A decomposition analysis to understand the wealth-based inequalities in child vaccination in rural Southern Assam: A cross-sectional study.
Background: The socio-environmental aspects of southern Assam reflect a general pattern of backwardness. Moreover, child healthcare resources in the region are inadequately used, leading to low vaccination coverage. Given this background, this paper attempted to comprehend wealth-based inequality in...
| Publicado en: | Indian Journal of Community Medicine Vol. 48; no. 1; pp. 112 - 126 |
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| Autores principales: | , , , , |
| Formato: | equations & formulas questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jan/Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162380424&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162380424 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09700218 1CQJ jtl: Indian Journal of Community Medicine issn: 09700218 maglogo: N pubinfo: dt: Jan/Feb2023 vid: 48 iid: 1 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 162380424 162380424 162380424 10.4103/ijcm.ijcm_422_22 162380424 ppf: 112 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A decomposition analysis to understand the wealth-based inequalities in child vaccination in rural Southern Assam: A cross-sectional study. aug: au: Roy, Dipankar Debnath, Avijit Sarma, Munmi Roy, Dipanjan Das, Kinnor affil: Department of Economics, Government Model Degree College, Borkhola, Assam sug: subj: Immunization In Infancy and Childhood Financial Management Human Child India Cross Sectional Studies Cluster Sample Chaos Theory Prenatal Care Child Health Child: 6-12 years ab: Background: The socio-environmental aspects of southern Assam reflect a general pattern of backwardness. Moreover, child healthcare resources in the region are inadequately used, leading to low vaccination coverage. Given this background, this paper attempted to comprehend wealth-based inequality in full vaccination in rural areas of southern Assam. Methodology: Based on a multistage cluster sampling approach, 360 children of 12–23 months were selected from the study area. To identify the predictors of a child, a non-linear model was estimated by using the generalized linear model (GLM) approach followed by Erreygers decomposition technique to quantify the wealth inequality in the obtained predictors in explaining the disparity in full vaccination. Result: The Bacillus Calmette–Guérin (BCG) vaccination recorded the highest vaccination coverage, at nearly 90% and the lowest was observed for the measles vaccine, around 61 percent. Slightly more than half of the eligible children (54 percent) were vaccinated against all the Universal Immunization Programme (UIP)-recommended vaccines. The decomposition analysis revealed that the occupation of the child's father, maternal age, birth order of the child, and health-seeking behavior such as antenatal care (ANC) were the prime factors related to inequality in full vaccination in the region. Conclusion: Vaccination coverage in the region has improved over time, however, full vaccination is concentrated towards the economically advantaged section of the society in rural southern Assam. Targeted, context-specific, and expanded government initiatives could aid in addressing the overall wealth-related full vaccination inequalities in the valley. pubtype: Academic Journal doctype: equations & formulas questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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