PDF(Pubmed)
Abstract：
BACKGROUND: Vaccine card is a crucial tool for gauging vaccine coverage. It is imperative to hold these health cards to have well-fitted data which are crucial in reaching data-driven decisions in the era of immunization surveillance and monitoring processes. However, there is limited knowledge about the retention rate of vaccination card and its associated factors in Ethiopia.
OBJECTIVE: This research aimed to assess the retention rate and associated factors of vaccination card in Ethiopia, using data from the 2016 Ethiopian demographic health survey.
METHODS: This study included a total of 1304 (weighted) children aged 12─23 months who were vaccinated and provided with a vaccination card. We used a multilevel logistic regression model to analyze factors associated with vaccination card retention. We considered factors to be statistically significant if they had a p-value of less than 0.05 with a respective 95% confidence interval.
RESULTS: Among the cohort of 1,304 immunized children, it was observed that 684, representing 52.5% (95% CI: 49.7%─55.2%), were able to present their respective vaccination card during the interview time. According to the results of the multilevel logistic analysis, there is a considerable reduction in the rate of vaccination card retention by 65% (adjusted OR 0.35, 95% CI: 0.19─0.65) and 37% (adjusted OR 0.63, 95% CI: 0.4─0.91) for individuals who are rural residents and those who are fully vaccinated, respectively. Furthermore, it is noteworthy to mention that individuals originating from socio-economic backgrounds with low poverty levels exhibit a 59% increase in vaccination card possession (adjusted OR 1.59, 95% CI: 1.11─2.50).
CONCLUSIONS: This study revealed a low rate of holding vaccination cards. Place of residency, wealth status, and vaccination status were factors that contributed to the change in the vaccination card retention rate. It is advisable to customize the interventional strategy by taking into account the individual\'s residency, immunization status, and degree of poverty within the community, to achieve a favorable rate of holding vaccination cards.
OBJECTIVE: This research aimed to assess the retention rate and associated factors of vaccination card in Ethiopia, using data from the 2016 Ethiopian demographic health survey.
METHODS: This study included a total of 1304 (weighted) children aged 12─23 months who were vaccinated and provided with a vaccination card. We used a multilevel logistic regression model to analyze factors associated with vaccination card retention. We considered factors to be statistically significant if they had a p-value of less than 0.05 with a respective 95% confidence interval.
RESULTS: Among the cohort of 1,304 immunized children, it was observed that 684, representing 52.5% (95% CI: 49.7%─55.2%), were able to present their respective vaccination card during the interview time. According to the results of the multilevel logistic analysis, there is a considerable reduction in the rate of vaccination card retention by 65% (adjusted OR 0.35, 95% CI: 0.19─0.65) and 37% (adjusted OR 0.63, 95% CI: 0.4─0.91) for individuals who are rural residents and those who are fully vaccinated, respectively. Furthermore, it is noteworthy to mention that individuals originating from socio-economic backgrounds with low poverty levels exhibit a 59% increase in vaccination card possession (adjusted OR 1.59, 95% CI: 1.11─2.50).
CONCLUSIONS: This study revealed a low rate of holding vaccination cards. Place of residency, wealth status, and vaccination status were factors that contributed to the change in the vaccination card retention rate. It is advisable to customize the interventional strategy by taking into account the individual\'s residency, immunization status, and degree of poverty within the community, to achieve a favorable rate of holding vaccination cards.
摘要：
背景：疫苗卡是衡量疫苗覆盖率的重要工具。必须持有这些健康卡，以拥有完善的数据，这些数据对于在免疫监测和监测过程时代达成数据驱动的决策至关重要。然而,埃塞俄比亚对疫苗接种卡保留率及其相关因素的了解有限。
目的：本研究旨在评估埃塞俄比亚疫苗接种卡的保留率和相关因素，使用2016年埃塞俄比亚人口健康调查的数据。
方法：本研究共纳入1304名（加权）12-23个月的儿童，他们接种了疫苗并提供了疫苗接种卡。我们使用多水平逻辑回归模型来分析与疫苗接种卡保留相关的因素。我们认为，如果它们的p值小于0.05，且置信区间分别为95％，则这些因素具有统计学意义。
结果：在1,304名免疫儿童中，观察到684，占52.5%(95%CI：49.7%─55.2%)，能够在面试期间出示他们各自的疫苗接种卡。根据多水平Logistic分析的结果，农村居民和完全接种疫苗的人的疫苗接种卡保留率显著降低了65%(调整后OR0.35,95%CI:0.19─0.65)和37%(调整后OR0.63,95%CI:0.4─0.91),分别。此外，值得注意的是,来自社会经济背景且贫困水平较低的个体的疫苗接种卡拥有量增加了59%(调整后OR1.59,95%CI:1.11-2.50).
结论：这项研究显示，持有疫苗接种卡的比例较低。居住地,财富地位,和疫苗接种状态是导致疫苗接种卡保留率变化的因素.建议通过考虑个人的居住权来定制介入策略，免疫接种状况,以及社区内的贫困程度，以达到良好的持有疫苗接种卡的比率。
目的：本研究旨在评估埃塞俄比亚疫苗接种卡的保留率和相关因素，使用2016年埃塞俄比亚人口健康调查的数据。
方法：本研究共纳入1304名（加权）12-23个月的儿童，他们接种了疫苗并提供了疫苗接种卡。我们使用多水平逻辑回归模型来分析与疫苗接种卡保留相关的因素。我们认为，如果它们的p值小于0.05，且置信区间分别为95％，则这些因素具有统计学意义。
结果：在1,304名免疫儿童中，观察到684，占52.5%(95%CI：49.7%─55.2%)，能够在面试期间出示他们各自的疫苗接种卡。根据多水平Logistic分析的结果，农村居民和完全接种疫苗的人的疫苗接种卡保留率显著降低了65%(调整后OR0.35,95%CI:0.19─0.65)和37%(调整后OR0.63,95%CI:0.4─0.91),分别。此外，值得注意的是,来自社会经济背景且贫困水平较低的个体的疫苗接种卡拥有量增加了59%(调整后OR1.59,95%CI:1.11-2.50).
结论：这项研究显示，持有疫苗接种卡的比例较低。居住地,财富地位,和疫苗接种状态是导致疫苗接种卡保留率变化的因素.建议通过考虑个人的居住权来定制介入策略，免疫接种状况,以及社区内的贫困程度，以达到良好的持有疫苗接种卡的比率。
