دورية أكاديمية
أعرض في EDS

Prevalence of and factors associated with zero-dose and under-immunized children in selected areas of Bangladesh: Findings from Lot Quality Assurance Sampling Survey.

التفاصيل البيبلوغرافية
العنوان: Prevalence of and factors associated with zero-dose and under-immunized children in selected areas of Bangladesh: Findings from Lot Quality Assurance Sampling Survey.
المؤلفون: Das H; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Jannat Z; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Fatema K; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Momo JE; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Ali MW; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Alam N; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Chowdhury MEEK; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Morgan C; Jhpiego, the Johns Hopkins University affiliate, 1615 Thames Street, Baltimore, MD 2231, USA., Oliveras E; Jhpiego, the Johns Hopkins University affiliate, 1615 Thames Street, Baltimore, MD 2231, USA., Correa GC; Evaluation and Learning Measurement, Evaluation & Learning (MEL), Gavi The Vaccine Alliance, Geneva, Switzerland., Reynolds HW; Evaluation and Learning Measurement, Evaluation & Learning (MEL), Gavi The Vaccine Alliance, Geneva, Switzerland., Uddin MJ; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh., Wahed T; Health Systems and Population Studies Division, icddr,b, Mohakhali, Dhaka-1212, Bangladesh. Electronic address: tasnuva.wahed@icddrb.org.
المصدر: Vaccine [Vaccine] 2024 May 10; Vol. 42 (13), pp. 3247-3256. Date of Electronic Publication: 2024 Apr 15.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8406899 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2518 (Electronic) Linking ISSN: 0264410X NLM ISO Abbreviation: Vaccine Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam, The Netherlands : Elsevier Science
Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1983-
مواضيع طبية MeSH: Lot Quality Assurance Sampling*, Humans ; Bangladesh/epidemiology ; Infant ; Male ; Female ; Prevalence ; Vaccination/statistics & numerical data ; Vaccination Coverage/statistics & numerical data ; Adult ; Cross-Sectional Studies ; Family Characteristics ; Immunization Programs/statistics & numerical data
مستخلص: Background: In the era of Gavi's 5.0 vision of "leaving no one behind with immunization", childhood routine vaccination in missed communities is considered as a priority concern. Despite having a success story at the national level, low uptake of immunization is still persistent in selected pocket areas of Bangladesh. However, prevalence and the associated factors of zero-dose (ZD) and under-immunization (UI) are still unknown at those geo-pockets of Bangladesh. Thus, the study aims to report and identify the factors associated with ZD and UI in selected geographical locations.
Methods: This study used data from a Lot Quality Assurance Sampling (LQAS) survey where 504 households from 18 clusters of four hard to reach (HTR) and one urban slum were included. Caregivers of children aged 4.5 to 23 months were interviewed. Three outcome variables- ZD, UI and ZD/UI were considered and several related attributes were considered as independent variables. Data were analyzed through bivariate analysis, binary logistic regression and dominance analysis.
Results: Overall, 32% of the children were either ZD (8%) or UI (26%) in the selected areas. The adjusted odds of ZD/UI for urban slum and haor (wetlands) areas were 5.62 and 3.61 respectively considering coastal areas as reference. However, distance of nearest EPI center, availability of EPI card, age of caregivers, education and occupation of mother and number of earning members in household were influential factors for ZD/UI. According to dominance analysis, availability of EPI card can explain the most of the variation of ZD/UI in this study.
Conclusion: The study findings highlight the high prevalence ZD/UI in certain geo-pockets of the country. It provided a powerful insight of current situation and associated factors in regards to ZD/UI in the country which will help policy-makers and programme managers in designing programmes to reduce missed communities in Bangladesh.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Bangladesh; Factors; Hard-to-reach; LQAS; Prevalence; Under-immunized; Zero-dose
تواريخ الأحداث: Date Created: 20240416 Date Completed: 20240427 Latest Revision: 20240427
رمز التحديث: 20240428
DOI: 10.1016/j.vaccine.2024.04.018
PMID: 38627143
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-2518
DOI:10.1016/j.vaccine.2024.04.018