Department of Population and Family Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Department Epidemiology, Institute of Health, Jimma University, Jimma, Ethiopia.
PLoS One. 2024 Oct 10;19(10):e0305801. doi: 10.1371/journal.pone.0305801. eCollection 2024.
Age-appropriate vaccination is a crucial public health measure to prevent morbidity and mortality worldwide. Despite its importance, there has been insufficient emphasis on tackling this problem. Therefore, this study aimed to determine the prevalence of age-appropriate vaccination and associated factors in Ethiopia.
Data from 1077 children aged 12-35months were extracted from the Ethiopian Mini Demographic and Health Survey 2019 using a prepared data extraction checklist and included in the analysis. The extracted data was analyzed using STATA version 14.0. Descriptive and inferential statistics were applied, followed by multilevel logistic regression. Significant variables were identified at p-value < 0.05 within 95% confidence level and AOR.
The pooled prevalence of age-appropriate vaccination in this study was 21.17% (95%CI: 18.73-23.61). Factors like mothers age > = 40 years (AOR = 4.05, 95%CI: 1.03, 15.83), 35-39 years (AOR = 4.62, 95%CI: 1.27,16.71), 25-29 years (AOR = 4.07, 95%CI: 1.18,14.03), Maternal secondary education (AOR = 1.85, 95% CI: 1.06, 3.22), Maternal primary education (AOR = 1.60, 95% CI: 1.07, 2.41) and rural residence (AOR = 0.34, 95%CI: 0.23,0.51) were significant predictors of age-appropriate vaccinations.
This study concluded that the prevalence of age-appropriate vaccination of children in Ethiopia is below the desired level. Hence, the stakeholders should prioritize timely vaccination of children, similar to as the efforts made to increase overall coverage.
适龄疫苗接种是全球预防发病和死亡的重要公共卫生措施。尽管其重要性不言而喻，但针对这一问题的重视程度仍不够。因此，本研究旨在确定埃塞俄比亚适龄儿童疫苗接种的流行率及其相关因素。
本研究使用准备好的数据提取清单，从 2019 年埃塞俄比亚微型人口与健康调查中提取了 1077 名 12-35 月龄儿童的数据，并将其纳入分析。采用 STATA 版本 14.0 对提取的数据进行分析。应用描述性和推断性统计，然后进行多水平逻辑回归。在 95%置信区间和 AOR 内，以 p 值 < 0.05 确定显著变量。
本研究中适龄疫苗接种的总流行率为 21.17%（95%CI：18.73-23.61）。母亲年龄≥40 岁（AOR = 4.05，95%CI：1.03，15.83）、35-39 岁（AOR = 4.62，95%CI：1.27，16.71）、25-29 岁（AOR = 4.07，95%CI：1.18，14.03）、母亲中学教育（AOR = 1.85，95%CI：1.06，3.22）、母亲小学教育（AOR = 1.60，95%CI：1.07，2.41）和农村居住（AOR = 0.34，95%CI：0.23，0.51）是适龄疫苗接种的显著预测因素。
本研究得出结论，埃塞俄比亚儿童的适龄疫苗接种率低于预期水平。因此，利益相关者应优先考虑及时为儿童接种疫苗，就像为提高总体覆盖率所做的努力一样。
