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  • Title: Factors associated with immunization coverage among children age 12-23 months: the case of Zone 3, Afar Regional State, Ethiopia.
    Author: Beyene EZ, Worku A, Bisrat F, Fantahun M.
    Journal: Ethiop Med J; 2013 Jul; 51 Suppl 1():41-50. PubMed ID: 24380206.
    Abstract:
    BACKGROUND: Strengthening routine immunization is one of the four pillars of the global polio eradication initiative. OBJECTIVES: To determine the magnitude and factors associated with vaccination coverage among children age 12 -23 months in Zone 4 of Afar Regional State, Ethiopia. METHODS: A community based cross-sectional study using the WHO modified cluster sampling method was carried out in Zone 3 of Afar Regional State between January 01 and May 31, 2009. The calculated sample size was 762 and 740 were included in the analysis of vaccination status. RESULTS: A total of 740 children aged 12-23 months were included in the study. Three hundred forty two (46%) respondents reported that their children were vaccinated at least once. Polio 3 coverage was found to be 35.0% and full immunization coverage was 20.6%. Respondents who could read and write had a higher likelihood of getting their children vaccinated compared to those who could not read or write [AOR = 0.18, 95% CI: 0.08-0.34]. Similarly age of the mother, husband's attitude and joint decision making by husband and wife were significantly associated with child immunization adjusted for other factors. CONCLUSION: The population immunity for polio measured by routine polio vaccine uptake in the study area indicated a high risk for wild polio virus outbreaks following importations, and the emergence and spread of circulating vaccine- derived polio virus. Literacy, positive attitude towards immunization and decision power are important factors to be addressed.
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