Association of War With Vaccination Dropout Among Children Younger Than 2 Years in the North Wollo Zone, Ethiopia
A civil war that lasted for about 6 months in the North Wollo zone of Ethiopia destroyed numerous health care facilities. However, no studies have been conducted to determine the association of the war with vaccination dropout in the area. To assess the association of war with vaccination dropout am...
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| Veröffentlicht in: | JAMA network open 2023-02, Vol.6 (2), p.e2255098-e2255098 |
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| creator | Mezen, Muluemebet Kassa Lemlem, Getasew Assefa Biru, Yemisrach Belete Yimer, Abebaw Mengesha |
| description | A civil war that lasted for about 6 months in the North Wollo zone of Ethiopia destroyed numerous health care facilities. However, no studies have been conducted to determine the association of the war with vaccination dropout in the area.
To assess the association of war with vaccination dropout among children younger than 2 years in the North Wollo zone.
This population-based cross-sectional study was conducted in the North Wollo zone from April 1 to June 30, 2022. Participants included children younger than 2 years and their mothers. A multistage sampling technique was used to select the participants.
A vaccination dropout rate (yes or no) was assessed by interviewing mothers.
The study included 449 children younger than 2 years and their mothers, 291 (64.8%) of whom were 20 to 34 years of age. Almost all of the mothers (426 [94.9%]) were married. More than half of the mothers (271 [60.4%]) had a primary level education. Seventy-one children (15.8%) in the area received all basic vaccinations. One hundred ninety-eight children (44.1%) who started vaccination prior to the war dropped out of the immunization program. Additionally, 64 children (14.3%) born during the war did not receive any vaccination. Losing a family member (adjusted odds ratio [AOR], 3.11 [95% CI, 1.63-5.93]; P = .001), not being informed about catch-up vaccination (AOR, 2.18 [95% CI, 1.39-3.43]; P |
| doi_str_mv | 10.1001/jamanetworkopen.2022.55098 |
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To assess the association of war with vaccination dropout among children younger than 2 years in the North Wollo zone.
This population-based cross-sectional study was conducted in the North Wollo zone from April 1 to June 30, 2022. Participants included children younger than 2 years and their mothers. A multistage sampling technique was used to select the participants.
A vaccination dropout rate (yes or no) was assessed by interviewing mothers.
The study included 449 children younger than 2 years and their mothers, 291 (64.8%) of whom were 20 to 34 years of age. Almost all of the mothers (426 [94.9%]) were married. More than half of the mothers (271 [60.4%]) had a primary level education. Seventy-one children (15.8%) in the area received all basic vaccinations. One hundred ninety-eight children (44.1%) who started vaccination prior to the war dropped out of the immunization program. Additionally, 64 children (14.3%) born during the war did not receive any vaccination. Losing a family member (adjusted odds ratio [AOR], 3.11 [95% CI, 1.63-5.93]; P = .001), not being informed about catch-up vaccination (AOR, 2.18 [95% CI, 1.39-3.43]; P < .001), being a rural resident (AOR, 2.22 [95% CI, 1.37-3.58]; P < .001), home birth (AOR, 1.75 [95% CI, 1.11-2.77]; P = .002), and length of war (AOR for 5 months, 0.51 [95% CI, 0.28-0.93; P = .04]) were associated with the outcome variable.
The findings of this cross-sectional study suggest that nearly 60% of children in the North Wollo zone remained undervaccinated or unvaccinated. Stakeholders should make coordinated efforts to overcome the humanitarian crisis in the area and optimize the accessibility of health services.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2022.55098</identifier><identifier>PMID: 36749587</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Child ; Cross-Sectional Studies ; Educational Status ; Ethiopia ; Female ; Humans ; Mothers ; Online Only ; Original Investigation ; Public Health ; Vaccination</subject><ispartof>JAMA network open, 2023-02, Vol.6 (2), p.e2255098-e2255098</ispartof><rights>Copyright 2023 Mezen MK et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a446t-3d9f680c450db06a8601a2dce12e07b0b0fad396f6b702c2a592fa675e6d28b53</citedby><cites>FETCH-LOGICAL-a446t-3d9f680c450db06a8601a2dce12e07b0b0fad396f6b702c2a592fa675e6d28b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36749587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mezen, Muluemebet Kassa</creatorcontrib><creatorcontrib>Lemlem, Getasew Assefa</creatorcontrib><creatorcontrib>Biru, Yemisrach Belete</creatorcontrib><creatorcontrib>Yimer, Abebaw Mengesha</creatorcontrib><title>Association of War With Vaccination Dropout Among Children Younger Than 2 Years in the North Wollo Zone, Ethiopia</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>A civil war that lasted for about 6 months in the North Wollo zone of Ethiopia destroyed numerous health care facilities. However, no studies have been conducted to determine the association of the war with vaccination dropout in the area.
To assess the association of war with vaccination dropout among children younger than 2 years in the North Wollo zone.
This population-based cross-sectional study was conducted in the North Wollo zone from April 1 to June 30, 2022. Participants included children younger than 2 years and their mothers. A multistage sampling technique was used to select the participants.
A vaccination dropout rate (yes or no) was assessed by interviewing mothers.
