■麻疹是全球五岁以下儿童死亡率和发病率的主要原因之一。尽管最近在埃塞俄比亚引入了第二剂含麻疹疫苗(MCV2)的常规服务,关于其覆盖范围以及阻碍其在地方和国家两级采用的因素的证据很少。因此,这项研究旨在评估Jigjiga市15至36个月大的儿童对MCV2的摄取及其相关因素,索马里地区,埃塞俄比亚。
■于2023年4月1日至5月1日在吉吉加市对429名15至36个月大的儿童及其母亲/照顾者进行了一项基于社区的横断面研究。使用了多阶段抽样技术,并通过使用结构化的采访者管理的问卷收集数据。将收集的数据输入Epi-data版本3.2,并在社会科学(SPSS)版本26的统计包中进行分析。进行了双变量和多变量逻辑回归分析,以确定与麻疹第二剂疫苗摄取相关的因素。报告了95%CI的校正比值比,p<0.05时具有统计学意义。
■15至36个月儿童的MCV2覆盖率为21.4%(95%CI:17.7,25.2)。母亲的教育状况(AOR=3.154;95%CI:1.68,5.93),交货地点(AOR=1.90;95%CI:1.08,3.25),母亲的产后护理访问(AOR=2.40;95%CI:1.37,4.22),到达医疗机构所需的时间(AOR=2.67;95%CI:1.28,5.57),和对儿童疫苗接种的知识(AOR=2.43;95%CI:1.45,4.08)是与麻疹第二剂疫苗摄取显着相关的因素。
■与国家免疫目标相比,研究区域中MCV2的覆盖率较低。母亲/照顾者的教育状况,交货地点,母亲的产后护理访问,到达医疗机构的时间,和儿童疫苗接种知识与麻疹第二剂疫苗接种显著相关。应重点提高母亲对儿童疫苗接种重要性的认识,以提高麻疹第二剂疫苗的接种率,减轻该地区的麻疹负担。
UNASSIGNED: Measles is one of the leading causes of under-five mortality and morbidity worldwide. Although the routine service for the second dose of the measles-containing vaccine (MCV2) was introduced in Ethiopia recently, there is a paucity of evidence regarding its coverage and the factors that hinder its uptake at both the local and national levels. Thus, this study aimed to assess the uptake of MCV2 and its associated factors among children aged between 15 and 36 months old in Jigjiga City, Somali Region, Ethiopia.
UNASSIGNED: A community-based cross-sectional study was conducted among 429 children aged between 15 and 36 months old with their mothers/caregivers in Jigjiga City from April 1 to May 1, 2023. A multistage sampling technique was used and data were collected by using structured interviewer-administered questionnaires. The collected data were entered into Epi-data version 3.2 and analyzed in a statistical package for the social sciences (SPSS) version 26. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with the uptake of the measles second dose vaccine. An adjusted odds ratio with 95% CI were reported and statistical significance was declared at p < 0.05.
UNASSIGNED: The coverage of MCV2 among children aged between 15 and 36 months was 21.4% (95% CI: 17.7, 25.2). The educational status of the mother (AOR = 3.154; 95% CI: 1.68, 5.93), place of delivery (AOR = 1.90; 95% CI: 1.08, 3.25), postnatal care visits of the mother (AOR = 2.40; 95% CI: 1.37, 4.22), time taken to reach a health facility (AOR = 2.67; 95% CI: 1.28, 5.57), and knowledge about child vaccination (AOR = 2.43; 95% CI: 1.45, 4.08) were factors significantly associated with the uptake of the measles second dose vaccine.
UNASSIGNED: The coverage of MCV2 in the study area was low compared to the national immunization targets. Educational status of the mother/caregivers, place of delivery, postnatal care visits of the mother, time to reach a health facility, and knowledge about vaccination of children were significantly associated with measles second dose vaccination. The focus should be given to improving the awareness of mothers on the importance of child vaccination to improve the uptake of measles second dose vaccine and reduce the burden of measles in the region.