@article{fdi:010093007,
  title = {{H}igh coverage and equitable distribution of {COVID}-19 vaccine uptake in two vulnerable areas in {B}angladesh},
  author = {{N}azmul {I}slam, {M}. and {D}e {A}llegri, {M}. and {B}onnet, {E}mmanuel and {S}arker, {M}. and {G}oudet, {J}.{M}. and {F}ranceschin, {L}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}angladesh completed a primary series of {COVID}-19 vaccinations for about 86 individuals per 100 population as of 5 {J}uly 2023. {H}owever, ensuring higher coverage in vulnerable areas is challenging. {W}e report on the {COVID}-19 vaccine uptake and associated factors among adults in two vulnerable areas in {B}angladesh. {W}e conducted a cross-sectional study between {A}ugust and {S}eptember 2022 in {D}uaripara, a slum in northeast {D}haka (in-migration site), and {T}ala, a disaster-prone sub-district in southwest {S}atkhira (out-migration site). {W}e surveyed 1,239 adults in {D}uaripara and 1,263 adults in {T}ala from 625 and 596 randomly selected households, respectively. {W}e reported coverage and examined associations between the uptake and demographic and socioeconomic characteristics using multilevel mixed-effects generalized linear regression models. {W}e checked for spatial autocorrelation to assess geographical patterns in vaccine distribution. {F}irst- and second-dose coverage was about 91% and 80.4% in {D}uaripara and 96.6% and 92.2% in {T}ala, respectively. {I}ndividuals above 40 were more likely to be vaccinated ({IRR}: 1.12, p-value = 0.04 for {D}uaripara, and {IRR}: 1.14, p-value <0.01 for {T}ala). {P}rofessions requiring more outdoor interactions had a higher likelihood of receiving the vaccine. {I}n {T}ala, television access ({IRR}: 2.09, p-value <0.01) and micro-credit membership ({IRR}: 1.50, p-value = 0.05) were positively associated with receiving a booster dose and negatively associated with smart-phone access ({IRR}: 0.58, p-value = 0.03). {M}oreover, temporarily migrated respondents were more likely to be unvaccinated ({IRR}: 0.87, p-value = 0.04). {I}ncome was not associated, indicating equitable distribution. {M}oreover, no geographical clustering was detected. {T}he credit for high {COVID}-19 vaccine coverage in {B}angladesh can be attributed to the country's longstanding success in implementing immunization programs, which relied on community mobilization and effective health education to generate demand. {H}owever, to ensure comprehensive coverage in vulnerable areas, targeted interventions can help increase uptake by addressing specific sociodemographic differences.},
  keywords = {{BANGLADESH}},
  booktitle = {},
  journal = {{PLOS} {G}lobal {P}ublic {H}ealth},
  volume = {5},
  numero = {1},
  pages = {e0004178 [22 ]},
  ISSN = {2767-3375},
  year = {2025},
  DOI = {10.1371/journal.pgph.0004178},
  URL = {https://www.documentation.ird.fr/hor/fdi:010093007},
}