Understanding Spatial and Contextual Factors Influencing Intraregional Differences in Child Vaccination Coverage in Bangladesh

dc.contributor.ORCID0000-0002-1428-1451 (Kim, D)
dc.contributor.authorVyas, Priyanka
dc.contributor.authorKim, Dohyeong
dc.contributor.authorAdams, Alayne
dc.contributor.utdAuthorKim, Dohyeong
dc.date.accessioned2020-07-22T15:20:19Z
dc.date.available2020-07-22T15:20:19Z
dc.date.issued2018-11-30
dc.descriptionDue to copyright restrictions and/or publisher's policy full text access from Treasures at UT Dallas is limited to current UTD affiliates (use the provided Link to Article).
dc.description.abstractIn Bangladesh, policy discourse has mostly focused on regional inequities in health, including child immunization coverage. Knowledge of local geographical and contextual factors within regions, however, becomes pertinent in efforts to address these inequities. We used the Bangladesh Demographic and Health Survey 2011 to examine factors that influence intraregional differences in vaccination coverage using a multilevel analysis. We found that in spite of the provision of health facilities at each level of administrative governance, only distance to the Upazilla Health Complex was a consistent predictor for each dose of vaccine, highlighting the remote locations of the communities that remain underserved. Our analysis demonstrates the value of subregional analyses that identify the characteristics of communities that are vulnerable to incomplete immunization coverage. Unless specific policy actions are taken to increase coverage in these remote areas, geographic inequities are likely to persist within regions, and desired targets will not be achieved.
dc.description.departmentSchool of Economic, Political and Policy Sciences
dc.identifier.bibliographicCitationVyas, Priyanka, Dohyeong Kim, and Alayne Adams. 2019. "Understanding Spatial and Contextual Factors Influencing Intraregional Differences in Child Vaccination Coverage in Bangladesh." Asia Pacific Journal of Public Health 31(1): 51-60, doi: 10.1177/1010539518813604
dc.identifier.issn1010-5395
dc.identifier.issue1
dc.identifier.urihttp://dx.doi.org/10.1177/1010539518813604
dc.identifier.urihttps://hdl.handle.net/10735.1/8725
dc.identifier.volume31
dc.language.isoen
dc.publisherSage Publications Inc
dc.rights©2018 Asia Pacific Journal of Public Health
dc.source.journalAsia Pacific Journal of Public Health
dc.subjectAccess
dc.subjectImmunization
dc.subjectInequality
dc.subjectMedical care—Utilization
dc.subjectSpatial analysis (Statistics)
dc.subjectPublic health
dc.subjectMedical care
dc.subjectBangladesh
dc.titleUnderstanding Spatial and Contextual Factors Influencing Intraregional Differences in Child Vaccination Coverage in Bangladesh
dc.type.genrearticle

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
EPPS-6344-261678.07-LINK.pdf
Size:
184.56 KB
Format:
Adobe Portable Document Format
Description:
Link to Article

Collections