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03.19.2024

Peer-Reviewed Article | Low Measles Vaccination Coverage and Spatial Analysis

Of High Measles Vaccination Dropout in Ethiopia’s Underprivileged Area

This study aimed to estimate the coverage of measles vaccinations and map the spatial distribution of measles vaccination dropout in Ethiopia. A cross-sectional survey was conducted in Ethiopia’s underprivileged areas using ArcGIS for the spatial analysis, Global Moran’s I statistic for spatial autocorrelation, and Getis-Ord Gi* statistics for hot spot analysis. Overall, coverages of measles-containing-vaccine first- and second-doses were 67% and 35%, respectively. Developing regions had the lowest coverages of measles-containing-vaccine first and second-doses, 46.4% and 21.2%, respectively. On average, the measles vaccination dropout estimate was 48.3%. Refugees had the highest measles vaccination dropout estimate (56.4%). The hot spot analysis detected the highest burden of measles vaccination dropout mainly in the northeastern parts of Ethiopia, such as the Afar Region’s zones 1 and 5, the Amhara Region’s North Gondar Zone, and peripheral areas in the Benishangul Gumuz Region’s Assosa Zone.

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