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

Kundu, S; Kundu, S; Seidu, A-A; Okyere, J; Ghosh, S; Hossain, A; Alshahrani, NZ; Banna, MHA; Rahman, MA; Ahinkorah, BO

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

Kundu, S Kundu, S Seidu, A-A Okyere, J Ghosh, S Hossain, A Alshahrani, NZ Banna, MHA Rahman, MA Ahinkorah, BO

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: BMC Public Health, 2023, 23, (1), pp. 862
Issue Date:: 2023-05-11

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Field	Value	Language
dc.contributor.author	Kundu, S
dc.contributor.author	Kundu, S
dc.contributor.author	Seidu, A-A
dc.contributor.author	Okyere, J
dc.contributor.author	Ghosh, S
dc.contributor.author	Hossain, A
dc.contributor.author	Alshahrani, NZ
dc.contributor.author	Banna, MHA
dc.contributor.author	Rahman, MA
dc.contributor.author	Ahinkorah, BO
dc.date.accessioned	2024-01-03T23:00:44Z
dc.date.available	2023-04-19
dc.date.available	2024-01-03T23:00:44Z
dc.date.issued	2023-05-11
dc.identifier.citation	BMC Public Health, 2023, 23, (1), pp. 862
dc.identifier.issn	1471-2458
dc.identifier.issn	1471-2458
dc.identifier.uri	http://hdl.handle.net/10453/173968
dc.description.abstract	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.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	BMC Public Health
dc.relation.isbasedon	10.1186/s12889-023-15711-x
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Child
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Bangladesh
dc.subject.mesh	Health Surveys
dc.subject.mesh	Vaccination
dc.subject.mesh	Mothers
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Humans
dc.subject.mesh	Vaccination
dc.subject.mesh	Health Surveys
dc.subject.mesh	Mothers
dc.subject.mesh	Pregnancy
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Child
dc.subject.mesh	Infant
dc.subject.mesh	Bangladesh
dc.subject.mesh	Female
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Child
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Bangladesh
dc.subject.mesh	Health Surveys
dc.subject.mesh	Vaccination
dc.subject.mesh	Mothers
dc.subject.mesh	Socioeconomic Factors
dc.title	Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: a multilevel mixed-effects analysis.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
utslib.copyright.status	open_access	*
dc.date.updated	2024-01-03T23:00:39Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	23
utslib.citation.issue	1

Abstract:

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.

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http://hdl.handle.net/10453/173968