Child health remains a fundamental pillar of human development. Bangladesh has made notable strides in reducing child mortality over the past few decades, largely due to the success of its national immunisation programmes. Diseases like polio, measles, and tetanus … once widespread and deadly … have been brought under control through widespread vaccination. However, recent reports of vaccine shortages in more than 30 districts are deeply concerning as it could threaten the years of progress in this vital area.
Even though officials are claiming that supply delays are temporary, the situation on the ground tells a different story. Parents in districts such as Cumilla, Brahmanbaria, Mymensingh, Jessore, and Jhenaidah have been unable to vaccinate their children in time due to the unavailability of key vaccines like PCV, IPV, Pentavalent, and MR. The consequences of this could be severe, as delays in immunisation increase the risk of disease resurgence, endangering not just children but the broader public health.
There are several contributing factors behind this crisis. Firstly, delays in the implementation of the government's operational plan have hindered timely access to funds required for vaccine procurement. Secondly, logistical challenges, including a shortage of vehicles and manpower, have disrupted vaccine distribution to local health centers. Lastly, a reduction in vaccine support from international organizations such as Gavi and COVAX has created supply gaps that Bangladesh is struggling to fill on its own.
Evidence from past incidents underscores the risks of under-vaccination. In Chittagong, a significant increase in measles cases was observed when vaccinations were missed. Similarly, a deadly diphtheria outbreak among unvaccinated Rohingya refugees further highlights the devastating consequences of disrupted immunization.
To safeguard public health, the government must act immediately to address this crisis. It should ensure a steady supply of vaccines, improve transportation and distribution systems, and closely monitor local stocks. The Expanded Programme on Immunization is one of Bangladesh's most celebrated public health successes. Protecting this legacy is not just a strategic necessity; it is a moral obligation to our nation's children and future.
Ashikujaman Syed & Samia Jahan Shefa
syedashikujaman@yahoo.com