Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014

Abstract Background Vaccination has important consequences for childhood development, mortality, and inequalities in health and well-being. This research explores the trend of vaccinations coverage from 1993 to 2014 and determines the significant factors for vaccinations coverage in Bangladesh, cons...

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Main Authors: Md. Moyazzem Hossain, Md. Abdus Sobhan, Azizur Rahman, Sanzida Sharmin Flora, Zahida Sultana Irin
Format: Article
Language:English
Published: BMC 2021-08-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-11576-0
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spelling doaj-fbfd29294489423f95964d4b0e9b1f252021-08-22T11:16:41ZengBMCBMC Public Health1471-24582021-08-0121111110.1186/s12889-021-11576-0Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014Md. Moyazzem Hossain0Md. Abdus Sobhan1Azizur Rahman2Sanzida Sharmin Flora3Zahida Sultana Irin4Department of Statistics, Jahangirnagar University, SavarChief Economist’s Unit, Bangladesh Bank, Head OfficeSchool of Computing, Mathematics and Engineering, Charles Sturt UniversityEx-Indoor Medical Officer, Islami Bank Hospital, MirpurDepartment of Medicine, University of British ColumbiaAbstract Background Vaccination has important consequences for childhood development, mortality, and inequalities in health and well-being. This research explores the trend of vaccinations coverage from 1993 to 2014 and determines the significant factors for vaccinations coverage in Bangladesh, considering geospatial, socioeconomic, and demographic characteristics. Methods This study uses a secondary dataset extracted from the Bangladesh Demographic and Health Survey (BDHS) from 1992 to 93 to 2014. The association between selected independent variables and vaccination coverage of children was examined through the Chi-square test. In addition, unadjusted and adjusted logistic regression approaches were applied to determine the effects of covariates on vaccination status by using the BDHS-2014 dataset. Results The results reveal that the trend of the vaccination coverage rate has gradually been increased over the study period. The coverage rate of BCG is observed maximum while the lowest for Measles vaccination among all types of vaccinations. The findings revealed that the significantly lower coverage of all vaccination had been observed in the Sylhet region. Children of higher educated mothers (OR 10.21; CI: 4.10–25.37) and father (OR 8.71; CI: 4.03–18.80), born at health facilities (OR 4.53; CI: 2.4–8.55) and whose mother has media exposure (OR 3.20; CI: 2.22–4.60) have more chance of receiving BCG vaccine. For DPT vaccination coverage, there is a significant difference from children whose mothers have primary (OR 1.7; CI: 1.35–2.15), secondary (OR 3.5; CI: 2.75–4.45), and higher (OR 9.6; CI: 5.28–17.42) educational qualification compared to children of illiterate mothers. Findings demonstrated that children born in wealthier households have a higher likelihood of being immunized against DPT, Polio, and Measles vaccination than children born in the poorest households. Conclusions The findings reveal that to enhance and make sustainable the overall country’s vaccination coverage, we should pay more attention to the mother’s education, socioeconomic condition, children’s age, birth order number, having media exposure, place of residence, and religion. The authors think that this finding would be helpful to accelerate the achievement target of Sustainable Development Goals (SDGs) for children’s health in Bangladesh.https://doi.org/10.1186/s12889-021-11576-0Trends in coverage rateVaccinationAdjusted logistic regressionBDHSBangladesh
collection DOAJ
language English
format Article
sources DOAJ
author Md. Moyazzem Hossain
Md. Abdus Sobhan
Azizur Rahman
Sanzida Sharmin Flora
Zahida Sultana Irin
spellingShingle Md. Moyazzem Hossain
Md. Abdus Sobhan
Azizur Rahman
Sanzida Sharmin Flora
Zahida Sultana Irin
Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
BMC Public Health
Trends in coverage rate
Vaccination
Adjusted logistic regression
BDHS
Bangladesh
author_facet Md. Moyazzem Hossain
Md. Abdus Sobhan
Azizur Rahman
Sanzida Sharmin Flora
Zahida Sultana Irin
author_sort Md. Moyazzem Hossain
title Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
title_short Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
title_full Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
title_fullStr Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
title_full_unstemmed Trends and determinants of vaccination among children aged 06–59 months in Bangladesh: country representative survey from 1993 to 2014
title_sort trends and determinants of vaccination among children aged 06–59 months in bangladesh: country representative survey from 1993 to 2014
publisher BMC
series BMC Public Health
issn 1471-2458
publishDate 2021-08-01
description Abstract Background Vaccination has important consequences for childhood development, mortality, and inequalities in health and well-being. This research explores the trend of vaccinations coverage from 1993 to 2014 and determines the significant factors for vaccinations coverage in Bangladesh, considering geospatial, socioeconomic, and demographic characteristics. Methods This study uses a secondary dataset extracted from the Bangladesh Demographic and Health Survey (BDHS) from 1992 to 93 to 2014. The association between selected independent variables and vaccination coverage of children was examined through the Chi-square test. In addition, unadjusted and adjusted logistic regression approaches were applied to determine the effects of covariates on vaccination status by using the BDHS-2014 dataset. Results The results reveal that the trend of the vaccination coverage rate has gradually been increased over the study period. The coverage rate of BCG is observed maximum while the lowest for Measles vaccination among all types of vaccinations. The findings revealed that the significantly lower coverage of all vaccination had been observed in the Sylhet region. Children of higher educated mothers (OR 10.21; CI: 4.10–25.37) and father (OR 8.71; CI: 4.03–18.80), born at health facilities (OR 4.53; CI: 2.4–8.55) and whose mother has media exposure (OR 3.20; CI: 2.22–4.60) have more chance of receiving BCG vaccine. For DPT vaccination coverage, there is a significant difference from children whose mothers have primary (OR 1.7; CI: 1.35–2.15), secondary (OR 3.5; CI: 2.75–4.45), and higher (OR 9.6; CI: 5.28–17.42) educational qualification compared to children of illiterate mothers. Findings demonstrated that children born in wealthier households have a higher likelihood of being immunized against DPT, Polio, and Measles vaccination than children born in the poorest households. Conclusions The findings reveal that to enhance and make sustainable the overall country’s vaccination coverage, we should pay more attention to the mother’s education, socioeconomic condition, children’s age, birth order number, having media exposure, place of residence, and religion. The authors think that this finding would be helpful to accelerate the achievement target of Sustainable Development Goals (SDGs) for children’s health in Bangladesh.
topic Trends in coverage rate
Vaccination
Adjusted logistic regression
BDHS
Bangladesh
url https://doi.org/10.1186/s12889-021-11576-0
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