Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh.
OBJECTIVE
This article establishes the hypothesis that predisposing, enabling and household needs influence the complete vaccination status of children.


METHODS
Data from the 2004 Bangladesh Demographic and Health Survey (N= 3530) was used. The data was analyzed using descriptive and multiple logistic regression methods.


RESULTS
Approximately 60% of the children in rural Bangladesh were fully immunized. The full vaccination rate increased with an increase in the previous birth interval and the education level of the mother. Women with the highest wealth index were significantly more likely to fully immunize their children. Distance from health facility, parity, mother's age, mass media, children's sex and tetanus toxoid injection were also significantly positively associated with full vaccination.


CONCLUSIONS
Findings reflect that, irrespective of need, only children from higher economic or educational groups can afford to be fully vaccinated in rural Bangladesh. In other words, predisposing, enabling and need factors appear to have a strong association with full immunization coverage.
Rahman
Mosiur
M
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh. swaponru_2000@yahoo.com
Obaida-Nasrin
Sarker
S
D000328:Adult; D001459:Bangladesh; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012423:Rural Health; D055815:Young Adult