MOTHER’S SATISFACTION TOWARDS CHILDHOOD VAACINATION AND ITS ASSOCIATED FACTORS AMONG MOTHERS HAVING UDER-TWO YEARS CHILDREN IN SHENEN DUGO DISTRICT, OROMIA, EASTERN ETHIOPIA.

Abstract

mmunization is one of the greatest achievements in public health with the aim of reducing morbidity, mortality and health care costs. Comparing to its importance childhood vaccination coverage in developing country like Ethiopia is not satisfactory as different study shows. Assessing the status of mother‘s satisfaction towards childhood immunization is very important as a satisfied mother is assumed to use the vaccination and compiles with service provider for better child health care outcome to the opposite of those unsatisfied. Therefore, it is important to assess and act on it the supporting factors with immunization services like mother‘s satisfaction towards vaccination that can increase the utilization of services among mothers when satisfied and decrease the utilization when unsatisfied. Methods: A health facility based cross-sectional study was conducted among 407 women who visits health facilities for child immunization from August 15 to October 15, 2020 in Shenen Dugo District, Oromia Regional State, Eastern Ethiopia. The study participants were selected by using systematic random sampling method. Satisfaction score was computed using five Likert scale, rating (very satisfied =5, satisfied =4, neutral =3, dissatisfied =2 and very dissatisfied =1) which further categories into Satisfied (if they scored above median) and not satisfied (if they scored below median). All exit interview data were collected via a structured questionnaire and after cleaned, coded, and entered in to Epi Data v.3.2 then exported to SPSS v.22 for analysis. Bivariate and multiple logistic regression analysis were done to assess the association between independent and dependent variables. The level of statistical significance was declared at p-value less than 0.5. Result: A total of 392 respondents were interviewed with a response rate of 96.3 %. The satisfaction level of mothers towards immunization service was reported at 79.1%. Factors significantly associated with mother‘s immunization satisfaction were age of mother 20-24 (AOR=1.8, 95%CI: 1.05, 3.22), information about vaccination (AOR=0.36, 95% CI: 0.17, 0.78), respectful and politely communication of service providers (AOR=3.99, 95% CI: 1.02,15.7) (Table 9). Conclusions and recommendations: Even if the level of mother‘s satisfaction towards childhood immunization of the study area found to be good. However, 21% of participant had no satisfaction which may resulted in a less utilization of immunization services provided in health institutions which farther contribute to child morbidity and mortality due to childhoods vaccine preventable diseases. Therefore, maximize mother‘s satisfaction towards immunization service and improve vaccination service quality is very important.