The Library
Decomposing the gap in missed opportunities for vaccination between poor and non-poor in sub-Saharan Africa : a multicountry analyses
Tools
Ndwandwe, Duduzile, Uthman, Olalekan A., Adamu, Abdu, Sambala, Evanson, Wiyeh, Alison B., Olukade, Tawa, Bishwajit, Ghose , Yaya, Sanni, Okwo-Bele, Jean-Marie and Wiysonge, Charles S. (2018) Decomposing the gap in missed opportunities for vaccination between poor and non-poor in sub-Saharan Africa : a multicountry analyses. Human Vaccines & Immunotherapeutics, 14 (10). 2358-2364 . doi:10.1080/21645515.2018.1467685 ISSN 2164-5515.
|
PDF
WRAP-decomposing-gap-missed-vaccination-poor-multicountry-analyses-Uthman-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (1260Kb) | Preview |
|
PDF
WRAP-decomposing-gap-missed-opportunities-vaccination-poor-non-poor-sub-Saharan Africa-Uthman-2018.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (657Kb) |
Official URL: https://doi.org/10.1080/21645515.2018.1467685
Abstract
Understanding the gaps in MOV between poor and non-poor in sub-Saharan Africa (SSA) would enable an understanding of factors associated with interventions for improving immunization coverage to achieving universal childhood immunization. We aimed to conduct a multicountry analyses to decompose the gap in MOV between poor and non-poor in SSA. We used cross-sectional data from 35 Demographic and Health Surveys in SSA conducted between 2007 and 2016. Descriptive statistics were used to understand the gap in MOV between the urban poor and non-poor, and across the selected covariates. Out of the 35 countries included in this analysis, 19 countries showed pro-poor inequality, five showed pro-non-poor inequality and remaining 11 countries showed no statistically significant inequality. Among the countries with statistically significant pro-illiterate inequality, the risk difference ranged from 4.2% in Congo DR to 20.1% in Kenya. The important factors responsible for the inequality varied across the countries. In Madagascar, the largest contributions to the inequality in MOV was media access followed by number of under-five children and maternal education. However, Liberia media access narrowed the inequality in MOV between poor and non-poor households.The findings indicate that in most SSA countries, children belonging to poor households are most likely to have MOV and that socio-economic inequality in missed opportunities for vaccination is determined not only by health system functions, but also by factors beyond the scope of health authorities and care delivery system. Suggesting the the importance of addressing the social determinants of health, particularly education.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Immunization of children -- Africa, Vaccination of children -- Africa, Rich people -- Health and hygiene -- Africa, Poor children -- Health and hygiene -- Africa | ||||||||
Journal or Publication Title: | Human Vaccines & Immunotherapeutics | ||||||||
Publisher: | Landes Bioscience | ||||||||
ISSN: | 2164-5515 | ||||||||
Official Date: | 1 June 2018 | ||||||||
Dates: |
|
||||||||
Volume: | 14 | ||||||||
Number: | 10 | ||||||||
Page Range: | 2358-2364 | ||||||||
DOI: | 10.1080/21645515.2018.1467685 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 19 April 2018 | ||||||||
Date of first compliant Open Access: | 2 October 2018 | ||||||||
RIOXX Funder/Project Grant: |
|
||||||||
Related URLs: |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year