Vaccination coverage among children rises to 86pc in 2011: Study
Reported by: Md. Owasim Uddin Bhuyan UNB Staff Writer
Reported on: July 07, 2012 16:59 PM
Reported in: National
Reported on: July 07, 2012 16:59 PM
Reported in: National
Dhaka, July 7 (UNB) - There has been marked improvement in vaccination coverage among children, aged 12-23 months and vaccinated fully, rose from 73 percent in 2004 to 82 percent in 2007, and to 86 percent in 2011, according to a recent study report.
The report also said the proportion of children fully vaccinated by 12 months of age also increased from 68 percent to 83 percent between 2004 and 2011.
The preliminary report of Bangladesh Demography and Health Survey (BDHS)-2011, conducted by National Institute of Population Research and Training was revealed on April 2012.
Talking to UNB on Saturday, Centre for Medical Education (CME) director Prof Dr Fatema Parveen Chowdhury said routine vaccination programme should be strengthened to widen the vaccination coverage. “If there’s an increased drive on routine vaccination, it’s possible to raise the coverage top 90 percent in the country,” she said.
The report said improvement in vaccination coverage among 12-23 months age children was seen in all divisions except Barisal where the coverage declined from 90 percent in 2007 to 83 percent in 2011.
In 2011, vaccination cards were seen for 67 percent of children aged 12-23 months, up from 58 percent in 2007.
The World Health Organisation guidelines for childhood immunisations call for all children to receive: a BCG vaccination against tuberculosis, three doses of the Pentavalent vaccine to prevent diphtheria, Pertussis, tetanus, hepatitis and Hib, three doses of polio vaccine, and a measles vaccination.
The Pentavalent vaccine was introduced in Bangladesh in January 2009, replacing the DPT and hepatitis vaccines. By July 2009, the national immunisation programme was only providing the Pentavalent vaccine throughout the country. All 12-23 months’ old children included in this survey (from July-December 2011) would only have the opportunity of receiving the Pentavalent vaccine and not the previous DPT and hepatitis vaccines.
The report shows information on immunisation coverage obtained from a health card, or in the case of children for whom a health card was not seen (or a vaccination not recorded), from the mother’s recall.
The report said overall 86 percent of children age 12-23 months in Bangladesh is fully vaccinated, and 83 percent of the children received all vaccines by 12 months of age.
“The coverage for BCG and three doses of Pentavalent and polio is 93 percent or higher. A slightly lower percentage of children (88 percent) receive the measles vaccine.”
The Health, Population, and Nutrition Sector Development Program (HPNSDP) 2011-2016 has set a target of 90 percent coverage of measles vaccine by age 12 months by 2016. The 2011 BDHS shows that the coverage is 84 percent.
The coverage for the Pentavalent and polio vaccine declines with the dosage, from 98 percent for the first dose to 93 percent for the third dose. Only 2 percent of children 12-23 months have not received any vaccinations.
Vaccination coverage varies little by the sex of the child, with boys being slightly more likely than girls to have received all vaccines (87 percent compared with 85 percent). Then coverage declines as birth order increases.
Children of better educated mothers and children to mothers in the wealthiest households are more likely than other children to be fully vaccinated. The highest level of vaccination coverage across divisions is for children in Rangpur and Khulna (92 and 94 percent, respectively), while children in Sylhet Division have the lowest coverage (80 percent).
The report also said the proportion of children fully vaccinated by 12 months of age also increased from 68 percent to 83 percent between 2004 and 2011.
The preliminary report of Bangladesh Demography and Health Survey (BDHS)-2011, conducted by National Institute of Population Research and Training was revealed on April 2012.
Talking to UNB on Saturday, Centre for Medical Education (CME) director Prof Dr Fatema Parveen Chowdhury said routine vaccination programme should be strengthened to widen the vaccination coverage. “If there’s an increased drive on routine vaccination, it’s possible to raise the coverage top 90 percent in the country,” she said.
The report said improvement in vaccination coverage among 12-23 months age children was seen in all divisions except Barisal where the coverage declined from 90 percent in 2007 to 83 percent in 2011.
In 2011, vaccination cards were seen for 67 percent of children aged 12-23 months, up from 58 percent in 2007.
The World Health Organisation guidelines for childhood immunisations call for all children to receive: a BCG vaccination against tuberculosis, three doses of the Pentavalent vaccine to prevent diphtheria, Pertussis, tetanus, hepatitis and Hib, three doses of polio vaccine, and a measles vaccination.
The Pentavalent vaccine was introduced in Bangladesh in January 2009, replacing the DPT and hepatitis vaccines. By July 2009, the national immunisation programme was only providing the Pentavalent vaccine throughout the country. All 12-23 months’ old children included in this survey (from July-December 2011) would only have the opportunity of receiving the Pentavalent vaccine and not the previous DPT and hepatitis vaccines.
The report shows information on immunisation coverage obtained from a health card, or in the case of children for whom a health card was not seen (or a vaccination not recorded), from the mother’s recall.
The report said overall 86 percent of children age 12-23 months in Bangladesh is fully vaccinated, and 83 percent of the children received all vaccines by 12 months of age.
“The coverage for BCG and three doses of Pentavalent and polio is 93 percent or higher. A slightly lower percentage of children (88 percent) receive the measles vaccine.”
The Health, Population, and Nutrition Sector Development Program (HPNSDP) 2011-2016 has set a target of 90 percent coverage of measles vaccine by age 12 months by 2016. The 2011 BDHS shows that the coverage is 84 percent.
The coverage for the Pentavalent and polio vaccine declines with the dosage, from 98 percent for the first dose to 93 percent for the third dose. Only 2 percent of children 12-23 months have not received any vaccinations.
Vaccination coverage varies little by the sex of the child, with boys being slightly more likely than girls to have received all vaccines (87 percent compared with 85 percent). Then coverage declines as birth order increases.
Children of better educated mothers and children to mothers in the wealthiest households are more likely than other children to be fully vaccinated. The highest level of vaccination coverage across divisions is for children in Rangpur and Khulna (92 and 94 percent, respectively), while children in Sylhet Division have the lowest coverage (80 percent).
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