ArticleThe Pan African medical journal2017
Factors contributing to routine immunization performance in Ethiopia, 2014.
Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Routine Immunization Services in The Postpandemic Period: Evidence From Operational Research in Assam.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- The Ethiopian National Immunization Technical Advisory Group (E-NITAG): Establishment, Achievements and the Future.Ethiopian journal of health sciences · 2024Article
- Spatial distribution and associated factors of poor tetanus toxoid immunization among pregnant women in Ethiopia: spatial and multilevel analysis.Frontiers in global women's health · 2023Article
- Article
- Modeling the relative risk of incidence and mortality of select vaccine-preventable diseases by wealth group and geographic region in Ethiopia.PLOS global public health · 2022Article
- Effectiveness and Feasibility of Using Local Medical Universities for Capacity Building to Improve the Immunization Program in Ethiopia: Quasi-Experimental Study.Journal of multidisciplinary healthcare · 2021Article
- Geographic location of health facility and immunization program performance in Hoima district, western Uganda: a health facility level assessment.BMC public health · 2020Article
- What we know and don't know about the immunization program of Ethiopia: a scoping review of the literature.BMC public health · 2020Article
- Full immunization coverage and its associated factors among children aged 12-23 months in Ethiopia: further analysis from the 2016 Ethiopia demographic and health survey.BMC public health · 2019Article
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Authors and funding
8 authors.
Funding
Abstract
introductionAn increasing trend of routine immunization performance has generally been observed over the past decade in Ethiopia. However, the improvement is irregular with wide disparity among and within regions. This study analyzes health facility characteristics contribution to immunization performance in Ethiopia.
methodsWe conducted a cross-sectional study and compared characteristics of health facilities in good and poor performing zones. We used administrative coverage reports and Personal Digital Assisted (PDA) supervisory data collected by WHO EPI field officers using a standardized structured checklist. We selected 48 zones and 302 health facilities based on immunization performance data and supervisory data on potential variables.
resultsLogistics regression was used to identify independent contributors to good immunization performance. On logistics regression we found that: actions by higher levels in conducting supervision (Odds Ratio (OR) =4.15. 95% Confidence Interval (CI) = 1.85, 9.32, p value <0.01] and providing written feedback (Odds Ratio (OR) =4.35. 95% Confidence Interval (CI) = 2.27, 8.33, p value <0.01) , and provision of immunization services by the health facility itself for catchment population under each health unit (Odds Ratio (OR) =20.15. 95% Confidence Interval (CI) = 2.24, 181.38, p value =0.01) and absence of stock out of vaccines (Odds Ratio (OR) =0.44. 95% Confidence Interval (CI) = 0.23, 0.83, p value =0.01) are the likely significant factors contributing to good immunization performance in Ethiopia.
conclusionEnsuring availability of immunization services in all health facilities, regular supervision and written feedback and improved stock management are essential factors contributing to good immunization performance.
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