Abstract:
Inadequate vaccination coverage remains a public health problem in the developing world.
In Ethiopia, the full childhood vaccination coverage is far from optimal; Gambella is one of
the regions in Ethiopia with low proportion of fully immunization of children according to
EDHS 2016. Hence, the main aim of this study was to investigate the determinants factor of
vaccination status among children aged 12-23 months in Gambella based on Ethiopian
Demographic and Health Survey (EDHS 2016) data. A total of 383 children were considered
in this study. In order to meet the objective of this study proportional odds model were
employed for data analysis using demographic, socio-economic and health related service
variables as explanatory variables and status of vaccination as response variable
proportional odds model was used to estimate the factor influencing immunization of children
of aged 12-23 months using SAS version 9.2 .
Result showed that Out of total 383 children who were included The result of proportional
odds model showed that distance to health facility, prenatal visit, antenatal care, radio
possess, wealth and family size were found to have significant effects on children vaccination
status. Full vaccination coverage of children aged 12–23 months in Gambella was 41%
according to EDHS 016. The result of this study indicated that distance to health facility big
problem, prenatal visit, antenatal care, radio possess, wealth and family size are the main
significant predictors of factor influencing immunization status of children aged 12-23
months old. Coverage of full immunization was found to be low in Gambella compared to the
targets set in the Global Vaccine Action Plan (2011–2020).The study found that sociodemographic factors play a significant role in full immunization status of children in
Gambella. This study suggests that awareness creation, behavior change on vaccination and
enhancing utilization of maternal health service including delivery service, should be stressed
to enhance full childhood vaccination to reduce the incidence of child mortality from
vaccine-preventable diseases...