scholarly journals Factors Influencing Full Immunization Coverage among Children Aged 12-23 months in Chadereka Rural Community, Zimbabwe

2017 ◽  
Vol 5 (4) ◽  
pp. 91-102
Author(s):  
Priscilla Kusena
Keyword(s):  
Rural Community ◽  
Immunization Coverage ◽  
Factors Influencing ◽  
Full Immunization

scholarly journals Understanding Spatial and Contextual Factors Influencing Intraregional Differences in Child Vaccination Coverage in Bangladesh

2018 ◽  
Vol 31 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Priyanka Vyas ◽  
Dohyeong Kim ◽  
Alayne Adams
Keyword(s):  
Vaccination Coverage ◽  
Contextual Factors ◽  
Immunization Coverage ◽  
Policy Discourse ◽  
Remote Areas ◽  
Remote Locations ◽  
Specific Policy ◽  
Factors Influencing ◽  
Administrative Governance ◽  
Child Vaccination

In Bangladesh, policy discourse has mostly focused on regional inequities in health, including child immunization coverage. Knowledge of local geographical and contextual factors within regions, however, becomes pertinent in efforts to address these inequities. We used the Bangladesh Demographic and Health Survey 2011 to examine factors that influence intraregional differences in vaccination coverage using a multilevel analysis. We found that in spite of the provision of health facilities at each level of administrative governance, only distance to the Upazilla Health Complex was a consistent predictor for each dose of vaccine, highlighting the remote locations of the communities that remain underserved. Our analysis demonstrates the value of subregional analyses that identify the characteristics of communities that are vulnerable to incomplete immunization coverage. Unless specific policy actions are taken to increase coverage in these remote areas, geographic inequities are likely to persist within regions, and desired targets will not be achieved.

scholarly journals Expanded Programme on Immunization in Bangladesh: A Success Story

2017 ◽  
Vol 39 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Probir Kumar Sarkar ◽  
Nital Kumar Sarker ◽  
Sharmim Doulah ◽  
Tajul Islam A Bari
Keyword(s):  
Immunization Coverage ◽  
High Coverage ◽  
Loss Of Life ◽  
Underdeveloped Countries ◽  
Childhood Morbidity ◽  
Small Pox ◽  
Global Coverage ◽  
Dreaded Disease ◽  
First World ◽  
Full Immunization

Infections are responsible for the majority of loss of life in children and vaccination has made enormous contribution to public health, including the eradication of one dreaded disease, small pox, and elimination of poliomyelitis from all but a handful of countries. Globally, immunization currently averts an estimated 2 to 3 million deaths every year. In Bangladesh it has prevented an estimated 2 million deaths from 1987- 2000, and continues to prevent approximately 200,000 deaths each year. WHO introduced EPI (Expanded Programme on Immunization) in 1977 at Alma-Ata, the capital of Kazakhastan for the underdeveloped countries. Subsequently Bangladesh has launched EPI programme. Recently AD (Auto Disable) syringes and vaccination against Hepatitis B, H. Influenzae, Measles-Rubella (MR) and Pneumococcus has been introduced in vaccination programme. In Bangladesh, immunization coverage of DPT/PENTA3 was only 16% in 1988 increased significantly to 69% in 1990, 81% in 2000, 90% in 2011and 92% in 2013 which was higher than global coverage of 84% in 2013 and comparable to first world countries. In Pakistan fully immunization coverage in 2010 was only 50%.9 Indian national full immunization coverage was 56% in 1990, 59% in 2000, 74% in 2010 and 74% in 2012 whereas in our country it was 52% in 1991, 53% in 2000, 79% in 2010, 80% in 2011and 81% in 2013 which signifies our excellent success for prevention of communicable diseases in successive years. So, EPI in Bangladesh has been recognized for its sustained high coverage and great contribution to the reduction of childhood morbidity and mortality and it received two ‘GAVI best performance award’ in 2009 and 2012.Bangladesh J Child Health 2015; VOL 39 (2) :93-98

Immunization for the Migrant Fulani: Identifying an Under-Served Population in Southwestern Nigeria

1994 ◽  
Vol 15 (1) ◽  
pp. 21-32 ◽  
Author(s):  
Manasseh Y. J. Dao ◽  
William R. Brieger
Keyword(s):  
Local Government ◽  
Minority Group ◽  
Immunization Coverage ◽  
Target Population ◽  
Rural Populations ◽  
Culturally Appropriate ◽  
Southwestern Nigeria ◽  
Child Bearing ◽  
Full Immunization ◽  
Tetanus Toxoid Immunization

Rural populations are often at a disadvantage for receiving health services. Although Nigeria launched its Expanded Programme of Immunization in 1978, and has revised it twice since then, rural immunization coverage is still low. These problems may be compounded when the population is nomadic; thus a study was designed to learn about immunization coverage among a minority group of nomadic Fulani cattle herders living in southwestern Nigeria. It was necessary to conduct a census of the target population first because local government maps and records did not reflect their presence in study area, Ifeloju Local Government Area (LGA) of Oyo State. Sixty Fulani settlements were located and contained 2197 residents, 22.1 percent of whom were below five years of age and 21.5 percent of whom were women of child bearing age. Only 2.6 percent of children below twenty-four months of age (the EPI target group in Nigeria) had received full immunization, compared to an estimated coverage of 48 percent among all target age children in the LGA. Only 2.1 percent of the women had at least two tetanus toxoid immunization contacts. Immunization coverage was associated with proximity to a town, length of residence in the LGA and awareness of the settlement's leader about EPI. The latter factor gave rise to suggestions that greater outreach efforts should be targeted at Fulani leaders, using staff of the local nomadic education center to help design culturally appropriate health education programs.

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