Health Policy and Planning, Vol 14, 49-58, Copyright © 1999 by Oxford University Press
K Jamil, A Bhuiya, K Streatfield and N Chakrabarty
The paper reviews the achievements in tetanus immunization coverage and
child immunization in Bangladesh. It uses data from the 1993-94 Bangladesh
Demographic and Health Survey to identify and examine the programmatic and
non-programmatic factors that influence the coverage of tetanus (TT)
immunization during pregnancy, and full immunization among children 12-23
months old in rural Bangladesh. The purpose of this analysis is to identify
the areas that need further programme attention.The logistic regression
results show that the coverage of TT immunization was significantly
associated with proximity to outreach clinics and the presence of a health
worker in the community. Home visits by health/family planning fieldworks
and the proximity to outreach clinics had larger influences on TT coverage
of poorer households compared to those better-off. The effect of distance
to static clinics varied by regions. Among children, full immunization
coverage (coverage of all of BCG, DPT1, DPT2, DPT3, Polio1, Polio2, Polio3)
was significantly associated with distance to outreach clinics, the greater
the distance to the clinics, the less the likelihood of immunization.
ARTICLES
The immunization programme in Bangladesh: impressive gains in coverage, but gaps remain
Department of Population Dynamics, Johns Hopkins University, Maryland, USA; United States Agency for International Development, Bangladesh; International Centre for Diarrhoeal Disease Research, Bangladesh; Population Council, Bangladesh; Department of Statistics, Dhaka University, Dhaka, Bangladesh
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