Determinants Of The Utilization Of The Tetanus Toxoid (TT) Vaccination Coverage In Bangladesh: Evidence From A Bangladesh Demographic Health Survey 2004

Abstract

Objectives: This paper employs statistical methods to determine the complete vaccination rate and to identify the factors that influence vaccination of mothers during pregnancy. The principal objective of this paper is to suggest various policy options on the basis of study findings in order to provide guidelines to fulfill the complete vaccination coverage in Bangladesh. Methods: This study analyzes data extracted from Bangladesh Demographic and Health Survey 2004 (BDHS) considering only the case of the mothers of last five years preceding the survey. To meets the objectives this study considers bivariate and multivariate analysis Results: The analysis showed that, although maximum respondents received two or more doses of TT injection a significant portion of women did not receive the TT injection yet (18.6 percent). The immunization coverage of two/more doses was higher among mothers whose husbands are highly educated and non-manual workers. This study elucidates that the rate of immunizing increases with the increase of mother's education. Receiving two/more doses of TT injection shows highest prevalence (58.3 percent) among mothers whose mobility status is unrestricted. The logistic analysis showed that receiving two or more doses of TT injection is almost 3 times higher among respondents using modern toilet facility. The model also shows that higher proportion of respondents belonging to upper category regarding household asset and quality index received two/more doses TT injection than their congruent parts. The other contributing factors for tetanus toxoid vaccination coverage were found to be mother's age at last birth, told about pregnancy complications, place of residences, mother's earning status, sources of drinking water. Conclusion: The results indicate several policy options: (1) improve the monitoring and supervision of vaccination activities especially in the rural area (2) mass media campaign to create awareness among both urban and rural women, their husbands and families about the importance of TT vaccination and the consequences of not being vaccinated (3) education for husband's and wife needs to be given very high priority (4)enable women to exercise their rights to control their concerning freedom of movement, own health acre and access to economic resources