Magnitude and associated factors of missed opportunity for routine immunization service at sphmmc and two selected health centers in Addis Ababa, Ethiopia

Abstract

Abstract : Introduction Childhood immunization is a critical component of global health, providing protection against vaccine-preventable diseases such as measles, polio, and pneumococcal disease. Despite the availability of safe and effective vaccines, many children remain unvaccinated, leading to significant morbidity and mortality. Objectives: To assess the magnitude and associated factors for missed opportunity of routine immunization service in those less than 02 years of age Methods and Materials: The study is health facility based cross sectional design. interview was administered for mothers who had under two year old child and who came for any services for their children at sphmmc and two selected health centers from Sept - Nov , 2023 using standard WHO missed opportunity tool. Result: A total of 288 children were included in this study and equal fifty percent of cases selected from the health centres and hospitals. Majority (56.3%) of the children were in the age of ≤12 months and 94.4% were delivered at the health facility. Fifty-three percent of the children were male and 87.5% of the children visited the institution with their mothers. Ninety-five percent of the children’s mother had antenatal follow up and 87.5% of the mother had married and 42.7% of the participants were orthodox in religion. The finding of the study revealed that 27% of the study participants had a missed vaccination. The finding of the study shows in each type of vaccination, more than 90% of children took the vaccination in need of their age. But the less than 90% of vaccination coverage were seen in measles vaccination. Conclusion: In this study the magnitude of missed immunization were high. Measles 2,Measles 1,BCG and OPV 0 were the most missed vaccines while the major reason for missing this vaccines were mother to busy followed by problem in the area so they couldn’t came for vaccination. On the other hand mother not had ANC, parental education level of illiterate and primary level, having taxi mode of transportation , not feel to know the vaccine their children need and not satisfied with the service provided had statically significant association with MOV. Key Words: childhood vaccination , immunization coverage , vaccination schedule