Abstract
MEASLES VACCINATION DROPOUT RATE AND FACTORS ASSOCIATED WITH MEASLES VACCINATION DROPOUT IN CHILDREN 12-23 MONTHS AGE IN ANLEMO DISTRICT, HADIYA ZONE, SOUTHERN ETHIOPIA; A CROSS SECTIONAL STUDY

Tilahun Beyene Handiso*, Haimanot Ewnetu Hailu and Tigabu Beyene Handiso

ABSTRACT

Background:-Immunization is a lifesaving and cost-effective health intervention which reduces childhood morbidity and mortality. There are still millions who are unprotected by immunization. Drop-out rates are measured to determine the number of the children who start but fail to complete. The objective of this study is to assess measles vaccination dropout rate and associated factors among children 12-23 months age. Methods and materials: A community based cross-sectional study design was used. Study was conducted in Anlemo District from March 21 to April 21/2016 in 9 randomly selected kebeles. Study units were selected by multi stage stratified, Simple random sampling from health post family folder and census frame. Multivariable logistic regression model was used. Adjusted odds ratio with corresponding 95% CI was used. Results: 90(24.10%) of the children drop out measles vaccination. Measles vaccination drop out was positively associated with do not following antenatal visit during pregnancy of index child(AOR=4.50;95%CI:(2.1,9.8), sickness of child during measles vaccination schedule (AOR= 2.68;95%CI:(1.22, 5.88), long waiting time to immunize child in prior recent session of immunization(AOR=6.40; 95%CI: (3.07, 13.30), failing to follow postnatal care after delivery of index child(AOR=2.13; 95%CI: (1.17, 3.87) and postponed measles immunization schedule (AOR=2.73; 95%CI: (1.53, 4.87). Conclusions: Generally, measles dropout rate in the study area is high. Factors associated with measles vaccination dropout are Antenatal visit, postnatal visit, child sickness during measles vaccination schedule, postponed measles immunization by care provider and long waiting time to immunize child in prior recent session of immunization.

Keywords: measles vaccination drop out, dropout rate, Anlemo District.


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