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

Kundu, Satyajit, Kundu, Subarna, Seidu, Abdul-Aziz, Okyere, Joshua, Ghosh, Susmita, Hossain, Ahmed, Alshahrani, Najim Z., Banna, Md Hasan Al, Rahman, Md Ashfikur, and Ahinkorah, Bright Opoku (2023) Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: a multilevel mixed-effects analysis. BMC Public Health, 23. 862.

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Introduction: This study aimed to investigate the associated factors and changes in childhood vaccination coverage over time in Bangladesh.

Methods: Bangladesh’s Demographic and Health Surveys from 2011, 2014, and 2017-18 provided data for this study on vaccination coverage among children aged 12 to 35 months. For three survey periods, multilevel binary logistic regression models were employed.

Results: The overall prevalence (weighted) of full vaccination among children aged 12–35 months were 86.17% in 2011, 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 vaccination coverage from 2011 to 2014 (2.26%), whereas Sylhet division had the highest change rate from 2014 to 2017-18 (34.34%).

Conclusion: 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.

Item ID: 78899
Item Type: Article (Research - C1)
ISSN: 1471-2458
Keywords: Bangladesh, Childhood vaccination, Demographic and Health Survey, Immunization, Prevalence
Copyright Information: © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License. (http://creativecommons.org/licenses/by/4.0/)
Research Data: http://dhsprogram.com/data/available-datasets.cfm
Date Deposited: 30 Oct 2023 23:07
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100%
SEO Codes: 20 HEALTH > 2003 Provision of health and support services > 200302 Community health care @ 50%
20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200506 Neonatal and child health @ 50%
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