NON-ADHERENCE TO VACCINATION SCHEDULEAND ASSOCIATED FACTORS AMONG CHILDREN AGED 12-23 MONTHS IN JARSO DISTRICT, EASTERN ETHIOPIA

Abstract

Background:Immunization is one of the most cost-effective public health interventions to prevent and control communicable diseases. While non-adherence to vaccination schedule is failure of users of vaccines to maintain of periodic vaccination schedule according to recom-mended minimum interval guidelines.Every year, more than 19 million children miss out on the benefits of complete vaccination receive no vaccines as schedule standard. Objective:Toassess the non-adherence to vaccination schedule and associated factors in Jarso district from January to March 2020. Methods:Cross-sectional study design was conductedamong 299 mothers who had children aged 12-23 months and vaccination card. The study participants were selected by using (Strati-fied, systematic and multi-stage sampling). The data was collected through house to house. The data was checked and entered to Epi-data version 3.1 and transported to Statistical Package of Social Science(SPSS)version 22.Logistic regression analysis was used to identify factors asso-ciated with non-adherence to immunization schedule.Factors with p-value< 0.05 in the final mul-tivariate regression modelwere declared as significant and ORwas reported with 95% confidence interval. Results:The non-adherence to vaccination schedule was 217(72.6%)while household monthly income < 1000 birr(AOR=9.20, 95%CI: 1.05-80.63; p=0.04), walking distance >30 minutes to health facility(AOR=2.58, 95%CI: 1.24-5.37; p=0.01) and ante-natal care visit two(ANC2)(AOR=5.25, 95% CI: 1.74-15.84; p=0.00) were significantly associated with non-adherence to vaccination schedule. Conclusions:The non-adherence to vaccination schedule was very high relatively with adhe-rence. While low household monthly income, less access to health facility and low ante-natal care visit weresignificantlyfactors associated with non-adherence to vaccination schedule. The Jarso district health office should encourage mothers to vaccinate their children timely as sche-dule standard.