Abstract:
Background; One of the safest and most economical ways to lower childhood morbidity and
death is through vaccination. Even though individual vaccine coverage has increased in
Ethiopia, it is still uncommon to see a child completely vaccinated with all recommended
vaccines. Therefore, the main objective of this study was to identify associated factors
influencing vaccination of children aged 12 to 35 months in Ethiopia.
Method; Vaccination status was examined in a sample of 5,753 children aged 12–35 months
from the 2019 EMDHS data. The study used percentages to show the prevalence of vaccination
coverage among children of aged 12 – 35 month in Ethiopia. Multilevel ordinal logistic
regression modes were constructed, and the best-fitting model was selected to identify variables
that significantly associated with childhood vaccination and assess regional variability of
childhood vaccination in Ethiopia.
Results; The prevalence of childhood vaccination coverage among children was 83.73%
(20.91% completely vaccinated and 62.82% partially vaccinated), while about 16.27% of
children were non-vaccinated. From the multilevel ordinal logistic regression models, it was
found that the random coefficient ordinal logistic model is the best among all the ordinal logistic
models and the result revealed that 64.3% of the community-level variation on childhood
vaccination has been explained by the combined factors at both the individual and community
levels this imply that there exist a clear difference in childhood vaccination incompletion across
regions in Ethiopia. The fitted random coefficient model showed that childhood vaccination was
significantly associated with age, region, residence, religion, number of antenatal care visit,
place of antenatal care visit, wealth index, and place of delivery at 5% level of significance.
Moreover, the effect of these significant variables on childhood vaccination is the same for each
region except place of delivery which was differed between regions.
Conclusion; based on the findings; treatments are better to focus on targeting essential
childhood vaccinations by promoting rural maternal access to health care service that are
included the low economic family, because the finding showed low vaccination coverage in the
rural resident and poor economic level.
