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Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin
BACKGROUND AND AIMS: Childhood vaccination remains a cost‐effective strategy that has expedited the control and elimination of numerous diseases. Although coverage of new vaccines in low‐ and middle‐income countries increased exponentially in the last two decades, progress on expanding routine vacci...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117389/ https://www.ncbi.nlm.nih.gov/pubmed/37091357 http://dx.doi.org/10.1002/hsr2.1198 |
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author | Budu, Eugene Ahinkorah, Bright O. Guets, Wilfried Ameyaw, Edward K. Essuman, Mainprice A. Yaya, Sanni |
author_facet | Budu, Eugene Ahinkorah, Bright O. Guets, Wilfried Ameyaw, Edward K. Essuman, Mainprice A. Yaya, Sanni |
author_sort | Budu, Eugene |
collection | PubMed |
description | BACKGROUND AND AIMS: Childhood vaccination remains a cost‐effective strategy that has expedited the control and elimination of numerous diseases. Although coverage of new vaccines in low‐ and middle‐income countries increased exponentially in the last two decades, progress on expanding routine vaccination services to reach all children remains low, and coverage levels in many countries remains inadequate. This study aimed to examine the pattern of wealth and residence‐based related inequality in vaccination coverage through an equity lens. METHODS: We used data from the 2017−2018 Benin Demographic and Health Survey. Statistical and econometrics modeling were used to investigate factors associated with childhood vaccination. The Wagstaff decomposition analysis was used to disentangle the concentration index. RESULTS: A total of 1993 children were included, with 17% in the wealthiest quintile and 63% were living in rural areas. Findings showed that wealth is positively and significantly associated with vaccination coverage, particularly, for middle‐wealth households. A secondary or higher education level of women and partners increased the odds of vaccination compared to no education (p < 0.05). Women with more antenatal care visits, with multiple births, attending postnatal care and delivery in a health facility had increased vaccination coverage (p < 0.01). Inequalities in vaccination coverage are more prominent in rural areas; and are explained by wealth, education, and antenatal care visits. CONCLUSION: Inequality in child vaccination varies according to socioeconomic and sociodemographic characteristics and is of interest to health policy. To mitigate inequalities in child vaccination coverage, policymakers should strengthen the availability and accessibility of vaccination and implement educational programs dedicated to vulnerable groups in rural areas. |
format | Online Article Text |
id | pubmed-10117389 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101173892023-04-21 Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin Budu, Eugene Ahinkorah, Bright O. Guets, Wilfried Ameyaw, Edward K. Essuman, Mainprice A. Yaya, Sanni Health Sci Rep Original Research BACKGROUND AND AIMS: Childhood vaccination remains a cost‐effective strategy that has expedited the control and elimination of numerous diseases. Although coverage of new vaccines in low‐ and middle‐income countries increased exponentially in the last two decades, progress on expanding routine vaccination services to reach all children remains low, and coverage levels in many countries remains inadequate. This study aimed to examine the pattern of wealth and residence‐based related inequality in vaccination coverage through an equity lens. METHODS: We used data from the 2017−2018 Benin Demographic and Health Survey. Statistical and econometrics modeling were used to investigate factors associated with childhood vaccination. The Wagstaff decomposition analysis was used to disentangle the concentration index. RESULTS: A total of 1993 children were included, with 17% in the wealthiest quintile and 63% were living in rural areas. Findings showed that wealth is positively and significantly associated with vaccination coverage, particularly, for middle‐wealth households. A secondary or higher education level of women and partners increased the odds of vaccination compared to no education (p < 0.05). Women with more antenatal care visits, with multiple births, attending postnatal care and delivery in a health facility had increased vaccination coverage (p < 0.01). Inequalities in vaccination coverage are more prominent in rural areas; and are explained by wealth, education, and antenatal care visits. CONCLUSION: Inequality in child vaccination varies according to socioeconomic and sociodemographic characteristics and is of interest to health policy. To mitigate inequalities in child vaccination coverage, policymakers should strengthen the availability and accessibility of vaccination and implement educational programs dedicated to vulnerable groups in rural areas. John Wiley and Sons Inc. 2023-04-20 /pmc/articles/PMC10117389/ /pubmed/37091357 http://dx.doi.org/10.1002/hsr2.1198 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Research Budu, Eugene Ahinkorah, Bright O. Guets, Wilfried Ameyaw, Edward K. Essuman, Mainprice A. Yaya, Sanni Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title | Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title_full | Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title_fullStr | Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title_full_unstemmed | Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title_short | Socioeconomic and residence‐based related inequality in childhood vaccination in Sub‐Saharan Africa: Evidence from Benin |
title_sort | socioeconomic and residence‐based related inequality in childhood vaccination in sub‐saharan africa: evidence from benin |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117389/ https://www.ncbi.nlm.nih.gov/pubmed/37091357 http://dx.doi.org/10.1002/hsr2.1198 |
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