Mahazabin Maliha, Tabassum Nazia, Syfullah S M Khalid, Majumder Uttam Kumar, Islam Md Akhtarul
Statistics Discipline, Science Engineering and Technology School, Khulna University, Khulna 9208, Bangladesh.
Collaborative Biostatistics Program, School of Public Health, University of Saskatchewan, Saskatoon, Canada.
Prev Med Rep. 2024 Jul 31;45:102839. doi: 10.1016/j.pmedr.2024.102839. eCollection 2024 Sep.
The measles vaccine is crucial in preventing fatalities and reducing widespread childhood infections worldwide, yet achieving the desired immunization rates remains a challenge in developing countries. Our study aims to identify the impact of socio-demographic factors on measles vaccination among children in South Asian countries.
Participants (89513) were taken from the most recent Demographic and Health Survey (DHS) datasets of South Asian countries between 2015 and 2021. Descriptive statistics and multivariable analyses were employed to find out the factors associated with measles vaccination among South Asian countries.
Our study found that the first dose of vaccinated children was 51.7 % in Afghanistan which is the lowest among South Asian countries. The key determinants related to two doses of measles vaccination include parental characteristics, media access, and antenatal care (ANC). Mothers who had done baby postnatal checkups (AOR = 1.22, CI = 1.17-1.26) and made more than four ANC (AOR = 1.77, CI: 1.65-1.89) were more likely to fully immunize their child than mothers with no postnatal and antenatal checkups.
The complete dose of measles vaccination rate in South Asia is still low compared to the first dose of measles vaccination among children. The government and stakeholders should organize frequent awareness programs through media and health personnel to inform people about routine vaccinations to eliminate measles.
麻疹疫苗对于预防全球范围内的死亡病例以及减少儿童群体中的广泛感染至关重要，然而在发展中国家，实现理想的免疫接种率仍然是一项挑战。我们的研究旨在确定社会人口因素对南亚国家儿童麻疹疫苗接种的影响。
参与者（89513名）取自2015年至2021年期间南亚国家最新的人口与健康调查（DHS）数据集。采用描述性统计和多变量分析来找出与南亚国家麻疹疫苗接种相关的因素。
我们的研究发现，阿富汗接种首剂疫苗的儿童比例为51.7%，在南亚国家中是最低的。与两剂麻疹疫苗接种相关的关键决定因素包括父母特征、媒体接触情况和产前护理（ANC）。进行过产后检查的母亲（调整后比值比[AOR]=1.22，置信区间[CI]=1.17-1.26）以及进行过四次以上产前检查的母亲（AOR=1.77，CI：1.65-1.89）比未进行产后和产前检查的母亲更有可能让孩子完全免疫。
与儿童首剂麻疹疫苗接种率相比，南亚地区麻疹疫苗的全程接种率仍然较低。政府和利益相关者应通过媒体和卫生人员组织频繁的宣传活动，告知人们常规疫苗接种的相关信息，以消除麻疹。
