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Table 3 Factors associated with Zero dose coverage in underserved settings in Ethiopia by socioeconomic, maternal, and child characteristics in Ethiopia, June 2022

From: High prevalence of zero-dose children in underserved and special setting populations in Ethiopia using a generalize estimating equation and concentration index analysis

Socio-economic status (n = 3646)

Took Penta1

Freq. (%)

Zero dose

Freq. (%)

COR

AOR

Wealth status

    

 Richest

405(78.92)

108(21.08)

1

1

 Richer

565(76.23)

176(23.77)

1.18 (0.99-1.42)

1.32(0.81–2.14)

 Middle

524 (69.96)

225 (30.0)

1.57(1.19–2.09)

1.66(0.91–3.03)

 Poorer

520 (60.84)

335 (39.16)

2.34(1.79–3.06)

1.96(1.02–3.77)

 Poorest

403(51.23)

384 (48.77)

2.95(2.26–3.87)

2.78(1.70–4.53)

Hard to reach areas

    

 Yes

602(76.59)

184(23.41)

1.74 (1.05–2.87)

1.64 (0.88–3.06)

 No

1,862 (65.10)

998 (34.90)

1

1

Pastoralist Regions

    

 Yes

776(57.74)

568(42.26)

2.23(1.06–4.68)

0.66(0.34–1.27)

 No

1,688(73.33)

614(26.67)

1

1

Developing regions

    

 Yes

807(58.48)

573(41.52)

2.72 (1.36–5.44)

4.49(1.44–14.02)

 No

1,657(73.12)

609(26.8)

1

1

Refugees

    

 Yes

218(70.10)

93(29.90)

0.83(0.56–1.23)

2.38(0.96–5.90)

 No

2,246(67.35)

1,089(32.65)

 

1

Conflict affected areas

    

 Yes

174 (63.04)

102 (36.96)

1.01 (1.00-1.07)

1.00(0.63–1.43)

 No

2,290 (67.95)

1,080 (32.05)

1

1

Urban slum areas

    

 Yes

24 (92.55)

2(7.45)

1

1

 No

2,394 (66.13)

1,226 (33.87)

6.36(2.30–17.60)

1.19 (0.43–3.35)

Maternal educational status

    

 No formal education

1,372 (63.58)

786 (36.42)

3.24(0.74–14.19)

1.17(0.38–3.62)

 Primary education

532(67.49)

256(32.51)

3.02(0.65–14.15)

1.33(0.38–4.74)

 Secondary education

441(71.56)

175 (28.44)

2.65(0.68–10.38)

1.73(0.43-7.00)

 Tertiary education

73(87.04)

11(12.96)

1

1

Maternal employment

    

 Working

1,019(65.85)

529(34.15)

1.31(0.96–1.80)

1.43(1.00-2.05)

 Not working

1,399(66.65)

700(33.35)

1

1

Paternal educational status

    

 No formal education

1,057(63.14)

617(36.86)

1.40 (1.13–1.75)

1.26(1.00-1.59)

 Primary education

471(65.78)

245(34.22)

1.42(1.07–1.89)

1.27(0.93–1.75)

 Secondary education

511(73.32)

186(26.68)

1

1

 Tertiary education

175(81.29)

40(18.71)

0.61(0.28–1.33)

0.71 (0.39–1.26)

 No Husband

195(58.45)

139(41.55)

-

-

 DK

9(85.46)

2(14.54)

-

-

Place of residence

    

 Urban

504(74.41)

173(25.59)

1

1

 Rural

1,914 (64.46)

1,055 (35.5)

1.46(1.11–1.92)

1.09(0.80–1.49)

Child Age

    

 12–23

1,241(67.14)

607(32.8)

1

1

 24–35

1,177 (65.46)

621(34.54)

1.06 (0.95–1.18)

1.04(0.92–1.18)

Child sex

    

 Boys

1,324 (66.73)

660 (33.27)

1

-

 Girls

1,094 (65.82)

568 (34.18)

1.02 (0.89–1.17)

-

Number of under-five children

    

 One

1,195 (68.63)

546 (31.37)

1

1

 Two

1,072(66.81)

533(33.19)

1.00(0.88–1.15)

0.79(0.39–1.60)

 Three or more

151 (50.26)

150(49.74)

1.53(1.11–2.11)

1.11(0.26–4.85)

Marital status

    

 Currently not married

195(58.45)

139(41.55)

1.51(1.34–1.69)

2.39(1.72–3.33)

 Married/ living together

2,223(67.10)

1,090(32.90)

1

1

Maternal age

    

 15–24

570(65.10)

305(34.90)

1.20(1.08–1.34)

1.19(1.08–1.31)

 25–34

1,346 (8.34)

623 (31.66)

1

1

 35–44

368 (64.36)

204 (35.64)

1.10(0.68–1.63)

1.20(0.65–2.24)

 45 or above

57(53.78)

48(46.22)

1.62(1.17–2.25)

1.17(0.47–2.91)

 DK

79(62.30)

48(37.70)

 

-

ANC visits

    

 4 or more

1,009(77.36)

295(22.64)

1

1

 Less than 4 visits

1,276 (60.38)

837 (39.62)

1.73 (1.58–1.91)

1.29(1.19–1.41)

SBA

    

 No

847(55.82)

670(44.18)

2.00(1.39–2.90)

1.32(0.84–2.07)

 Yes

1,439(75.67)

463(24.33)

1

1

PNC

    

 No

1,135(58.35)

810(41.65)

2.20(1.67–2.91)

2.09(1.45–3.02)

 Yes

1,151(78.10)

323(21.90)

1

1

Availability of health facility in the kebele

    

 Yes

2,309(69.82)

998(30.18)

1

1

 No

109(32.10)

231(67.90)

4.40(3.06–6.32)

3.70 (2.55–5.36)

One-way walking distance to the nearest health facility

    

 30 min or less

1,201(70.34)

507(29.66)

1

1

 30–60 min

488(65.77)

254(34.23)

1.20(0.78–1.83)

(0.75–2.24)

 More than an hour

728(60.89)

468(39.11)

1.52(1.14–2.03)

1.00(0.73–1.26)

Gender empowerment

    

 Low

262(58.76)

184(41.24)

1.64(1.28–2.12)

1.63(1.26–2.096)

 Medium

271(58.95)

189(41.05)

1.62(1.24–2.11)

1.71(1.16–2.52)

 High

1,691(70.20)

718(29.80)

1

1

 No married

195(58.45)

139(41.55)

-

-