Rahman Aminur, Reza Ashek Ahmed Shahid, Bhuiyan Badrul Alam, Alam Nurul, Dasgupta Shushil K, Mostari Shabnam, Anwar Iqbal
Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Expended Program on Immunization Department, Director General of Health Services (DGHS), Government of Bangladesh (GoB), Dhaka, Bangladesh.
BMJ Open. 2018 Oct 24;8(10):e022634. doi: 10.1136/bmjopen-2018-022634.
The study estimated valid vaccination coverage of under 5 children in a rural area under Tangail subdistrict and examined their sociodemographic correlates including ethnicity.
The study sites are three primary areas where tribal and non-tribal population resides together in a rural subdistrict of Bangladesh.
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.
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.
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.
本研究估计了坦盖尔分区下属一个农村地区5岁以下儿童的有效疫苗接种覆盖率，并研究了包括种族在内的社会人口学相关因素。
研究地点为孟加拉国一个农村分区中部落和非部落人口共同居住的三个主要区域。
从卫生助理保存的扩大免疫规划（EPI）登记册中检索了2802名在2011年1月1日至2012年12月31日期间出生儿童的常规疫苗接种信息。收集的数据录入到一个基于甲骨文的计算机程序中。在SPSS V.20中进行单变量、双变量和多变量分析，以探讨研究区域内完全有效疫苗接种覆盖率及其差异。
部落人口的有效疫苗接种覆盖率为90.6%，非部落人口为87.3%（p=0.25）。与女性相比，男性的有效疫苗接种覆盖率更高（89.2%对85.9%），无效接种率更低（5.4%对6.9%），未接种率更低（5.3%对7.3%）（p=0.03）。与没有手机的家庭相比，有手机的家庭有效接种覆盖率更高（90.9%对86.5%），无效接种率更低（4.5%对6.7%），未接种率更低（4.5%对6.9%）（p=0.01）。奥龙霍拉联合乡儿童的有效疫苗接种覆盖率高于其他两个联合乡的儿童。
该研究记录表明，该农村地区的有效疫苗接种覆盖率很高，且不存在显著的种族差异，这是国家扩大免疫规划的优势之一。然而，儿童性别、家庭手机拥有情况和家庭地理位置存在显著差异。
