Article ; Online: Programmatic aspects of dropouts in child vaccination in Bangladesh: findings from a prospective study.
Asia-Pacific journal of public health
2011 Volume 23, Issue 2, Page(s) 141–150
Abstract: The present study investigated prospectively programmatic factors relating to dropouts in child vaccination in 6 subdistricts of Bangladesh. A cross-sectional survey (n = 2700) was conducted estimating overall coverage of immunization using cluster ... ...
Abstract | The present study investigated prospectively programmatic factors relating to dropouts in child vaccination in 6 subdistricts of Bangladesh. A cross-sectional survey (n = 2700) was conducted estimating overall coverage of immunization using cluster sampling. The eligible subsample of children (n = 1064) was followed up prospectively to understand reasons for dropouts. In-depth interviews (n = 73) with mothers/caregivers and service providers were done and EPI (Expanded Programme on Immunization) sessions were observed (n = 131). Irregular EPI sessions were the prime cause of dropouts particularly in low-performing subdistricts. The other programmatic factors linked with dropouts were (a) no reminder about subsequent session/doses, (b) unfriendly behavior or absence of vaccinator, ( c) refusal due to lost card or vaccine exhausted, and (d) short duration of sessions. Providers highlighted constraints such as financial problems for transportation, particularly in the hard-to-reach areas and vacancies of the posts of health assistants. The barriers to completing full schedules of vaccination can be removed to a large extent through programmatic adjustments. |
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MeSH term(s) | Bangladesh ; Child Health Services/organization & administration ; Child Health Services/utilization ; Humans ; Immunization/statistics & numerical data ; Immunization/utilization ; Immunization Programs/organization & administration ; Immunization Programs/utilization ; Immunization Schedule ; Infant ; Infant, Newborn ; Patient Dropouts/statistics & numerical data ; Professional-Patient Relations ; Program Evaluation ; Prospective Studies ; Qualitative Research ; Refusal to Treat ; Reminder Systems ; Time Factors |
Language | English |
Publishing date | 2011-04 |
Publishing country | China |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. |
ZDB-ID | 1025444-4 |
ISSN | 1941-2479 ; 1010-5395 |
ISSN (online) | 1941-2479 |
ISSN | 1010-5395 |
DOI | 10.1177/1010539509342119 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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