This study aimed to determine the prevalence and contributing factors of complete measles vaccination with key attention to maternal health-seeking behaviour.
The study used secondary data from the Bangladesh Demographic and Health Survey (BDHS) 2017–2018, which was a cross-sectional study.
Data extracted from the BDHS 2017–2018 dataset. It is the latest available nationally representative dataset containing measles vaccination data.
The sample comprised 2651 children aged 15–59 months in Bangladesh.
The study analysed participants’ sociodemographic characteristics, maternal health-seeking behaviour and measles vaccination coverage. Frequency distributions, 2 tests, and stepwise binary logistic regression analysis were performed.
The 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
The 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.
Most people who require palliative care reside in low- and middle-income countries, particularly those living in areas affected by geopolitical conflict such as Palestine. Given the potential impact of conflicts on the palliative care knowledge of healthcare providers, it is crucial to assess how it is affected by the recent political instability occurring in the area. This study aimed to assess the overall and domain-specific palliative knowledge among physicians and nurses and evaluate the factors associated with palliative care knowledge.
Cross-sectional multicentre study.
The study sample was recruited from eight hospitals in two districts in the West Bank, Palestine.
Physicians and nurses working in the following hospital departments were eligible for inclusion in the study: internal medicine/cardiology/nephrology, surgical department, intensive care unit/emergency department and oncology department. Among 227 physicians and nurses approached, 197 participated (response rate 87%), and all of them completed the study.
The palliative care knowledge test was used to assess the palliative care knowledge of study participants. Bivariate analysis and multiple binary logistic regression were used to evaluate associations with palliative care knowledge. A p value of less than 0.05 was considered statistically significant.
There was no significant difference between physicians and nurses in overall palliative care knowledge. Study participants scored poorly in all palliative care knowledge domains. However, physicians scored significantly higher in the ‘philosophy’ domain (p 0.035), while nurses scored significantly higher in the ‘psychiatric’ domain (p 0.009). Questions with the lowest rate of right answers were related to opioids and dyspnoea. Previous training in palliative care was significantly associated with palliative care knowledge (OR 2.529, 95% CI 1.267 to 5.049, p 0.009).
Physicians and nurses in conflict-affected, resource-limited settings had insufficient knowledge in all palliative care domains. The lowest knowledge scores were for the ‘dyspnoea’ and ‘opioid’ questions. Participants with previous training in palliative care had significantly more palliative care knowledge. National guidelines and comprehensive palliative care training programmes should be developed to facilitate palliative care delivery.