ArticleBMC pediatrics2025
Utilization and associated factors of second dose measles vaccine among mothers having a child less than two years old in Enderta District, South Eastern Tigray, Ethiopia.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aimed to assess the utilization and associated factors of second-dose measles vaccine among mothers with children less than two years old in Enderta district, South Eastern Tigray.
methodsA mixed community-based cross-sectional study was conducted in Enderta district, South Eastern Tigray from January- to March 2020. The sample size of this study was 410 mothers, 10 in-depth interviews, and 2 focus group discussions. Multistage sampling technique for the quantitative data and purposive sampling for the qualitative data was used. Quantitative data were collected by the interviewer-administered questionnaires and entered and analyzed using Epi-data-3.1 and SPSS-20, respectively. Binary logistic regression analysis was done and adjusted odds ratios measured the strength of statistical association at 95% confidence interval. Variables with a P-value < 0.2 in the bivariate analysis were entered into multivariable analysis statistical significance was declared at P-value < 0.05. Thematic analysis was employed for the qualitative data. After the qualitative data was coded, themes were developed. The result of the qualitative data was presented and discussed by triangulating.
resultUtilization of second dose measles-containing vaccine was 32.4%. Top reasons for not vaccinating second dose measles-containing vaccines to their children were: lack of awareness about the necessity of the vaccine, missing the appointment date, mother being too busy and absence of vaccine supply. In the multivariable analysis; children aged 18-23 months (AOR 0.5; CI (0.3-0.8)), number of children greater than five per family (AOR 2.3; CI (1.3-4.3)), type of health facility (AOR 1.7; CI (1.05-2.9)), children with a history of completed basic vaccines at 12 months (AOR 2.6; CI (1.5-4.3)) and knowledgeable mothers (AOR 1.67; CI (1.04-2.7)) were significantly associated with the taking of second dose measles vaccine of their last child.
conclusionDespite the slight improvement from the regional and national Ethiopian Demographic Health Survey reports, utilization of second dose measles vaccine in this study was low.
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