Abstract Preview:
Introduction Vaccination is a critical public health intervention that significantly reduces morbidity and mortalityamong children. Despite its importance, vaccination coverage remains suboptimal in many regions, including EastGojam, Amhara Region, Ethiopia. This study investigated the sociodemographic, economic, and cultural determinantsof vaccination status among pediatric populations in East Gojam.Methods Using a cross-sectional design, data were collected from 1,900 respondents, categorizing vaccinationstatus as not vaccinated, partially vaccinated, or fully vaccinated. Multinomial logistic regression was used to analyzethe impact of predictors such as child age, gender, parental education level, household income, geographic location,access to healthcare, trust in healthcare providers, sources of vaccination information, cultural beliefs, and perceivedgovernment support for vaccination.Results The results revealed that higher parental education levels and urban residence positively influence vac-cination status. Older children were less likely to be fully vaccinated, indicating a need for targeted outreach. Accessto healthcare services and trust in healthcare providers significantly promoted vaccination, whereas negative culturalbeliefs and misinformation adversely affected vaccination status. Perceived government support for vaccinationwas also a significant predictor.Conclusion This study concludes that addressing these multifaceted determinants through educational programs,improved healthcare access, trust-building initiatives, accurate information dissemination, stronger governmentalsupport, targeted outreach for older children, community engagement, and multisectoral collaboration can enhancevaccination coverage and improve public health outcomes in East Gojam and similar settings.Keywords Vaccination, Pediatric populations, Ethiopia, Sociodemographic factors, Health services accessibility,Cultural beliefs, Trust in healthcare providers, Parental education, Multinomial logistic regression
Full Abstract:
Introduction Vaccination is a critical public health intervention that significantly reduces morbidity and mortalityamong children. Despite its importance, vaccination coverage remains suboptimal in many regions, including EastGojam, Amhara Region, Ethiopia. This study investigated the sociodemographic, economic, and cultural determinantsof vaccination status among pediatric populations in East Gojam.Methods Using a cross-sectional design, data were collected from 1,900 respondents, categorizing vaccinationstatus as not vaccinated, partially vaccinated, or fully vaccinated. Multinomial logistic regression was used to analyzethe impact of predictors such as child age, gender, parental education level, household income, geographic location,access to healthcare, trust in healthcare providers, sources of vaccination information, cultural beliefs, and perceivedgovernment support for vaccination.Results The results revealed that higher parental education levels and urban residence positively influence vac-cination status. Older children were less likely to be fully vaccinated, indicating a need for targeted outreach. Accessto healthcare services and trust in healthcare providers significantly promoted vaccination, whereas negative culturalbeliefs and misinformation adversely affected vaccination status. Perceived government support for vaccinationwas also a significant predictor.Conclusion This study concludes that addressing these multifaceted determinants through educational programs,improved healthcare access, trust-building initiatives, accurate information dissemination, stronger governmentalsupport, targeted outreach for older children, community engagement, and multisectoral collaboration can enhancevaccination coverage and improve public health outcomes in East Gojam and similar settings.Keywords Vaccination, Pediatric populations, Ethiopia, Sociodemographic factors, Health services accessibility,Cultural beliefs, Trust in healthcare providers, Parental education, Multinomial logistic regression