Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis

被引:0
|
作者
Derek Asuman
Charles Godfred Ackah
Ulrika Enemark
机构
[1] University of Ghana,Institute of Statistical, Social and Economic Research
[2] Aarhus University,Section for Health Promotion and Health Services Research, Department of Public Health
来源
Health Economics Review | / 8卷
关键词
Immunization coverage; Childhood; Vaccination; Health inequality; Decomposition; Rural-urban; Ghana;
D O I
暂无
中图分类号
学科分类号
摘要
Childhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Using data from the recent two waves of the Ghana Demographic and Health Survey, we examine the probability that a child between 12 and 59 months receives the required vaccinations and proceed to decompose the sources of inequalities in the probability of full immunization between rural and urban areas. We find significant child-specific, maternal and household characteristics on a child’s immunization status. The results show that children in rural areas are more likely to complete the required vaccinations. The direction and sources of inequalities in child immunizations have changed between the two survey waves. We find a pro-urban advantage in 2008 arising from differences in observed characteristics whilst a pro-rural advantage emerges in 2014 dominated by the differences in coefficients. Health system development and campaign efforts have focused on rural areas. There is a need to also specifically target vulnerable children in urban areas, to maintain focus on women empowerment and pay attention to children from high socio-economic households in less favourable economic times.
引用
收藏
相关论文
共 50 条
  • [1] Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis
    Asuman, Derek
    Ackah, Charles Godfred
    Enemark, Ulrika
    HEALTH ECONOMICS REVIEW, 2018, 8
  • [2] Understanding inequalities in child immunization in India: a decomposition approach
    Joseph, Vinod Joseph Kannankeril
    JOURNAL OF BIOSOCIAL SCIENCE, 2022, 54 (03) : 371 - 383
  • [3] Inequalities in immunization coverage in Indonesia: a multilevel analysis
    Siramaneerat, Issara
    Agushybana, Farid
    RURAL AND REMOTE HEALTH, 2021, 21 (03): : 6348
  • [4] Unpacking the impact of COVID-19 on child immunization: evidence from Ghana
    Durizzo, Kathrin
    Awoonor-Williams, Koku
    Harttgen, Kenneth
    Gunther, Isabel
    BMC PUBLIC HEALTH, 2024, 24 (01)
  • [5] Reporting immunization coverage inequalities in Pakistan
    Bergen, Nicole
    Zhu, Grace
    Kirkby, Katherine
    EASTERN MEDITERRANEAN HEALTH JOURNAL, 2021, 27 (01) : 83 - 89
  • [6] Inequities in Childhood Vaccination Coverage in Zhejiang, Province: Evidence from a Decomposition Analysis on Two-Round Surveys
    Hu, Yu
    Liang, Hui
    Wang, Ying
    Chen, Yaping
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (09)
  • [7] Multidimensional Child Poverty in Ghana: Measurements, Determinants, and Inequalities
    Frank Agyire-Tettey
    Derek Asuman
    Charles Godfred Ackah
    Antoinette Tsiboe-Darko
    Child Indicators Research, 2021, 14 : 957 - 979
  • [8] Multidimensional Child Poverty in Ghana: Measurements, Determinants, and Inequalities
    Agyire-Tettey, Frank
    Asuman, Derek
    Ackah, Charles Godfred
    Tsiboe-Darko, Antoinette
    CHILD INDICATORS RESEARCH, 2021, 14 (03) : 957 - 979
  • [9] Inequalities in the prevalence of full immunization coverage among one-year-olds in Ghana, 1993-2014
    Budu, Eugene
    Ahinkorah, Bright Opoku
    Okyere, Joshua
    Seidu, Abdul-Aziz
    Duah, Henry Ofori
    VACCINE, 2022, 40 (26) : 3614 - 3620
  • [10] Social determinants of inequalities in child undernutrition in Bangladesh: A decomposition analysis
    Huda, Tanvir M.
    Hayes, Alison
    El Arifeen, Shams
    Dibley, Michael J.
    MATERNAL AND CHILD NUTRITION, 2018, 14 (01)