Vaccine Dropout Rate and Associated Factors Among Childeren Age 12-23 Month in Shewa Robit Town, North Shewa Zone, Amahra Region, Ethiopia, A community Based Cross-sectional Study Design

Abstract Background: Immunization against disease is one of the most important public health interventions with cost effective means of preventing childhood morbidity, mortality, and disability. However, children in Africa was not fully immunized with in the recommended vaccines thus, many children are still susceptible to the expanded program on immunization target disease. The objective of this study was to assess the magnitude of vaccine dropout rate and associated factors among children age 12-23 month in Shewa Robit town in 2019. Methods: Community based cross sectional study was conducted from April 5 to April 10, 2019 with a total of 432 mothers/caregivers who have children 12-23 month of age were include in the study. Template was prepared and the data was entered, categorized, coded, and summarized using Epi data version 3.1 and analysis by using SSPSS version 21 for further analysis. Bivariate and multivariate logistic regression analysis was done to see the association of each categories of variable with the outcome variable. Significance was checked at 95% CI with p-value <0.05. Result: From the total 432 children 392(90.7%) were fully vaccinated and the BCG- Measle dropout rate were 9.3%. Occupation of mothers/caregiver’s being student (AOR: 0.075(0.006,0.971)), distance of time to reach health facility <15 minute (OR:15.617(2.06, 118.4) and ANC follow-up of mothers/caregivers(AOR:4.87(1.39,16.98)) were significantly associated to vaccine dropout rate. Conclusion: The overall immunization dropout rate in Shewa Robit town was 9.3% in 2019. Time to reach health facility, ANC follow-up of mothers and occupation of mother were statistically significant predictors of vaccine dropout rate of children.