Work

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

Year: 2025

Type: article

Abstract: BACKGROUND: This 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. METHODS: A 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. RESULT: Utilization 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. CONCLUSION: Despite the slight improvement from the regional and national Ethiopian Demographic Health Survey reports, utilization of second dose measles vaccine in this study was low.

Source: BMC Pediatrics

DOI: 10.1186/s12887-025-06436-4