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Rahman, A, Reza, AAS, Bhuiyan, BA, Alam, N, Dasgupta, SK, Mostari, S and Anwar, I (2018) Equity and determinants of routine child immunisation programme among tribal and non-tribal populations in rural Tangail subdistrict, Bangladesh: A cohort study. BMJ Open, 8 (10). ISSN 2044-6055
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Equity and determinants of routine child immunisation programme among tribal and non-tribal populations in rural Tangail sub.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (405kB) | Preview |
Abstract
Objectives The study estimated valid vaccination coverage of under 5 children in a rural area under Tangail subdistrict and examined their sociodemographic correlates including ethnicity. Setting The study sites are three primary areas where tribal and non-tribal population resides together in a rural subdistrict of Bangladesh. Participants Routine vaccination information of a cohort of 2802 children, born between 1 January 2011 and 31 December 2012, were retrieved from the Expanded Program on Immunization (EPI) registers maintained by the health assistants. Collected data were entered in an Oracle-based computer program. Univariate, bivariate and multivariate analyses were performed in SPSS V.20 to explore coverage and differentials for full valid vaccination coverage in the study area. Results Valid vaccination coverage was 90.6% among tribal population and 87.3% among non-tribal population(p=0.25). Compared with females, males had higher valid vaccination coverage (89.2% vs 85.9%) and lower invalid (5.4% vs 6.9%) and no-coverage (5.3% vs 7.3%) (p=0.03). Households with mobile phones had higher valid coverage (90.9% vs 86.5%) and lower invalid (4.5% vs 6.7%) and no coverage (4.5% vs 6.9%) compared with those without mobile phones (p=0.01). Coverage of valid vaccination was higher among children of Oronkhola union than in children of the other two unions. Conclusion The study documented that valid vaccination coverage was high in this rural area, and there was no significant ethnic variation which was one of the strengths of the national EPI. However, there is significant variation by gender of the child, household ownership of mobile phones and geographical location of households.
| Item Type: | Article |
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| Uncontrolled Keywords: | Humans; Vaccination; Health Care Surveys; Cohort Studies; Follow-Up Studies; Program Evaluation; Reminder Systems; Child; Child, Preschool; Infant; Rural Population; Immunization Programs; Patient Acceptance of Health Care; Bangladesh; Female; Male; Health Literacy; Vaccination Coverage; Cell Phone; bangladesh; child health; ethnicity; immunization; Bangladesh; Cell Phone; Child; Child, Preschool; Cohort Studies; Female; Follow-Up Studies; Health Care Surveys; Health Literacy; Humans; Immunization Programs; Infant; Male; Patient Acceptance of Health Care; Program Evaluation; Reminder Systems; Rural Population; Vaccination; Vaccination Coverage; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences |
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Public Health Institute |
| Publisher: | BMJ |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 29 Nov 2022 10:46 |
| Last Modified: | 29 Nov 2022 10:46 |
| DOI or ID number: | 10.1136/bmjopen-2018-022634 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/18229 |
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