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Article

Predictors and Barriers to Full Vaccination among Children in Ethiopia

1
Department of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia
2
Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
3
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.
Vaccines 2018, 6(2), 22; https://doi.org/10.3390/vaccines6020022
Received: 9 February 2018 / Revised: 26 March 2018 / Accepted: 26 March 2018 / Published: 10 April 2018
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
MDPI and ACS Style

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. https://doi.org/10.3390/vaccines6020022

AMA Style

Tefera YA, Wagner AL, Mekonen EB, Carlson BF, Boulton ML. Predictors and Barriers to Full Vaccination among Children in Ethiopia. Vaccines. 2018; 6(2):22. https://doi.org/10.3390/vaccines6020022

Chicago/Turabian Style

Tefera, Yemesrach A., Abram L. Wagner, Eyoel B. Mekonen, Bradley F. Carlson, and Matthew L. Boulton. 2018. "Predictors and Barriers to Full Vaccination among Children in Ethiopia" Vaccines 6, no. 2: 22. https://doi.org/10.3390/vaccines6020022

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