Nina B. Masters|Yemesrach Abeje Tefera|Abram L. Wagner|Matthew L. Boulton
Vaccine hesitancy among caregivers and association with childhood vaccination timeliness in Addis Ababa, Ethiopia
University of Michigan–Ann Arbor|St. Paul's Hospital Millennium Medical College|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
vaccines vital reducing childhood mortality prevent estimated 2 3 million deaths annually disproportionately occur developing world overall vaccine coverage typically used metric evaluate adequacy vaccine program performance though account untimely administration may unnecessarily prolong childrens susceptibility disease study explored hypothesized positive association increasing vaccine hesitancy untimeliness immunizations administered expanded program immunization epi addis ababa ethiopiathis crosssectional survey employed multistage sampling design randomly selecting one health center within five subcities addis ababa caregivers 3 12monthold infants completed questionnaire vaccine hesitancy infants vaccination cards examined assess timeliness received vaccinationsthe sample comprised 350 caregivers overall 823 surveyed children received recommended vaccines although 559 vaccinations timely caregivers 34 reported ever hesitating 37 reported ever refusing vaccine child vaccine hesitancy significantly increased odds untimely vaccination aor 194 95 ci 102 371 adjusted analysisthis study found high vaccine coverage among sample 350 young children addis ababa though half received recommended vaccines time high vaccine hesitancy strongly associated infants untimely vaccination indicating increased efforts educate community members providers vaccines may beneficial impact vaccine timeliness addis ababa