Immunization is one of the most worthwhile public health interventions to prevent child mortality and morbidity (1).Immunization can also protect children from illness and disability(2). it can averts an estimated 2–3 million child deaths each year(3).
Majority of child mortality in low resource country was due to the communicable diseases (4, 5). Nearly 70% of under 5 deaths are vaccine-preventable(6).This death was found mainly in Africa (7). Expanded vaccination coverage was largely responsible for a 55% reduction in child deaths (8). Recent studies showed that scaling up the use of existing vaccines could save 6.4 million life of children (9). Measles continues to kill about 430 children each day, mainly in Africa and Asia (10,11,12).
Worldwide, 12.9 million infants did not get any vaccinations (13).In resource-poor settings the prevention of child mortality through vaccination is one of the most cost-effective public interventions in use(14). On the other hand, inadequate levels of vaccine preventable diseases stay a major public health problem in globe(15 16).
Even though vaccines are efficient and cost-effective interventions for increasing child survival, children in many parts of the world, particularly in Sub-Saharan Africa, are either vaccinating their child late or unvaccinated all together(17–19).
Based on the Ethiopian demographic health survey (EDHS 2016 report) around 39% of children aged between 12 to 23 months receive all basic vaccination and 22 % of children aged between 12–23 months have not received all basic vaccinations and also in our study area 24.4% of children aged between 12–23 months have not received all basic vaccinations (11,20).
In Ethiopia Measles is one of the five major causes of childhood illnesses, which together contribute to 70% of under-five morbidity and mortality(21). According to the WHO measles burden estimator, Ethiopia contributes to 46% of the cases and 51% of the deaths from measles among eight eastern African countries(22–24). Previous studies done in Ethiopia indicated that the main factors affecting to incomplete vaccination are multiple such as mother age, educational status of father and mothers knowledge on vaccination. But our study focused on remote area where child morbidity and mortality was high.