Immunization coverage and Factors associated with incomplete immunization among children age 12-23 month's Mekelle Tigray, north Ethiopia, 2017

Abstract

Abstract: Background: Immunization is estimated to avoid between 2 to 3 million deaths globally each year. Immunization preventable diseases can affect in prolonged disabilities and can ensure a financial lost because of lost time at work, psychological anxiety or long-term disability care. In Ethiopian children from 12-23 ages‟ prevalence total immunization coverage 39 % and 16% was not taken any immunization all over the nation Ethiopia. However the aim is to assess the incomplete immunization in 12-23 age year children in the stated study area with in the study period. Objective: To assess complete immunization and factors associated with incomplete immunizations coverage in children 12-23 months in mekelle town. Methods: Community-based cross-sectional study design conducted in children aged 12 to 23 months. The data collectors were visited at home and interviewed using pre-tested questionnaire about socio demographic, economic status and other variables. Systematic random sampling technique was used. 573 sample calculated by single proportion formula after addition of design effect and 10% non-response rate by taking critical value at 95% confidence level of certainty from the actual figures for source population and power 80%. Data entered in to Epi info version 7.2.1.0. And analyzed by taking crud and adjusted odds ratio with 95% confidence intervals. Ethical clearance was obtained and consent form asked willingness to the eligible people. Result: Of the 573 children, 542 (94.59%) were ever acquired one or more doses of vaccine and 31 (5.41%) had not vaccinated at list one dose, 69(12%) had immunized maternal recall only, about 473 (82.54%) have vaccination Card. The multivariate logistic regression analysis shows that; distance of immunization center, antenatal care, time of immunization inconvenient, concerned of immunization side effect, go to holy water after sick, variables were remained significantly associated with incomplete children immunization. Conclusion and recommendation: Overall the average complete immunization status was low. Based on the key finding there is need to increase the number of health facilities with Health workers, strengthening integrated community awareness and infrastructure. Key words: immunization, mekelle town, children aged 12-23 months