Mass Vaccination Programme: Public Health Success and Ethical Issues – Bangladesh Perspective

Nurunnabi, Abu Sadat Mohammad; Mozaffor, Miliva; Hossain, Mohammad Akram; Sony, Sadia Akther

doi:10.3329/bioethics.v9i3.48912

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…They could be aware of global disruptions and relate to that with their lifestyle. They could be more aware of the success of the Bangladesh government's previous immunisation campaigns, praised worldwide, which could have given them a greater faith in future vaccination programs (at the time of the survey no vaccination was conducted) 45 . However, it is certainly a contradictory finding that graduate or more educated respondents had less faith in the government's immunisation performance, which makes the insights from the variable ‘self‐assessed knowledge on COVID‐19’ questionable.…”

Section: Discussionmentioning

confidence: 99%

Public opinion on COVID‐19 pandemic in Bangladesh: Disruption to public lives and trust in government's immunisation performance

Biswas,

Afiaz,

Huq

et al. 2023

Health Planning & Management

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ObjectivesThe COVID‐19 pandemic has stretched Bangladesh government's capability for disaster engagement. As normalcy is interrupted, people's confidence in the government in ending the crisis needs evaluation, especially considering the past vaccination successes in Bangladesh and growing worldwide vaccine hesitancy amidst the COVID‐19 misinfodemic. This study assessed the level of public life disruption due to the pandemic at the micro‐level and how much impact it had on people's trust in the government's capacity for successful national immunisation.MethodsGiven the infectious nature of the pandemic, the study conducted an online survey of 2291 respondents, distributed proportionally across sex and income groups. We conducted bivariate analyses and fitted generalised linear models to assess disruption to respondents' lives, and their trust in the government's immunisation ability, which were measured using multiple parameters.ResultsNearly 50% of the respondents reported multifaceted disputations in their daily lives, with 90% suffering financially. Trust in the government was very low at the time of the survey as only 11.3% of respondents had faith that the government could successfully conduct a mass vaccination campaign. Rural residents and non‐earning members of families found their lives to be less disrupted. Comparatively higher income families and highly educated individuals had lesser confidence in the government's inoculation capabilities.ConclusionsFor the vaccine campaign to be successful, effective risk communication and timely display of data‐driven decision‐making efforts targeting the groups who are more sceptical of immunisation campaigns could be of significance to the Bangladesh government.

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Section: Discussionmentioning

confidence: 99%

Public opinion on COVID‐19 pandemic in Bangladesh: Disruption to public lives and trust in government's immunisation performance

Biswas,

Afiaz,

Huq

et al. 2023

Health Planning & Management

View full text Add to dashboard Cite

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“…First, childhood vaccinations are scheduled and for that matter, it is expected that older children will be at a higher likelihood of being fully vaccinated. Moreover, Bangladesh has had a fair share of mass vaccination programs over the years 35 . Such mass vaccinations, in the perspective of Alfonso et al 1 , lead to catch-up vaccination with age, thereby predisposing older children (24-35 months) to a higher possibility of being fully vaccinated compared to those aged 12-23 months.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: A multilevel mixed-effects analysis

Kundu

Seidu

et al. 2022

Preprint

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There is a dearth of information on childhood vaccination coverage in Bangladesh. Thus, this study aimed to investigate the associated factors and changes in childhood vaccination coverage over time in Bangladesh. Bangladesh's Demographic and Health Surveys from 2011, 2014, and 2017-18 provided data on vaccination coverage for children aged 12 to 35 months. For three survey periods, multilevel binary logistic regression models were employed. The overall prevalence (weighted) of full vaccination among children aged 12-35 months was 86.17% in 2011 and 85.13% in 2014, and 89.23% in 2017-18. Children from families with high wealth index, mothers with higher education, and over the age of 24 and who sought at least four ANC visits, as well as children from urban areas were more likely to receive full vaccination. Rangpur division had the highest change rate of immunization coverage from 2011 to 2014 (2.26%), whereas Sylhet division had the highest change rate from 2014 to 2017-18 (34.34%). To improve immunization coverage for Bangladeshi children, policymakers must integrate vaccine programs, paying special attention to mothers without at least a high school education and families with low wealth index. Increased antenatal care visits may also aid in increasing the immunization coverage of their children.

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Section: Discussionmentioning

confidence: 99%

National trends of childhood vaccination coverage in Bangladesh: Understanding gaps from 2011, 2014 and 2017-18 Demographic and Health Surveys data

Kundu

Seidu

et al. 2021

Preprint

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Background Vaccination is a safe and cost-effective strategy for protecting children from life-threatening diseases. This study aimed to investigate the changes over time in proportion of vaccination coverage across demographic subgroups in Bangladesh. Method Vaccination coverage for children 12–59 months of age was obtained from Bangladesh’s 2011, 2014, and 2017-18 Demographic and Health Surveys. Three multivariable binary logistic regression models with complete vaccination status at each survey data were used to generate adjusted odds ratios to uncover immunization variations across socio-demographic categories. Further, to detect potential geographic disparities, changes over time were analyzed at both the country and district levels. Findings Vaccination coverage grew from 88.1% in 2011 to 89.2% in 2017–2018, indicating a gap of more than ten percent for complete immunization coverage among children aged 12–59 months. Children aged 23–35 were more likely to have full vaccination compared to those aged 12–23 in 2011 (AOR = 1.6, 95% CI = 1.3–1.9), 2014 (AOR = 1.6, 95% CI = 1.3-2.0), and 2017-18 (AOR = 1.4, 95% CI = 1.1–1.7). The likelihood of full vaccination of children increased with maternal education with the highest odds among women with higher education in 2011 (AOR = 7.2, 95% CI = 4.0-12.9), 2014 (AOR = 4.0, 95% CI = 2.7–5.9), and 2017-18 (AOR = 5.8, 95% CI = 3.5–9.6) compared to those with no formal education. Children born to mothers who lived in urban areas were more likely to have full vaccination in 2011 (AOR = 1.5, 95% CI = 1.3–1.8), 2014 (AOR = 1.4, 95% CI = 1.2–1.7), and 2017-18 (AOR = 1.4, 95% CI = 1.1–1.7) compared to those who lived in rural areas. Children born to mothers who had at least 4 ANC visits were more likely to have full vaccination compared to those with less than 3 ANC visits in 2011 (AOR = 1.6, 95% CI = 1.2-2.0), 2014 (AOR = 1.5, 95% CI = 1.2-2.0), and 2017-18 (AOR = 1.6, 95% CI = 1.2–2.1 During these three surveys, Rangpur division had the highest vaccine coverage rate, while Sylhet division had the lowest vaccination coverage. Conclusion Although there was an improvement in these nationally representative surveys from 2011 to 2017-18, a portion of children still needs to be vaccinated to ensure full immunization coverage. To achieve 100% immunization coverage for all Bangladeshi children, policymakers must integrate vaccine programs with personalized health messaging and assurances of health safety for impoverished children and low-educated mothers. Increased institutional deliveries and prenatal care visits by mothers could assist increase their children's vaccination coverage.

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Mass Vaccination Programme: Public Health Success and Ethical Issues – Bangladesh Perspective

Cited by 6 publications

References 16 publications

Public opinion on COVID‐19 pandemic in Bangladesh: Disruption to public lives and trust in government's immunisation performance

Public opinion on COVID‐19 pandemic in Bangladesh: Disruption to public lives and trust in government's immunisation performance

Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: A multilevel mixed-effects analysis

National trends of childhood vaccination coverage in Bangladesh: Understanding gaps from 2011, 2014 and 2017-18 Demographic and Health Surveys data

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