Rahman A K, Islam M A
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka.
J Diarrhoeal Dis Res. 1993 Mar;11(1):35-7.
Since October 1988 the International Centre for Diarrhoeal Disease Research, Bangladesh has been offering immunisations to children less than 2 years old and women of reproductive age (15 to 45 years) who report for treatment at its Dhaka-based treatment centre. A survey conducted during October 1989 to June 1992 has revealed that 22.5% of these targeted children (n = 4,456) and 21.7% of the women (n = 5,266) had not received any immunisations. Only 23.2% of the children had completed an immunisation schedule, whereas 70.1% of the women had received 2 doses of tetanus toxoid. The percentage of women receiving both doses of tetanus toxoid vaccine increased significantly from 55.2% to 80.5% during the survey period (Chi Square = 9.47, p = 0.002). However, the percentage of children receiving all doses of vaccines against the six communicable diseases increased only from 15.8% to 23.4% (Chi Square = 1.13, p = 0.29) during the reporting period. Our observation shows that it is possible to cover a significant percentage of women with at least 2 doses of tetanus toxoid vaccine. However, immunisation services need to be intensified utilising all the health centres to improve immunisation coverage for the children.
自1988年10月以来，孟加拉国腹泻疾病研究国际中心一直为到其位于达卡的治疗中心就诊的2岁以下儿童和育龄妇女（15至45岁）提供免疫接种服务。1989年10月至1992年6月期间进行的一项调查显示，这些目标儿童（n = 4456）中有22.5%以及这些妇女（n = 5266）中有21.7%未接受任何免疫接种。只有23.2%的儿童完成了免疫接种程序，而70.1%的妇女接种了2剂破伤风类毒素。在调查期间，接种2剂破伤风类毒素疫苗的妇女比例从55.2%显著增加到80.5%（卡方检验=9.47，p = 0.002）。然而，在报告期内，接种针对六种传染病的所有疫苗剂量的儿童比例仅从15.8%增加到23.4%（卡方检验=1.13，p = 0.29）。我们的观察表明，用至少2剂破伤风类毒素疫苗覆盖相当比例的妇女是可能的。然而，需要利用所有保健中心加强免疫接种服务，以提高儿童的免疫接种覆盖率。
