Lessons Learned from Other Vaccination Programs: Measles Rubella vaccination experience in Bangladesh

Bangladesh delivers two routine measles-rubella vaccine doses at 9 and 15 months and supplements coverage with periodic campaigns. The immunization system operates through outreach sites in rural areas and urban centers, supported by web-based DHIS2 for microplanning, real-time reporting, GPS-based supervision, and public dashboards. Campaigns since 2005, including the 2020 follow-up that vaccinated 36 million children, have sharply reduced measles cases. Persistent gaps remain in hard-to-reach areas and lab surveillance, prompting efforts to enhance electronic tracking, zero-dose identification, and targeted interventions for high-risk populations.

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