Amref Health Africa in Ethiopia, COVID-19 Vaccine/EPI Technical Assistant at West Gondar Zonal Health Department, Gondar, Ethiopia.
West Gondar Zonal Health Department EPI Officer, Gondar, Ethiopia.
PLoS One. 2024 Jul 11;19(7):e0306421. doi: 10.1371/journal.pone.0306421. eCollection 2024.
Vaccine card is a crucial tool for gauging vaccine coverage. It is imperative to hold these health cards to have well-fitted data which are crucial in reaching data-driven decisions in the era of immunization surveillance and monitoring processes. However, there is limited knowledge about the retention rate of vaccination card and its associated factors in Ethiopia.
This research aimed to assess the retention rate and associated factors of vaccination card in Ethiopia, using data from the 2016 Ethiopian demographic health survey.
This study included a total of 1304 (weighted) children aged 12─23 months who were vaccinated and provided with a vaccination card. We used a multilevel logistic regression model to analyze factors associated with vaccination card retention. We considered factors to be statistically significant if they had a p-value of less than 0.05 with a respective 95% confidence interval.
Among the cohort of 1,304 immunized children, it was observed that 684, representing 52.5% (95% CI: 49.7%─55.2%), were able to present their respective vaccination card during the interview time. According to the results of the multilevel logistic analysis, there is a considerable reduction in the rate of vaccination card retention by 65% (adjusted OR 0.35, 95% CI: 0.19─0.65) and 37% (adjusted OR 0.63, 95% CI: 0.4─0.91) for individuals who are rural residents and those who are fully vaccinated, respectively. Furthermore, it is noteworthy to mention that individuals originating from socio-economic backgrounds with low poverty levels exhibit a 59% increase in vaccination card possession (adjusted OR 1.59, 95% CI: 1.11─2.50).
This study revealed a low rate of holding vaccination cards. Place of residency, wealth status, and vaccination status were factors that contributed to the change in the vaccination card retention rate. It is advisable to customize the interventional strategy by taking into account the individual's residency, immunization status, and degree of poverty within the community, to achieve a favorable rate of holding vaccination cards.
疫苗接种卡是衡量疫苗接种率的重要工具。为了拥有良好的数据，必须持有这些健康卡，这在免疫监测和监测过程的时代对于做出数据驱动的决策至关重要。然而，关于埃塞俄比亚疫苗接种卡的保留率及其相关因素的知识有限。
本研究旨在使用 2016 年埃塞俄比亚人口健康调查的数据评估埃塞俄比亚疫苗接种卡的保留率及其相关因素。
本研究共纳入 1304 名（加权）12-23 月龄接种疫苗并提供疫苗接种卡的儿童。我们使用多水平逻辑回归模型分析与疫苗接种卡保留相关的因素。如果因素的 p 值小于 0.05 且相应的 95%置信区间，则认为该因素具有统计学意义。
在 1304 名免疫接种儿童队列中，观察到有 684 名（占 52.5%（95%CI：49.7%─55.2%））在访谈时能够出示各自的疫苗接种卡。根据多水平逻辑分析的结果，农村居民和完全接种疫苗的个体的疫苗接种卡保留率分别降低了 65%（调整后的 OR 0.35，95%CI：0.19─0.65）和 37%（调整后的 OR 0.63，95%CI：0.4─0.91）。此外，值得注意的是，来自贫困程度较低的社会经济背景的个体持有疫苗接种卡的比例增加了 59%（调整后的 OR 1.59，95%CI：1.11─2.50）。
本研究显示疫苗接种卡的持有率较低。居住地、财富状况和疫苗接种状况是影响疫苗接种卡保留率变化的因素。建议根据个人居住地、免疫状况和社区贫困程度制定干预策略，以实现持有疫苗接种卡的良好率。
