Identifying households with low immunisation completion in Bangladesh

Abstract

The objective of this study was to investigate if the mothers' demographics and household characteristics-including type of use of cooking fuel, energy and toilet facilities-have any implication for complete immunisation rates among their children. A cross-sectional data analysis of a nationally representative sample of 4925 women with at least one child was performed. Chi-squared tests and multivariate logistic regression analyses were used. Immunisation coverage was positively associated with the mother's education and with household characteristics such as toilet facility, electricity and involvement in a microfinance group. These findings indicate the need for further advocacy for increased knowledge on the importance of vaccination and affordable public immunisation programs focusing on higher risk households such as those with pit facilities, lack of electricity and no participation in a microfinance group. Such households warrant further attention and can be targeted for immunisation coverage.

Vaccination Status and Factors Associated With It among Children Aged 12- 23 Months in Wadera District, South East Ethiopia

“…Mothers attended ANC three or above times were around four times [AOR=3.8 (2.1-6.9)] more likely to fully vaccinate their children than mothers attended two or less. This is consistence with study done in Ambo and Bangladesh [10,23]. The reason might be, Mothers who repeatedly attend ANC gets more information related to vaccination and the information they get during their repeated ANC follow up might help them to develop good attitude towards vaccination of children's, which leads them to fully vaccinate their children.…”

“…This study also identifies that, mothers received three or above doses of TT vaccine were four times [AOR=4.0 (1.7-9.6)] more likely to fully vaccinate their children than mothers received two or less doses of TT vaccine and the finding is also consistence with study done in Ambo and Bangladesh [10,23]. This might be explained by; mothers who got three and more dose of TT might have better knowledge and attitude on vaccination and have good commitment to getting vaccinated their child based on the schedule.…”

“…Knowledge NB* statistically significant at p value less than 0.05 and 95% CI. towards vaccination and VPD can also increase the fear that missing unvaccinated can put children's health at risk of different diseases, so that due to this fear mothers may triggered to fully vaccinate their children [23][24][25][26].…”

Factors affecting full immunization coverage among children aged 12-23 months in urban and rural areas of Sindh

“…One study conducted in urban setting of Dhaka, Bangladesh found 83% children fully vaccinated like our study (15,16) . Demographic and health survey (DHS) of Bangladesh performed in a sample of 4925 parents having at least one child, concluded that there was massive gap in vaccination in rural-urban context of Bangladesh (17) . In this scenario, our study is closer to the findings of Pakistan demographic and health survey (PDHS) 2012-13 where 66% children of urban areas and 48% children of rural areas were found fully vaccinated (18) .…”

The causes of parental vaccine refusal: results of a survey from Giresun, Turkey

“…[5][6][7] The latest data from the United States of America (USA) have revealed an increase in alternative vaccination programs in addition to vaccination for preschool children. 3,4 Vaccine hesitancy is not a new occurrence, its negative impact on preventive services is gradually increasing. It has been shown that rejection or hesitation of vaccinations are associated with higher socioeconomic status,…”