Wondo Genet College of Forestry and Natural Resource, Hawassa University, Hawassa P.O. Box 05, Ethiopia.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
Int J Environ Res Public Health. 2021 Nov 11;18(22):11820. doi: 10.3390/ijerph182211820.
The re-introduction of polio among children aged 12-23 months is likely to occur in Ethiopia due to the low vaccination rates against poliovirus. The study sought to examine the predictors of incomplete vaccination against polio among children aged 12-23 months in Ethiopia.
The data used were obtained from the 2016 Ethiopia Demographic and Health Survey. Binary and Bayesian logistic regressions were used for the data analysis, with parameters estimated using classical maximum likelihood and the Bayesian estimation method.
The results revealed that 43.7% of the children were not fully vaccinated against polio in Ethiopia. Maternal age, educational level, household wealth index, exposure to mass media, place of residence, presence of nearby healthy facility, counseling on vaccination, and place of delivery were significant determinants of incomplete polio vaccination among children aged between 12 and 23 months in Ethiopia.
Considerable numbers of children are not fully vaccinated against polio in Ethiopia. Individual and contextual factors significantly contributed to incomplete polio vaccination among children in the country. Therefore, the government and other stakeholders should pay particular attention to maternal education to increase mothers' educational level in all regions and give training and counseling in all urban and rural parts of the country on child vaccination to overcome the problem of children's incomplete polio vaccination and/or vaccination dropout.
由于脊髓灰质炎疫苗接种率低，埃塞俄比亚 12-23 个月龄儿童中脊髓灰质炎重新出现的可能性较大。本研究旨在探讨埃塞俄比亚 12-23 个月龄儿童脊髓灰质炎疫苗接种不完全的预测因素。
使用的数据来自 2016 年埃塞俄比亚人口与健康调查。对数据进行了二元和贝叶斯逻辑回归分析，使用经典最大似然和贝叶斯估计法估计参数。
结果显示，埃塞俄比亚有 43.7%的儿童未完全接种脊髓灰质炎疫苗。母亲年龄、教育程度、家庭财富指数、接触大众媒体、居住地、附近是否有健康设施、疫苗接种咨询以及分娩地点是埃塞俄比亚 12-23 个月龄儿童不完全脊髓灰质炎疫苗接种的重要决定因素。
埃塞俄比亚有相当数量的儿童未完全接种脊髓灰质炎疫苗。个人和环境因素对该国儿童不完全脊髓灰质炎疫苗接种有显著影响。因此，政府和其他利益攸关方应特别关注母亲教育，以提高所有地区母亲的教育水平，并在全国城乡地区开展儿童疫苗接种培训和咨询，以克服儿童不完全脊髓灰质炎疫苗接种和/或疫苗接种中断的问题。
