Abstract
Background: The re-introduction of polio among children aged 12–23 months is likely to occur in Ethiopia due to the low vaccination rates against poliovirus. The study sought to examine the predictors of incomplete vaccination against polio among children aged 12–23 months in Ethiopia. Methods: The data used were obtained from the 2016 Ethiopia Demographic and Health Survey. Binary and Bayesian logistic regressions were used for the data analysis, with parameters estimated using classical maximum likelihood and the Bayesian estimation method. Results: The results revealed that 43.7% of the children were not fully vaccinated against polio in Ethiopia. Maternal age, educational level, household wealth index, exposure to mass media, place of residence, presence of nearby healthy facility, counseling on vaccination, and place of delivery were significant determinants of incomplete polio vaccination among children aged between 12 and 23 months in Ethiopia. Conclusion: Considerable numbers of children are not fully vaccinated against polio in Ethiopia. Individual and contextual factors significantly contributed to incomplete polio vaccination among children in the country. Therefore, the government and other stakeholders should pay particular attention to maternal education to increase mothers’ educational level in all regions and give training and counseling in all urban and rural parts of the country on child vaccination to overcome the problem of children’s incomplete polio vaccination and/or vaccination dropout.
Highlights
IntroductionVaccination is a simple, safe, and effective way of protecting children against infectious diseases before they come into contact with them
The results show that children from households that were not near a health facility were 93% (OR = 1.93 with 95% CI = 1.563, 2.315) more likely to have incomplete polio vaccination compared to children from households that were near a health facility
We found that children who were delivered at home were three times more likely not to be fully vaccinated against polio compared to those who were delivered at a health facility
Summary
Vaccination is a simple, safe, and effective way of protecting children against infectious diseases before they come into contact with them. Immunization is a worldwide health and improvement success history, saving millions of children’s lives every year and reducing the risk of getting a disease by working with your body’s natural defenses to build protection [1]. Immunization is the constituent of primary health care and an indubitable human right and it is critical to the prevention and control of infectious disease outbreaks. They underpin global health security and will be a vital tool in the battle against antimicrobial resistance [2]
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