Magnitude Of Missed Opportunities For Routine Immunization Services And Its Associated Factors Among Children<24 Months In Dandi District Public Health Facilities West Shoa Zone,Oromia, Ethiopia

Abstract

Background: Missed opportunities for immunization contribute to the low immunization coverage seen worldwide adding to the pool of children who have not been effectively immunized. These pockets of low coverage create a risk for the reintroduction of vaccine preventable diseases that have been eradicated, eliminated, or under epidemiological control. Objective: -To assess the missed opportunity for routine immunization and its associated factors among children aged <24 months in Dandi District public health facilities. Methods: - Institutional -based cross sectional study design was conducted among 318 participants in Dandi District Public health facilities. From the eight public health facilities (4) were selected randomly. Data were collected from April 12 to May 11; 2023 using the standardized World Health Organization’s missed opportunity tool. The collected data were checked; coded and entered to Epi data version 4.6.0.6 and exported to SPSS version 26.0 for analysis. Descriptive results were presented using tables, pie charts and bar-graphs. All variables with p-value <0.25 in Binary logistic regression analysis were entered to Multivariable logistic regression to examine the statistical association. An adjusted odd ratio together with 95% CI was used to identify the strength of the association. Finally, variables with p value < 0.05 were declared that statistically significant association with missed opportunity of immunization. Results: A total of 318 children were involved in the study and the overall magnitude of missed opportunity for routine immunization was 35.8 % (95% CI: 30.7%; 41.2%). Variables like not having formal education (AOR=2.51 95%CI: 1.375, 4.583), being rural residence (AOR=2.1; 95%CI: 1.028; 4.729), didn’t attending ANC (AOR= 3.687 95%CI: 2.017; 6.740) and didn’t seen or heard vaccination message in the last month (AOR=2.882; 95%CI: 1.329; 6.250) were statistically significant association with Missed Opportunity of Immunization at p value less than 0.05. Conclusion : This study shows there is a high Magnitude of missed opportunity for routine immunization among children <24 months and significantly associated with no formal education, being Rural Place of residence, No ANC attendants of the Mother, no Information seen/heard in the last months/vaccination of caregivers. So; all health centers should give routine immunization services regularly, and all stakeholders work on reducing vaccine stock out and strengthening community awareness creation.