PDF, 1536K - Measure DHS

Figure 10.2 Vaccination Coverage Among Children
Age 12-23 Months
Percent vaccinated by 12 months of age
100
80
74
60
55
40
20
41
40
28
18
12
30
21
12
25
0
BCG 1 2 3+ 0 1 2 3+ Measles All None
DPT
Polio
Note: Based on health card and mothers' report
Ethiopia DHS 2000
than DPT coverage. Three in four children age 12-23 months received the first dose of polio by
12 months of age, one in two received the second dose, and nearly one in three the third dose. This is
primarily due to the success of the national immunization day campaigns during which polio vaccines
are administered. Nevertheless, the dropout between the first and subsequent doses of polio is also
marked—a 59 percent decline between the first and third dose.
Table 10.14 shows the vaccination coverage among children age 12-23 months, according to
information from the vaccination card or mother’s report, by background characteristics. This
information may give some indication of the success of the immunization program in reaching out to all
population subgroups. Birth order has a close relationship with vaccination coverage; as the birth order
increases vaccination coverage decreases. Eighteen percent of children of birth order one were fully
immunized, compared with 11 percent of children of birth order six and above. There are marked
differences in vaccination coverage between urban and rural areas. For example, children residing in
urban areas are about four times (42 percent) more likely to be fully immunized, compared with children
in rural areas (11 percent). Similarly, there are substantial differences in the coverage between regions.
The percentage of children fully immunized ranges from a low of 10 percent in the Oromiya Region to
74 percent in Addis Ababa. The percentage of children fully immunized in the Affar Region, however,
is negligible. The percentage of children fully immunized increases with mother’s educational level. Only
one in ten children of mothers without education are fully immunized, compared with 45 percent of
children born to mothers who had at least some secondary education.
Table 10.14 also shows that a vaccination card was seen for only 27 percent of children age
12-23 months. The actual percentage of children who have a vaccination card may be higher because
in some areas vaccination cards are kept at the health center and not by mothers. Cards were more
likely to have been shown for male children, first-order births, children living in urban areas, children
in Addis Ababa, and children of mothers with at least some secondary education.
128 * Maternal and Child Health