Investigator(s)
| WHO Technical Officer |
Jorge Martinez MD Neonatologist University of South Florida United States Jorge Martinez 
|
| Principal Investigator |
Dr. Md. Shamsuz Zaman MD (Neonatology) Birdem Academy, Dhaka, Bangladesh Dr. Md. Shamsuz Zaman
|
Title(s) and abstract
| Scientific title | Understanding the barriers and drivers to routine childhood vaccination in Forcibly Displaced Myanmar Nationals in Cox’s Bazar, Bangladesh |
| Public title | Understanding the barriers and drivers to routine childhood vaccination in Forcibly Displaced Myanmar Nationals in Cox’s Bazar, Bangladesh |
| Background | Vaccines are crucial public health measures to fight vaccine-preventable diseases. In Cox’s Bazar, 926,561 Forcibly Displaced Myanmar Nationals/Rohingya refugees (FDMN/RR) live in camps. According to the World Health Organization (WHO), routine childhood immunization rates among FDMN children in Cox’s Bazar camps are low. The barriers and drivers to full immunization in this age category have not been systematically documented. Understanding those will help in developing targeted, tailored interventions to improve routine childhood vaccination coverage. |
| Objectives | To identify the factors affecting routine childhood vaccination uptake of FDMN/RR in Cox’s Bazar camps to inform recommended strategies to increase vaccination uptake and prevent future disease outbreaks. |
| Study Methods | We will follow the three phases of the WHO Tailoring Immunization Programs (TIP) methodology. Phase 1 is a situational analysis and comprises a scoping review, assessment of routine childhood vaccination and vaccine preventable disease data, and a stakeholder workshop. Phase 2 is a mixed methods formative research study to identify barriers and drivers to receiving/delivering routine childhood vaccination. We will conduct a quantitative survey with caregivers, focus group discussions (FGDs) with frontline health service providers and interviews with key informants. Quantitative and qualitative findings will be triangulated. Phase 3 is the intervention design phase. We will map the barriers and drivers to receiving/delivering routine childhood vaccination to interventions that are known to be effective. We will hold a second stakeholder workshop and a dissemination workshop. A list of recommendations for interventions will be produced during the workshop with a view to securing commitment for their future implementation |
| Expected outcomes and use of results | The study is focusing on different outcomes (end point) which, in line with the objectives seeks to explore individual and context barriers and drivers to receiving childhood vaccination amongst FDMN caregivers, among frontline health service providers with strategic role to play and to map the individual and context barriers and drivers to types of interventions that are known to b effective. Use of results- The list barriers and drivers to receiving/delivering routine childhood vaccination including list of recommendations for interventions will be produced Government to secure commitment for their future implementation |
| Keywords | childhood vaccination; FDMN; Rohingya; Tailored Immunization Program |
Research Details
| Student research | No |
| Start Date | 01-Dec-2022 |
| End Date | 31-May-2023 |
| Key Implementing Institution | Cox's Bazar Medical College |
| Multi-country research | No |
| Nationwide research | No |
| Bangladesh | |
| Research Domain(s) | Health Systems Research, Maternal, Reproductive and Child Health |
| Research field(s) | Immunization/Vaccine Preventable Disease |
| Involves human subjects | Yes |
| Data Collection | Primary and secondary data |
| Proposal reviewed by other Committee | Final decision available |