Simegn Wudneh, Diress Mengistie, Gela Yibeltal Yismaw, Belay Daniel Gashaneh, Ayelign Kibret Anteneh, Chilot Dagmawi, Sinamaw Deresse, Abdu Seid Mohammed, Andualem Amare Agmas, Anmut Bitew Desalegn, Eshetu Habitu Birhan, Mohammed Seid Abdulwase
Department of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Pediatr. 2023 Jan 30;11:1070722. doi: 10.3389/fped.2023.1070722. eCollection 2023.
Incomplete immunization and non-immunization increase the risk of disease and death among children. This study aims to assess childhood vaccination practices and associated factors among mothers and caregivers in Debre Tabor town, Amhara region, Ethiopia.
A community-based cross-sectional study design was conducted between February 30 and April 30, 2022. The study participants were proportionally allocated to all six kebeles found in the town. A systematic random sampling technique was used to select the study participants. The collected data were checked and coded and then entered into EpiData Version 3.1 and exported into SPSS Version 26. The results were organized using frequency tables, graphs, and charts, and bivariate and multivariable logistic regression were used to test the association of covariates with childhood vaccination practices.
Approximately 422 study mothers and caregivers participated in the study, with a response rate of 100%. The mean age was 30.63 years (11.74), which ranged from 18 to 58 years. More than half of the study participants (56.4%) expressed fears about the side effects of vaccination. A majority (78.4%) of the study participants availed of counseling services about vaccination, and 71.1% of them received regular antenatal care. This study found that approximately 280 [66.4%, 95% confidence interval (CI): 61.8-70.6] mothers/caregivers had a history of good childhood vaccination practices. The factors of the fear of side effects [adjusted odds ratio (AOR) = 3.34; 95% CI: 1.72-6.49], no workload (AOR = 6.08; 95% CI: 1.74-21.22), medium workload (AOR = 4.80; 95% CI: 1.57-14.71), being a mother of child/children (AOR = 2.55; 95% CI: 1.27-5.13), positive attitude (AOR = 2.25; 95% CI: 1.32-3.82), and sound knowledge (AOR = 3.88; 95% CI: 2.26-6.68) were significantly associated with childhood vaccination practices.
More than half of the study participants had a history of good childhood vaccination practices. However, the rate of such practices was low among mothers and caregivers. The fear of side effects, workload, motherhood, attitude, and knowledge were all factors associated with childhood vaccination practices. Awareness creation and a consideration of the workload of mothers would be helpful in dispelling fears and increasing the rate of good practices among mothers and caregivers.
免疫接种不完全和未接种会增加儿童患病和死亡风险。本研究旨在评估埃塞俄比亚阿姆哈拉州德布雷塔博尔镇母亲和照顾者的儿童疫苗接种情况及相关因素。
于2022年2月30日至4月30日进行了一项基于社区的横断面研究设计。研究参与者按比例分配到该镇所有6个行政区。采用系统随机抽样技术选择研究参与者。对收集到的数据进行检查和编码，然后录入EpiData 3.1版本并导出到SPSS 26版本。结果通过频率表、图表进行整理，并使用二元和多变量逻辑回归来检验协变量与儿童疫苗接种情况的关联。
约422名参与研究的母亲和照顾者参与了研究，应答率为100%。平均年龄为30.63岁（11.74），年龄范围为18至58岁。超过一半的研究参与者（56.4%）表示担心疫苗接种的副作用。大多数（78.4%）研究参与者获得了关于疫苗接种的咨询服务，其中71.1%接受了定期产前护理。本研究发现，约280名[66.4 %，95%置信区间（CI）：(61.8 - 70.6)]母亲/照顾者有良好的儿童疫苗接种史。担心副作用（调整比值比[AOR]=3.34；95% CI：1.72 - 6.49）、无工作负担（AOR = 6.08；95% CI：1.74 - 21.22）、中等工作负担（AOR = 4.80；95% CI：1.57 - 14.71）、是孩子的母亲（AOR = ；95% CI：1.27 - 5.13）、积极态度（AOR = 2.25；95% CI：1.32 - 3.82）和良好知识（AOR = 3.88；95% CI：2.26 - 6.68）与儿童疫苗接种情况显著相关。
超过一半的研究参与者有良好的儿童疫苗接种史。然而，母亲和照顾者中此类接种率较低。担心副作用、工作负担、母亲身份、态度和知识都是与儿童疫苗接种情况相关的因素。开展宣传并考虑母亲的工作负担将有助于消除恐惧并提高母亲和照顾者中的良好接种率。
