Socioeconomic factors associated with full childhood vaccination in Bangladesh, 2014

Matthew L. Boulton · Bradley F. Carlson · Laura E. Power · Abram Luther Wagner

73 citations0/0 files storedInternational Journal of Infectious Diseases

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Vaccine Coverage and Hesitancy Child Nutrition and Water Access Global Maternal and Child Health

Abstract

OBJECTIVES: Childhood vaccination in Bangladesh has improved, but there is room for improvement. This study estimated full immunization coverage in Bangladeshi children and characterized risk factors for incomplete immunization. METHODS: Using the 2014 Bangladesh Demographic and Health Survey (DHS), full vaccination of children aged 12 to 24 months was examined; this was defined as the receipt of one dose of bacillus Calmette-Guérin (BCG), three doses of pentavalent vaccine, three doses of oral polio vaccine (OPV), and one dose of measles-containing vaccine (MCV). Associations between full vaccination and selected risk factors were assessed by logistic regression. RESULTS: Overall, 83% of children were fully vaccinated. BCG had the highest completion (97%), followed by OPV (92%), pentavalent vaccine (91%), and MCV (85%). Full vaccination coverage ranged from 64.4% in Sylhet to 90.0% in Rangpur and was lowest among non-locals of all regions (78.4%). Children who were in the lowest wealth quintile, who had mothers without antenatal care visits, or who had mothers without autonomy in healthcare decision-making were less likely to be fully vaccinated. CONCLUSIONS: Overall, full vaccination of children is high, but varies by vaccine type. Disparities still exist by wealth and by region. Maternal access to care and autonomy in healthcare decision-making are associated with higher vaccination coverage.

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References

2013Global Vaccine Action Plan 2016Monitoring vaccination coverage: Defining the role of surveys 2010Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh

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2019Coverage and factors associated with full immunisation among children aged 12–59 months in Bangladesh: insights from the nationwide cross-sectional demographic and health survey 2024Inequality in Childhood Immunization Coverage: A Scoping Review of Data Sources, Analyses, and Reporting Methods 2023Routine childhood immunization in Sub-Saharan Africa: addressing parental vaccine hesitancy 2019Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India 2018Childhood full and under-vaccination in Nigeria, 2013 2020Individual‐ and Community‐Level Determinants for Complete Vaccination among Children Aged 12‐23 Months in Ethiopia: A Multilevel Analysis 2022Inequalities in full vaccination coverage based on maternal education and wealth quintiles among children aged 12–23 months: further analysis of national cross-sectional surveys of six South Asian countries 2023Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: a multilevel mixed-effects analysis

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