Timely Completion of Vaccination among Children in Gondar Town Administration, Northwest, Ethiopia: A Multi-Level Analysis [post]

2020 unpublished
Timely vaccination is key to prevent unnecessary childhood mortality from vaccinepreventable diseases. Despite the substantial efforts to improve vaccination completeness, the effort towards timeliness of vaccination is limited with non-attendance and delays to vaccination appointments remaining a big challenge in developing countries. There is also a limited evidence on timeliness of vaccination. Therefore, this study aimed to determine the magnitude and associated factors for timely
more » ... or timely completion of vaccination among children in Gondar town administration, northwest, Ethiopia. Methods This study employed a community-based cross sectional study design. A sample size of 821 children aged 12-23 months were considered. Two stages random sampling technique was applied. To account the effect of clustering, both bivariable and multivariable multilevel logistic regression analysis were applied. The measures of association estimates were expressed as adjusted odds ratio (AOR) with their 95% confidence intervals. Results Of the 774 children included for the analysis, 498 (64.3%) were fully vaccinated while 247 (31.9%) were fully vaccinated on-time. Caregivers of greater than 35 years old (AOR= 0.469; 95% CI: 0.253-0.869], who had secondary education and above (AOR = 2.391; 95% CI: 1.317-4.343), from richest households (AOR = 2.381; 95% CI: 1.502-3.773), children whose mothers attended four and more ante natal care visits (AOR = 2.844; 95% CI: 1.310-6.174) and who had two or more post natal care visits (AOR =2.054; 95%CI:1.377-3.063) were positively associated with on-time full vaccination. In contrary, being vaccinated at health post (AOR=0.144; 95%CI: 0.048-0.428) and caregivers who travelled more than 30 minutes (AOR= 0.158; 95%CI: 0.033-0.739) were negatively associated with on-time full vaccination. The random effects indicated that 26% of the variability in on-time full vaccination was attributable to differences between communities. Conclusion In this study, untimely vaccination was found to be high. Different individual and contextual factors were found to be associated with on-time full vaccination. Therefore, tailored strategies have to be designed and implemented to address people and the communities where they live. Moreover, timeliness of vaccination should be considered as another important indicator of the Abbreviations
doi:10.21203/rs.3.rs-15567/v1 fatcat:xvaksigegvhf7eozcueo54ed5y