Abstract
ObjectiveThe aims of this study were: (1) to calculate measles vaccination coverage and characterize its determinants, and (2) to qualitatively explore factors associated with reasons associated with not immunization a child.ResultIn this study, the measles immunization coverage was 71.3%. The main reasons for not using the immunization services were lack of knowledge about immunization, no faith on immunization, fear of side effects and place of the service is too far. Age of mother, awareness about measles immunization, ante natal care service utilization and health facility availability were the factors that significantly associated with measles immunization. The findings of this study revealed that the coverage of measles immunization is low. Therefore health education on measles should be given for community and mothers and other additional measures should be done.
Highlights
Demographic health survey data shows in low and middle income countries that only 50% of the population vaccinated for measles and measles outbreak evidenced in these countries during 2016; 4395, 1500, and 162 measles cases occur in Ethiopia, South Sudan and Kenya, respectively [7–9]
There are different factors associated with immunization coverage in the Africa as well as in Ethiopia among those factors access to the immunization services, caregivers awareness, time of vaccination not known and long distance to reach institutions, maternal level of education, exposure to media, and antenatal care service utilization, geographic variations, and socio-cultural beliefs coupled with the timing of the measles vaccine as well as the fragile health service infrastructure [13–18]
Factors associated with measles immunization In multi-variate logistic regression analysis only age of mothers, use of antenatal care (ANC) service awareness and health facility availability were the factors that significantly associated with measles immunization
Summary
Measles is one of the leading causes for child morbidity and mortality in the world, every year around 100,000 of children lost their life due to the disease [1, 2]. In developed countries immunization coverage is a good level but in developing countries, in Sub-Saharan region vaccination coverage is very low [3–6]. Demographic health survey data shows in low and middle income countries that only 50% of the population vaccinated for measles and measles outbreak evidenced in these countries during 2016; 4395, 1500, and 162 measles cases occur in Ethiopia, South Sudan and Kenya, respectively [7–9]. In many developing countries because of poor measles immunization coverage outbreaks of the disease are. Studies evidenced inadequate immunization for measles will greatly affect the health of children [15, 19]
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