ArticleBMJ open2026
Role of maternal health-seeking behaviour on complete measles vaccination coverage in Bangladesh: evidence from Bangladesh Demographic and Health Survey.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aimed to determine the prevalence and contributing factors of complete measles vaccination with key attention to maternal health-seeking behaviour.
designThe study used secondary data from the Bangladesh Demographic and Health Survey (BDHS) 2017-2018, which was a cross-sectional study.
settingData extracted from the BDHS 2017-2018 dataset. It is the latest available nationally representative dataset containing measles vaccination data.
participantsThe sample comprised 2651 children aged 15-59 months in Bangladesh. OUTCOME MEASURES: The study analysed participants' sociodemographic characteristics, maternal health-seeking behaviour and measles vaccination coverage. Frequency distributions, χ
resultsThe prevalence of complete (first dose at 9 months and second dose at 15 months or later) measles vaccination coverage was 80% among Bangladeshi children. Complete measles vaccination coverage was significantly higher among babies of mothers who had completed at least an antenatal visit (AOR 1.71, p<0.001), undergone an institutional delivery process (AOR 1.36, p=0.017), and completed at least one postnatal visit (AOR 1.27, p=0.050). In addition, maternal health-seeking factors, notably educated mothers (secondary educated: AOR 2.34, p<0.001; higher secondary and above AOR 2.58, p<0.001), had more vaccination coverage for their children. However, children living in urban areas had significantly lower vaccination coverage (AOR 0.68, p=0.001).
conclusionsThe study recommends strengthening the complete measles vaccination coverage in Bangladesh, which is still behind the target. Specific measures should be taken to increase antenatal care and postnatal care coverage and provide institutional delivery facilities. The study's findings would contribute to attaining the Sustainable Development Goals for children's health in Bangladesh by mitigating measles-related morbidity and mortality.
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