Measles second dose vaccine uptake and determinants among 15–23 month old children at Bahir Dar City, Northwest Ethiopia, 2022

Document Type : Original Research Article

Authors

1 Lecturer, Department Midwifery, Tedda Health Science College, Gondar, Ethiopia

2 Lecturer, Department of Midwifery, Tedda Health Science College, Gondar, Ethiopia

3 Lecturer, Department Infectious, Tedda Health Science College, Gondar, Ethiopia

4 Lecturer, Department Public Health, Tedda Health Science College, Gondar, Ethiopia

5 Lecturer, Department of Nurse, Tedda Health Science College, Gondar, Ethiopia

10.22038/jmrh.2024.71216.2089

Abstract

Background and aim: Measles are highly infectious diseases and can cause lifelong complications and deaths. Most of studies focused on children who received a first dose measles vaccine rather than second doses measles vaccine uptake. Hence, the main interest of this study is to determine second dose measles vaccine uptake proportion and associated factors among children aged 15–23 months at Bahir Dar city, Northwest Ethiopia.
Methods: A community-based cross-sectional study was employed from September 20 to November 25, 2022. A multi-stage cluster sampling technique was applied to select 633 children aged 15 to 23 months. Data were collected through face-to-face interviews using a structured questionnaires. Data were entered into Epidata version 3.1 and univariate and multivariate binary logistic regressions further analysis. A p-value <0.05 was taken for statistical significance.
Results: The study revealed that the proportion of second dose measles vaccine uptake was found to be 53.08%. response rate was 100%. Children with parents who are primary guardians (AOR=1.54,CI,95%(1.05, 2.27), having antenatal care (AOR=1.97 CI, 95%(1.26, 3.07), child delivery at health facility (AOR=1.66, 95%CI: 1.14, 2.42), absence child illness in previous vaccination time(AOR=1.53, 95%CI: 1.07, 2.18), and no long waiting time at the vaccination site (AOR= 2.54, 95%CI: 1.05, 2.21) were identified determinates.
Conclusion: The measles-containing second-dose vaccine uptake was low. Children with parents as primary guardians, having antenatal care follow-up, health facility child delivery, absence of child illness during previous vaccination, and short waiting time were determinants. Finding suggests increasing maternal antenatal care follow-up.

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