity to reduce easily preventable childhood mortality from measles, pneumonia, diarrheal diseases, and other vaccine preventable diseases [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial pattern and associated factors of timely vaccination in Ethiopia using EDHS-2016 data: A multilevel and spatial analysis

Agimas,

Asmamaw,

Mekonen

et al. 2024

PLoS ONE

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Background Age-appropriate vaccination or vaccine timeliness is the administering of vaccines on the specified schedule of immunization. One of the qualities of the immunization program is an age-appropriate vaccine, it has become an ignored indicator of program performance. Even though age-appropriate vaccination is critical for child health, there are no national-level studies to generate conclusive and tangible evidence about the determination of timely vaccination in Ethiopia. Objective To assess the spatial pattern and associated factors of timely vaccination in Ethiopia using EDHS-2016 data: A multilevel and spatial analysis. Method Community based cross-sectional study design was employed from 18 January to 27 June 2016. To select the participants, two-stage cluster sampling was employedin the Ethiopian Demographic Health Survey 2016 data. Permission was obtained via online request by explaining the aim of this particular study from DHS international. A statistical package for social science-21 software was used for data cleaning, recoding, and analysis. Arc GIS 10.3 software was used to show the spatial variation of age-appropriate vaccination practices. A generalized linear mixed-effect model was used. For all models, intra-class correlation, a proportional change in variance, the log-likelihood test, and the Akaike information criterion were calculated. The best model was selected by the lowest value Akaike information criterion. Variables with a p-value less than 0.05 and a 95% confidence level were considered for the statistically significant association. Result The spatial distribution of age-appropriate vaccination practice in Ethiopia was non-randomly distributed with the global Moran’s I value of 0.22 (p-value <0.001). The prevalence of age-appropriate vaccination practice in Ethiopia was 33.8%. Women who receive ≥ 2 TT vaccines (AOR = 1.48; 1.22, 1.79), women who lived in rural residences (AOR = 0.77; 0.62, 0.96), gave birth at a health facility (AOR = 1.2; 1.12, 1.37), ANC follow up (AOR = 174; 1.45, 2.1), richest (AOR = 1.65; 1.15, 2.37), richer (AOR = 1.72; 1.3, 2.22), middle-level income (AOR = 1.65; 1.16, 2.36), poorer (AOR = 1.47; 1.11, 1.96) were the factors of age-appropriate vaccination practice. Conclusion The spatial distribution of age-appropriate vaccination practice in Ethiopia was non-randomly distributed across the regions. Age-appropriate vaccination practice was low in Ethiopia. Wealth index, usual caretaker of the child, ANC utilization, history of TT vaccination, place of delivery, and residence were associated with age-appropriate vaccination practice.

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“…Among these challenges, the problem of supply chain management, health services, and the performance of the health care provider is the most common factor [10]. Even though the factors of timely vaccination are very contextual [11], home delivery [12], low-education attainment and below four antenatal care visits [13], unplanned pregnancy and child male sex [3], highest mothers/caregivers age [14], vaccine hesitancy [15], being a multiparous mother [16], and rural children and poorest quintile are also affected the timely vaccination [10].…”

Section: Introductionmentioning

confidence: 99%

Spatial variations and determinants of timely completion of vaccination in Ethiopia using further analysis of EDHS 2019 data: Spatial and multilevel analysis

Agimas,

Belew,

Sisay

et al. 2024

PLoS ONE

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Background Timely vaccination is the practice of administering the vaccine within the first birthday of the child. Not vaccinating the child at the appropriate age is the cause of improper protection of diseases and can be a possible factor in death. The problem of not completing the vaccine in the scheduled period is a globally distributed problem, but especially in sub-Saharan African countries, it is a bottleneck to child health. Even if timely vaccination is crucial for reducing the impact of VPDs, there are no current national-level studies to generate conclusive and tangible evidence in Ethiopia. Objective To assess spatial variations and determinants of timely completion of vaccination in Ethiopia using further analysis of EDHS 2019 data. Method The secondary data analysis of a community-based cross-sectional study design was employed among 3094 participants. Stata-14 software was used for data cleaning, recording, and analysis. Arc GIS version 10.3 and Kuldorff SAT scan version 9.6 software are used for spatial and SAT scan statistics. A multilevel mixed-effect binary logistic regression analysis was used to identify the predictors of timely vaccination. The clustering effect was also evaluated by Moran’s I statistics and intra class correlation. Results The timely completion of vaccination among Ethiopian women who had a child aged 12–35 months was 19.5% (95%CI: 18.2–20.8), and the spatial distribution of timely completion of vaccinations in Ethiopia was non-randomly distributed. A statistically significant high proportion of timely completion areas were clustered in the eastern part of Amhara, the south part of Afar, Addis Ababa, and Oromia. The primary cluster was located at a 13.11 km radius in Diredawa, which was 3.68 times higher than outside the window (RR = 3.68, LLR = 68.76, p-value < 0.001). History of antenatal care follow-up (AOR = 1.63, 95% CI: 1.3–2.04), giving birth at health facilities (AOR = 1.63, 95% CI: 1.25–2.13), age ≥ 35 years (AOR = 186, 95% CI: 1.35–2.63), age 25–34 years (AOR = 1.72, 95% CI: 1.33–2.21), and being richest (AOR = 2.71, 95% CI: 1.86–3.94) were the factors contributing to the timely completion of vaccination. Conclusion The prevalence of timely completion of vaccination was low in Ethiopia, and the spatial distribution of timely completion of vaccination in Ethiopia was non-randomly distributed across the regions. The factors associated with the timely completion of vaccinations were ANC follow-up, place of delivery, age of the participant, and wealth index. We recommend expanding facility delivery, antenatal care services, and empowering women to scale up timely vaccination in Ethiopia.

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Timeliness of Childhood Vaccine Uptake Among Children Attending Immunoprophylaxis Clinic in Central India

Cited by 5 publications

References 14 publications

Vaccination timeliness and associated factors among children aged 12–23 months in Debre Libanos district of North Shewa Zone, Oromia Regional State, Ethiopia

Vaccination timeliness and associated factors among children aged 12–23 months in Debre Libanos district of North Shewa Zone, Oromia Regional State, Ethiopia

Spatial pattern and associated factors of timely vaccination in Ethiopia using EDHS-2016 data: A multilevel and spatial analysis

Spatial variations and determinants of timely completion of vaccination in Ethiopia using further analysis of EDHS 2019 data: Spatial and multilevel analysis

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