ArticlePLOS global public health2023
Determinants of incomplete child vaccination among mothers of children aged 12-23 months in Worebabo district, Ethiopia: Unmatched case-control study.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 13 citations in OpenAlex.
- Beyond the clinic gate: barriers to childhood immunization access and strategies for improvement at a rural Zimbabwean clinic.BMC public health · 2026Article
- Article
- Mapping the disparities in childhood immunization status and determinants in East Africa using ordinal logistic regression analysis.Scientific reports · 2025Article
- Coverage and social and behavioural drivers of routine childhood immunisation in selected regions in the Philippines: a cross-sectional study.BMJ global health · 2025Article
- Design a model to predict incomplete immunization among Ethiopian children using ensemble machine learning algorithms.Scientific reports · 2025Article
- Determinants of incomplete age-appropriate immunization among hill tribe children under six years of age in Chiang Rai Province, Thailand: a community-based case-control study.BMC public health · 2025Article
- Feature representation in analysing childhood vaccination defaulter risk predictors: A scoping review of studies in low-resource settings.PLOS digital health · 2025Article
- Development of a prediction rule for incomplete vaccination among children in Indonesia.BMC public health · 2025Article
- Incomplete basic vaccination and associated factors among children aged 12-23 months in resource-limited countries: a spatial and multilevel regression analysis of recent DHS data from 48 countries.Frontiers in public health · 2025Article
- Challenges and enablers in measles vaccination implementation in Ethiopia: Insights from a qualitative study.PLOS global public health · 2025Article
- Determinants of wealth-related inequalities in full vaccination coverage among children in Nepal: a decomposition analysis of nationally representative household survey data.BMC public health · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In nations like Ethiopia, vaccination rates are low despite being one of the most effective public health treatments to protect infants from common infectious diseases that can be prevented by immunization. In Worebabo District, the reasons of the underutilization of vaccination programs are poorly understood. Therefore, this study aimed to identify determinants of incomplete childhood vaccination in the study setting. Community based unmatched case-control study was carried out among 441 mothers of children aged 12-23 months old (147 cases and 294 controls) in Worebabo District, Ethiopia from March 1-April 30, 2020. Using a multistage sampling process, mothers were chosen. Health professionals were trained to collect data using a pre-tested standardized questionnaire. Data entered into Epi Info version 7.2 and put through statistical analysis in SPSS version 23. Binary logistic regression was performed to determine the odds ratio with a 95%CL. A p-value of under 0.05 was estimated statistically significant. The study found that older moms (>35 years old) were more likely than younger mothers to fail to properly immunize their children (AOR = 2.4, 95% CI: 1.09, 5.28). In addition, mothers with incomplete vaccinations had lower knowledge of the benefits of vaccination (AOR = 2.02, 95% CI: 1.20, 3.39), Negative attitudes towards immunization (AOR = 4.9, 95% CI: 2.82, 8.49), less access to prenatal care (AOR = 3.68, 95% CI: 1.58, 8.54), home delivery (AOR = 5.47, 95% CI: 2.58)., 11.58), absent home visits (AOR = 3.56, 95% CI: 1.69, 7.48), and longer time to reach vaccination site (>1 h) (AOR = 10.07)., 95% CI: 1.75, 57.79) were found associated with mother incomplete vaccination of the child. Mothers being older age, less access to antenatal care services, place of home delivery, longer time to reach vaccination site, negative attitude and poor knowledge towards the benefit of vaccination were associated with mothers' incomplete vaccination of the child. Therefore, health professionals should inform and counsel mothers about the advantages of childhood immunization as well as the consequences of incomplete or not vaccination of children at the time of the facility visit and by community health workers during the routine home visit.
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