The study included 449 children younger than 2 years and their mothers, 291 (64.8%) of whom were 20 to 34 years of age. Almost all of the mothers (426 [94.9%]) were married. More than half of the mothers (271 [60.4%]) had a primary level education. Seventy-one children (15.8%) in the area received all basic vaccinations. One hundred ninety-eight children (44.1%) who started vaccination prior to the war dropped out of the immunization program. Additionally, 64 children (14.3%) born during the war did not receive any vaccination. Losing a family member (adjusted odds ratio [AOR], 3.11 [95% CI, 1.63-5.93]; P = .001), not being informed about catch-up vaccination (AOR, 2.18 [95% CI, 1.39-3.43]; P < .001), being a rural resident (AOR, 2.22 [95% CI, 1.37-3.58]; P < .001), home birth (AOR, 1.75 [95% CI, 1.11-2.77]; P = .002), and length of war (AOR for 5 months, 0.51 [95% CI, 0.28-0.93; P = .04]) were associated with the outcome variable.
The findings of this cross-sectional study suggest that nearly 60% of children in the North Wollo zone remained undervaccinated or unvaccinated. Stakeholders should make coordinated efforts to overcome the humanitarian crisis in the area and optimize the accessibility of health services.</description><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Educational Status</subject><subject>Ethiopia</subject><subject>Female</subject><subject>Humans</subject><subject>Mothers</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Public Health</subject><subject>Vaccination</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EolXpX0AWJw7sMnZiO-GCVtvyIVVwKazKxZokzsYl8aR2AuLfk7KlKpxmNDPvOzN6GHshYC0AxOtrHDC46SfF7zS6sJYg5VopKItH7Fgqk6-yAtTjB_kRO03pGgAkiKzU6ik7yrTJS1WYY3azSYlqj5OnwKnlO4x856eOf8W69uFQP4s00jzxzUBhz7ed75voAr-iOexd5JcdBi75lcOYuA986hz_RHEx2VHfE_9Gwb3i51PnafT4jD1psU_u9C6esC_vzi-3H1YXn99_3G4uVpjnelplTdnqAupcQVOBxkKDQNnUTkgHpoIKWmyWd1pdGZC1RFXKFrVRTjeyqFR2wt4efMe5GtwiDFPE3o7RDxh_WUJv_-0E39k9_bACciikhsXh5Z1DpJvZpckOPtWu7xcANCcrjcmlNqXQy-ibw2gdKaXo2vs9AuwtN_sfN3vLzf7htoifP7z0XvqXUvYbnq6a4A</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Mezen, Muluemebet Kassa</creator><creator>Lemlem, Getasew Assefa</creator><creator>Biru, Yemisrach Belete</creator><creator>Yimer, Abebaw Mengesha</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230201</creationdate><title>Association of War With Vaccination Dropout Among Children Younger Than 2 Years in the North Wollo Zone, Ethiopia</title><author>Mezen, Muluemebet Kassa ; Lemlem, Getasew Assefa ; Biru, Yemisrach Belete ; Yimer, Abebaw Mengesha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a446t-3d9f680c450db06a8601a2dce12e07b0b0fad396f6b702c2a592fa675e6d28b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Educational Status</topic><topic>Ethiopia</topic><topic>Female</topic><topic>Humans</topic><topic>Mothers</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Public Health</topic><topic>Vaccination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mezen, Muluemebet Kassa</creatorcontrib><creatorcontrib>Lemlem, Getasew Assefa</creatorcontrib><creatorcontrib>Biru, Yemisrach Belete</creatorcontrib><creatorcontrib>Yimer, Abebaw Mengesha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mezen, Muluemebet Kassa</au><au>Lemlem, Getasew Assefa</au><au>Biru, Yemisrach Belete</au><au>Yimer, Abebaw Mengesha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of War With Vaccination Dropout Among Children Younger Than 2 Years in the North Wollo Zone, Ethiopia</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>6</volume><issue>2</issue><spage>e2255098</spage><epage>e2255098</epage><pages>e2255098-e2255098</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>A civil war that lasted for about 6 months in the North Wollo zone of Ethiopia destroyed numerous health care facilities. However, no studies have been conducted to determine the association of the war with vaccination dropout in the area.
To assess the association of war with vaccination dropout among children younger than 2 years in the North Wollo zone.
This population-based cross-sectional study was conducted in the North Wollo zone from April 1 to June 30, 2022. Participants included children younger than 2 years and their mothers. A multistage sampling technique was used to select the participants.
A vaccination dropout rate (yes or no) was assessed by interviewing mothers.
The study included 449 children younger than 2 years and their mothers, 291 (64.8%) of whom were 20 to 34 years of age. Almost all of the mothers (426 [94.9%]) were married. More than half of the mothers (271 [60.4%]) had a primary level education. Seventy-one children (15.8%) in the area received all basic vaccinations. One hundred ninety-eight children (44.1%) who started vaccination prior to the war dropped out of the immunization program. Additionally, 64 children (14.3%) born during the war did not receive any vaccination. Losing a family member (adjusted odds ratio [AOR], 3.11 [95% CI, 1.63-5.93]; P = .001), not being informed about catch-up vaccination (AOR, 2.18 [95% CI, 1.39-3.43]; P < .001), being a rural resident (AOR, 2.22 [95% CI, 1.37-3.58]; P < .001), home birth (AOR, 1.75 [95% CI, 1.11-2.77]; P = .002), and length of war (AOR for 5 months, 0.51 [95% CI, 0.28-0.93; P = .04]) were associated with the outcome variable.
The findings of this cross-sectional study suggest that nearly 60% of children in the North Wollo zone remained undervaccinated or unvaccinated. Stakeholders should make coordinated efforts to overcome the humanitarian crisis in the area and optimize the accessibility of health services.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>36749587</pmid><doi>10.1001/jamanetworkopen.2022.55098</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Child Cross-Sectional Studies Educational Status Ethiopia Female Humans Mothers Online Only Original Investigation Public Health Vaccination |
| title | Association of War With Vaccination Dropout Among Children Younger Than 2 Years in the North Wollo Zone, Ethiopia |
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