MOTHERS SATISFACTION TOWARDS CHILDHOOD VACCINATION SERVICE AND ASSOCIATED FACTORS AMONG MOTHERS HAVING UNDRE-TWO YEARS CHILDREN IN A PUBLIC HEALTH FACILITY, AT

Abstract

Background: A mother's satisfaction with vaccination services is a crucial aspect of the expanded program for delivering vaccine services. Low childhood vaccination coverage contributes to higher rates of morbidity and mortality from vaccine-preventable diseases in children. When mothers are satisfied, they are more likely to follow healthcare providers' advice, resulting in better health outcomes for their children. However, there is limited information on mothers' satisfaction towards childhood vaccination services and the factors that influence it. Therefore, assessing maternal satisfaction with childhood vaccination services is essential to address the gap that can enhance the service's uptake among mothers. Objectives: The aim of this study was to assess mothers' satisfaction with childhood vaccination services and the factors associated with it among mothers of children less than two years old attending public health facilities in Dawro Zone, Southwest Ethiopia, in 2024. Method: A facility-based cross-sectional study was conducted among 540 mothers in Dawro zone, Southwest Ethiopia, from August 1 to 30, 2024. A systematic random sampling technique was used to select respondents. Structured, interviewer-administered, and pretested questionnaires were used to collect data. The data were coded and entered into Epidata 4.6 before being exported to SPSS version 25.0 for analysis. Multicollinearity was checked, and the goodness of fit test was done by using the Hosmer-Lemeshow model goodness fit test. Logistic regression was employed to identify factors affecting mothers' satisfaction with childhood vaccination services. Statistical significance was set at p < 0.05 with a 95% CI. Results: The overall level of maternal satisfaction towards childhood vaccination services was found to be 68%, at 95% CI (64 %-72%), with factors such as mothers who delivered at health facilities (AOR: 2.17 (1.15-4.09), being urban residence (AOR: 1.88 (1.21-2.92), having college and above education (AOR: 2.51 (1.13-5.6), short waiting time in the health facility to get vaccine (AOR: 3.75 (2.41-5.83), mothers having good knowledge (AOR: 2.63 (1.68-4.11), and having favorable attitudes (AOR: 2.28 (1.47-3.55) were significantly associated with maternal satisfaction during childhood vaccination service. Conclusions and Recommendations: Overall, levels of mothers‟ satisfaction towards childhood vaccination services were found to be a low-level satisfaction compared to previous studies. It is recommended that the zonal and district health offices, in collaboration with healthcare providers, plan regular outreach campaigns to improve mothers' knowledge and attitudes towards childhood vaccination, with a focus on highlighting the importance of vaccination services. Furthermore, efforts should be made to improve access to vaccination services by reducing waiting time, promoting institutional deliveries, and implementing targeted educational programs within health facilities. Future research, in this area should employ a mixed-methods approach to identify the factors that influencing mother‟s satisfaction on childhood vaccination service.