Full immunization coverage and associated factors among children age 12-23 months in Ethiopia: systematic review and meta-analysis of observational studies

Figures & data

Figure 1. Flow chart illustrating the process of search and selection of studies included in the present systematic review and meta-analysis

Table 1. Summary of relevant characteristics of the main findings of the included studies among children 12–23 months from 2013 to 2020 in Ethiopia

Authors, Year	Region	Study design	Sample Size	Event	Prevalence	Response Rate	Quality Score
Worku A. et al, 2014	Oromia	Cross sectional	630	461	73.2	100%	9
Wolde Facha, 2015	SNNP	Cross sectional	210	112	53.3	100%	7
Melkamu B. et al, 2015	Amhara	Cross sectional	757	571	76	99%	8
Tadesse D. et al, 2019	Amhara	Cross sectional	629	657	72.6	98.7	8
Tenaw G. et al, 2017	Amhara	Cross sectional	298	264	91.7	96.6	7
Yemesrach A. et al,2018	SNNP	Cross sectional	541	297	61	90	8
Robera O. et al, 2019	SNNP	Cross sectional	173	130	75.4	100	6
Abdi Nur M. et al, 2014	Somali	Cross sectional	582	434	74.6	100	7
Ayal Debie, 2014	Oromia	Cross sectional	497	245	49.3	100	8
Alemayehu Gonie, 2019	Amhara	Cross sectional	566	428	75.6	98.8	7
Asrat Meleko, 2017	SNNP	Cross sectional	322	136	42.2	100	8
Tadesse Dagget, 2018	Amhara	Cross sectional	846	494	58.4	98.11	9
Hussen M. et al, 2013	Oromia	Cross sectional	694	159	22.9	98.7	6
Elias L. et al, 2015	SNNP	Cross sectional	606	454	76.8	98.5	8
Abadi G et al, 2019	Amhara	Cross sectional	623	480	77.4	99.5	7
Takele T. et al, 2019	Oromia	Cross sectional	331	215	64.8	100	5

Figure 2. Pooled full immunization coverage among children 12–23 months in Ethiopia from 2013 to 2020

Figure 3. The forest plot of subgroup analysis of the study full immunization coverage among 12–23 month child based on regions in Ethiopia

Figure 4. The forest plot of subgroup analysis of the study full immunization coverage among 12–23 month child based on sample size in Ethiopia

Figure 5. Sensitivity analysis for the study full immunization coverage and associated factors among 12–23 month child in Ethiopia

Figure 6. Funnel plot of effect estimate against the standard error of log estimate

Table 2. Meta-analysis finding showing factors associated with full immunization coverage in Ethiopia (n = 8305)

Variables	OR, 95%CI	Heterogeneity	No of studies
Institutional delivery	2.12 (1.78–2.52)	I^2 = 0.0%, p = .811	8
Distance to vaccination site ≤1 hr	2.43 (1.97–3.00)	I^2 = 0.0%, p = .793	7
Received at least one ANC follow up	3.20 (2.46–4.10)	I^2 = 0.0%, p = .863	7
Good maternal knowledge of immunization	3.63 (2.82–4.67)	I^2 = 57.1%, p = .053	5
Being informed about Immunization schedule	2.54 (2–02-3.20)	I^2 = 63.3%, p = .043	4
Urban Residency	2 (1.54–2.6)	I^2 = 0.0%, p = .938	4
Received home visit by health care workers	2.23 (1.22–4.09)	I^2 = 0.0%, p = .883	3