Geospatial mapping to assess the distribution and determinants of zero dose vaccination status hot spots among children in Ethiopia using EDHS 2019: Spatial and geographical weighted regression
2024

Mapping Zero-Dose Vaccination Status in Ethiopia

Sample size: 3208 publication 10 minutes Evidence: moderate

Author Information

Author(s): Agimas Muluken Chanie, Asmamaw Meron, Hailu Melese Kebede, Kidie Tigabu, Abuhay Habtamu Wagnew, Yismaw Getaneh Awoke, Derseh Nebiyu Mekonnen

Primary Institution: Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

Hypothesis

What are the distribution and determinants of zero-dose vaccination status among children in Ethiopia?

Conclusion

The prevalence of zero-dose vaccination status among children in Ethiopia is low, with significant geographical disparities, particularly in the Somali and Afar regions.

Supporting Evidence

  • The prevalence of zero-dose vaccination status among children aged 12–35 months old was 16.3%.
  • The distribution of zero-dose vaccination status was not random, indicating significant geographical disparities.
  • Home delivery and poor wealth index were identified as significant predictors of zero-dose vaccination status.

Takeaway

In Ethiopia, many children are not getting their vaccines, especially in certain areas like Somali and Afar. We need to help more kids get vaccinated.

Methodology

A secondary analysis of a cross-sectional study using data from the Ethiopian Demographic Health Survey 2019, involving spatial and geographically weighted regression.

Potential Biases

Potential biases may arise from self-reported data on vaccination status.

Limitations

The study's reliance on geographic coordinates for clusters may limit the estimation of cluster effects in spatial analysis.

Participant Demographics

The study included 3208 women with children aged 12-35 months, primarily from rural areas.

Statistical Information

P-Value

<0.05

Confidence Interval

95% CI: 15%–17.6%

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0312610

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