Peer-reviewed article
Uptake of measles second dose vaccine among children aged 15-35 months at Mettu Woreda, Illu Aba Bor Zone, Ethiopia: A community-based cross-sectional study.
Alemayehu Workiye Haile, Ebissa Bayana Kebede, Vinod Bagilkar, Teklu Wosenyeleh Mamo, Maycas Gembe ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study examined why some children in Ethiopia did not receive their second measles vaccine dose. Researchers interviewed 458 mothers of children aged 15-35 months and found that only 58.5% of children had received the vaccine. Mothers who were older, better educated, and had good knowledge about vaccines were more likely to have their children vaccinated. However, children were less likely to be vaccinated when mothers distrusted healthcare workers or when vaccination services were unavailable.
Key points
- Measles second-dose vaccine coverage was 58.5%, below national and district targets
- Maternal age 26-30 and 31-35 years, and primary or secondary education were positively associated with vaccine uptake
- Lack of trust in health workers significantly reduced vaccine uptake (AOR: 0.3)
- Availability of vaccination services and waiting times were important factors
- Access to information about the measles second dose increased uptake (AOR: 3.7)
Limitations
This cross-sectional study describes associations but cannot establish causation. The findings are from one woreda (district) in Ethiopia and may not represent other regions with different health systems or maternal populations.
Abstract
BACKGROUND: Measles remains a significant global health threat, especially for Children. Its prevention can be achieved through a safe and affordable vaccine. However, there is a paucity of information about the uptake of the measles second-dose vaccine and associated factors in Ethiopia, particularly in Mettu Woreda. Furthermore, this study examined understudied variable maternal trust in healthcare workers. OBJECTIVES: To assess uptake of measles second dose vaccine and associated factors among children aged 15-35 months at Mettu woreda, Illu Aba bor zone, 2024. METHODS: A community-based cross-sectional study was conducted from May to June of 2024 among 458 mothers/caregivers with Children aged 15-35 months using a systematic sampling technique. Data was collected using interviews, administered questionnaires. The Statistical Package for the Social Sciences software version 27 was used to analyze the data. Binary logistic regression was used to identify factors associated with the uptake of measles second dose vaccine at P-value < 0.05. RESULTS: Coverage of the measles second dose vaccine was 58.5% (95% CI: 53.8-63.1). Factors positively associated with the uptake include maternal age (26-30 [AOR: 2.7, 95% CI (1.46-5.05)], 31-35 [AOR: 3.3, 95% CI (1.52-7.13)]), education; primary([AOR: 3.1, 95% CI (1.35-7.26)], secondary[AOR: 4.3, 95% CI (2.03-9.30)]), knowledge[AOR: 2, 95% CI (1.11-3.64)], information about MCV2[AOR: 3.7, 95% CI (2.10-6.56)], waiting time[AOR: 3, 95% CI (1.45-6.17)], while availability of vaccination service[AOR: 0.4, 95% CI (0.24-0.78)], and lack of trust in health workers[AOR: 0.3, 95% CI (0.18-0.55)] negatively affected vaccine uptake. CONCLUSION: The uptake of the measles second-dose vaccine among children aged 15-35 months is below district and national targets. Maternal age, education, knowledge, information access, trust in healthcare workers, antenatal care, waiting times, and service availability were all associated. Improved community awareness and addressing healthcare facility closures are needed.