Title : Impact of the COVID-19 pandemic on the routine immunization system in Bangladesh


Authors : Md. Tanvir Hossen, Md Sayik Bin Alam, Md. Sahidul Islam, Emanuele Montomoli, Ralf Clemens, Sue Ann Costa Clemens, Mohammad Delwer Hossain Hawlader, Md Foyjul Islam


Journal Article Title: PLOS One Volume Number: 20 Publication Year : 2025 Issue Number: 10
Index: scopus Ranking: Q1 Publisher Name: PLOS (Public Library of Science)
Pages : e0334503
Funding Information:
Funding Source : None
Other Information:
Direct Sustainable Development Goals :
SDG3 Good Health & Well-being
Indirect Sustainable Development Goals :
SDG17 Partnership for the Goals
Sustainable Development Sub Goals :
Achieve universal health coverage
Support R&D and universal access to medicines/vaccines
Strengthen capacity for health risk management
Impact statement: This study reveals that Bangladesh's routine immunization system experienced three distinct "drop-rebound" phases due to COVID-19, with coverage falling as low as 55% during the initial wave. Despite severe disruptions caused by lockdowns and workforce shortages, the country demonstrated significant resilience, returning to pre-pandemic levels by late 2021. The findings highlight a critical "urban-rural divide," where rural areas recovered faster due to superior infrastructure, providing a roadmap for strengthening urban health systems and technology-driven surveillance to withstand future global health emergencies. Collaboration: Partner University Keywords: COVID-19, routine immunization, VPD surveillance, Bangladesh, vaccination coverage, health infrastructure, urban-rural dynamics