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Vaccines 2018, 6(2), 22;

Predictors and Barriers to Full Vaccination among Children in Ethiopia

Department of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia
Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
Department of Internal Medicine, Division of Infectious Diseases, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Author to whom correspondence should be addressed.
Received: 9 February 2018 / Revised: 26 March 2018 / Accepted: 26 March 2018 / Published: 10 April 2018
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Predictors of immunization status outside of large cities in Ethiopia are not well known, and Muslims have lower vaccination coverage. The aim of this study is to assess factors associated with full immunization among children 12–23 months in Worabe, Ethiopia, a Muslim-majority community. A cross-sectional study is conducted in summer 2016. Multivariable logistic regression was used to assess the significance of predictors of full immunization. Among 484 children, 61% are fully vaccinated. Children whose mothers had fewer antenatal care (ANC) visits have decreased odds of full vaccination (zero visits: odds ratio (OR) = 0.09; one visit: OR = 0.15; two visits: OR = 0.46; three visits: OR = 0.89). The most common reasons that the mother gave for not vaccinating the child are fear of side reactions (36%), being too busy (31%), or hearing rumors about vaccines (28%). Local interventions incorporating interventions with religious authorities could raise awareness in the community of the importance of childhood immunizations and ANC visits. View Full-Text
Keywords: Ethiopia; vaccination coverage; religion; vaccine hesitancy; perinatal care Ethiopia; vaccination coverage; religion; vaccine hesitancy; perinatal care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Tefera, Y.A.; Wagner, A.L.; Mekonen, E.B.; Carlson, B.F.; Boulton, M.L. Predictors and Barriers to Full Vaccination among Children in Ethiopia. Vaccines 2018, 6, 22.

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