title: Improving low coverage of child immunization in rural hard-to-reach areas of Bangladesh: findings from a project using multiple interventions.
abstract: The study was conducted to assess the impact of combined interventions to improve the child immunization coverage in rural hard-to-reach areas of Bangladesh. The valid coverage increased at endline compared to baseline in the study areas, and the difference of the increase was highly significant (p<0.001). The findings also showed that the number of drop-outs, left-outs, and invalid doses decreased at endline compared to baseline in the study areas, and the difference was also highly significant (p<0.001). The immunization coverage improved significantly in all the four study sub-districts that received interventions, although the relative contribution of each intervention is unknown. The interventions can be implemented in all other hard-to-reach areas of Bangladesh and other countries which are facing similar challenges.
authors: Health Systems and Infectious Disease Division, ICDDR, B, GPO Box 128, Dhaka 1000, Bangladesh. jasim@icddrb.org
authors: Md Jasim
authors: MJ
authors: Uddin
authors: Nirod Chandra
authors: NC
authors: Saha
authors: Ziaul
authors: Z
authors: Islam
authors: Iqbal Ansary
authors: IA
authors: Khan
authors: Shamsuzzaman
authors: M A
authors: MA
authors: Quaiyum
authors: Tracey Perez
authors: TP
authors: Koehlmoos
mesh_terms: D000328:Adult; D001459:Bangladesh; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D017589:Immunization Programs; D007223:Infant; D008297:Male; D012424:Rural Population; D014612:Vaccines / Q000008:administration & dosage* / Q000276:immunology*
chemical_list: D014612:Vaccines