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CRC/C/BGD/4

page 63

Vaccinations by background characteristics in Bangladesh, 2004 (in per cent)

Background characteristics

Sex

Male

93.4

93.3

88.0

81.2

1.5

97.6

89.1

82.6

75.6

73.4

2.4

Female

93.4

92.9

86.4

80.8

2.3

95.4

87.6

82.0

75.7

72.8

4.1

Residence

Urban

94.2

93.4

90.0

85.7

3.6

96.6

90.8

85.8

82.8

80.9

2.8

Rural

93.2

93.0

86.5

79.8

1.5

96.4

87.7

81.4

73.9

71.1

3.5

Mother’s  education

No education

89.0

88.6

79.0

69.2

0.9

94.4

80.1

70.2

62.3

60.3

5.0

Primary incomplete

94.0

93.4

87.3

81.2

0.6

98.3

88.6

83.2

76.3

72.5

1.7

Primary complete

95.4

95.4

90.6

86.5

2.7

95.6

92.3

87.2

81.1

80.3

4.4

Secondary  incomplete

96.3

96.1

93.3

89.8

2.6

97.2

94.5

90.8

85.4

82.2

2.8

Secondary  complete  or higher

98.8

98.8

98.6

96.8

6.6

98.8

98.8

98.6

94.2

92.2

1.2

    Total

93.4

93.1

87.2

81.0

1.9

96.5

88.4

82.3

75.7

73.1

3.3

Source: “Bangladesh Demographic and Health Survey 2004”.

259.Despite these achievements, it is estimated that approximately 1.5 million children remain unprotected with drop out rates between 20 and 30 percent. The difference of vaccination likelihood between urban and rural born children is almost 10%, which may be due to higher accessibility and exposure to healthcare facilities in urban areas. The most striking difference is that when comparing mothers with no education to mothers with secondary or higher education. Even an incomplete primary education can lead to a 12 percent increase of complete vaccination of the offspring, peaking at a 32 percent increase when the mother has secondary or higher education.

260.To strengthen routine immunisation, district and Upazila micro-plans in line with Reaching Every District (RED) approaches and tools were jointly developed with WHO and UNICEF. In addition to extensive training, improvement of cold chain and logistics management has also been brought in.

E.  Social security and childcare services and facilities

261.Traditionally, the family and social bondage in Bangladesh is very strong. However, institutionalized social security system is weak. The MoSW provides accommodation and some skill training to a limited number of orphaned, abandoned and destitute children. The State Party has been pursuing a number of Safety Net Programmes (SNPs). The major ones are:

Old age Allowance Scheme

Allowances for the Distressed and Disabled Persons

Allowances for Widowed and Distressed Women

Rural Maintenance Programme (now closed)

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