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ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 6  |  Page : 2664-2669

Barriers for full immunization coverage among under 5 years children in Mogadishu, Somalia


Faculty of Medicine and Surgery, Jazeera University, Mogadishu, Somalia

Correspondence Address:
Dr. T. Mohamud Mohamed Hayir
Faculty of Medicine and Surgery, Jazeera University, Mogadishu
Somalia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_119_20

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Background: Immunization is amongst the most cost-effective public health interventions for reducing childhood morbidity and mortality. However, globally 9 million deaths of children occur as a result of vaccine-preventable diseases in which 4.4 million are from the sub-Saharan region. Therefore, this study aimed to assess barriers for complete vaccination coverage among under five years children in Mogadishu, Somalia. Methods: A community-based cross-sectional study was conducted between April to July 2019 in Mogadishu-Somalia. Two-stage cluster sampling with systematic random sampling was used to select a sample of 820 households. Data was collected through a structured, interviewer administrator questionnaire. In case more eligible children found at a single selected household, one child was randomly selected and the information related to immunization was interviewed from his/her caregiver. Results: The overall, fully vaccinated under 5 years children were found to be 45.2%. Immunization was found to be increased by being a younger caregiver (β=-0.024, P-Value=0.019) being father with secondary and above education (AOR = 1.755, 95% CI = 1.161–2.655, P-value = 0.008), being a young child (β = −0.018, P- value = 0.011), being children from birth order of fifth and above (AOR = 1.539, 95% CI = 1.011–2.343, P- value = 0.044), being a married caregiver (AOR = 4.101, 95% CI=1.062-15.835, P-value = 0.041), increased monthly family income (β =0.003, P- value = 0.000), availability of vaccine at the time of visit (AOR = 6.147, 95% CI = 1.943–19.441, P- value = 0.002), cost affordability of vaccine (AOR = 1.951, 95% CI = 1.238–3.076, P- value = 0.004), being born at health facility (AOR = 1.517, 95% CI = 1.104–2.086, P- value = 0.010), having good knowledge on immunization (AOR = 1.125, 95% CI = 1.070–1.181, P- value = 0.001), having good practice on immunization (AOR = 2.756, 95% CI = 2.233–3.402, P- value = 0.001) and having good perception on vaccine (AOR = 4.976, 95% CI = 2.183–11.340, P- value = 0.001). Conclusion: The result of this study has revealed that the proportion of fully immunized under-5 children in Mogadishu is very low. Several factors were found to the barriers achieving full immunization coverage. Steps to promote health education and vaccine availability should be lounged.


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