Cargando…

Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis

(1) Background: The empowerment of women contributes to better child health and wellness. This study aimed to examine the association between women’s empowerment and complete vaccination of children, as recommended in the National Expanded Program on Immunization (EPI) in the Democratic Republic of...

Descripción completa

Detalles Bibliográficos
Autores principales: Lu, Xinran, Fu, Chuchu, Wang, Qianyun, He, Qiwei, Hee, Jiayi, Takesue, Rie, Tang, Kun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540931/
https://www.ncbi.nlm.nih.gov/pubmed/34696225
http://dx.doi.org/10.3390/vaccines9101117
_version_ 1784589106327584768
author Lu, Xinran
Fu, Chuchu
Wang, Qianyun
He, Qiwei
Hee, Jiayi
Takesue, Rie
Tang, Kun
author_facet Lu, Xinran
Fu, Chuchu
Wang, Qianyun
He, Qiwei
Hee, Jiayi
Takesue, Rie
Tang, Kun
author_sort Lu, Xinran
collection PubMed
description (1) Background: The empowerment of women contributes to better child health and wellness. This study aimed to examine the association between women’s empowerment and complete vaccination of children, as recommended in the National Expanded Program on Immunization (EPI) in the Democratic Republic of the Congo (DRC). (2) Methods: In this cross-sectional study, a principal component analysis (PCA) was conducted on data from the Multiple-Indicator Cluster Survey 6 (MICS-6) to determine the dimensions of women’s empowerment. Logistic regression analysis was used to assess the association between women’s empowerment and complete vaccination of children stratified by household wealth. In total, 3524 women with children aged 12–23 months were included in the study. (3) Results: Women’s empowerment was defined by three dimensions, namely intrinsic agency, enabling resources, and social independence. Children of women with high levels of empowerment had higher odds of complete vaccination, with values of 1.63 (p = 0.002) and 1.59 (p = 0.012) for intrinsic agency and enabling resources of the empowerment, respectively, compared to the children of women with low levels of empowerment; however, social independence failed to be associated with the vaccination status of children. After stratification by household wealth, the OR of complete vaccination was higher in women from middle-income households with high levels of intrinsic agency (OR: 2.35, p = 0.021) compared to women from poor households with high levels of intrinsic agency (OR: 1.92, p = 0.004). (4) Conclusions: Higher levels of women’s empowerment, especially intrinsic agency and enabling resources, were associated with complete vaccination in children in the DRC. Household wealth status influenced the associations. The empowerment of women is crucial in promoting the complete vaccination of children and providing equal access to vaccines.
format Online
Article
Text
id pubmed-8540931
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-85409312021-10-24 Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis Lu, Xinran Fu, Chuchu Wang, Qianyun He, Qiwei Hee, Jiayi Takesue, Rie Tang, Kun Vaccines (Basel) Article (1) Background: The empowerment of women contributes to better child health and wellness. This study aimed to examine the association between women’s empowerment and complete vaccination of children, as recommended in the National Expanded Program on Immunization (EPI) in the Democratic Republic of the Congo (DRC). (2) Methods: In this cross-sectional study, a principal component analysis (PCA) was conducted on data from the Multiple-Indicator Cluster Survey 6 (MICS-6) to determine the dimensions of women’s empowerment. Logistic regression analysis was used to assess the association between women’s empowerment and complete vaccination of children stratified by household wealth. In total, 3524 women with children aged 12–23 months were included in the study. (3) Results: Women’s empowerment was defined by three dimensions, namely intrinsic agency, enabling resources, and social independence. Children of women with high levels of empowerment had higher odds of complete vaccination, with values of 1.63 (p = 0.002) and 1.59 (p = 0.012) for intrinsic agency and enabling resources of the empowerment, respectively, compared to the children of women with low levels of empowerment; however, social independence failed to be associated with the vaccination status of children. After stratification by household wealth, the OR of complete vaccination was higher in women from middle-income households with high levels of intrinsic agency (OR: 2.35, p = 0.021) compared to women from poor households with high levels of intrinsic agency (OR: 1.92, p = 0.004). (4) Conclusions: Higher levels of women’s empowerment, especially intrinsic agency and enabling resources, were associated with complete vaccination in children in the DRC. Household wealth status influenced the associations. The empowerment of women is crucial in promoting the complete vaccination of children and providing equal access to vaccines. MDPI 2021-10-01 /pmc/articles/PMC8540931/ /pubmed/34696225 http://dx.doi.org/10.3390/vaccines9101117 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lu, Xinran
Fu, Chuchu
Wang, Qianyun
He, Qiwei
Hee, Jiayi
Takesue, Rie
Tang, Kun
Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title_full Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title_fullStr Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title_full_unstemmed Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title_short Women’s Empowerment and Children’s Complete Vaccination in the Democratic Republic of the Congo: A Cross-Sectional Analysis
title_sort women’s empowerment and children’s complete vaccination in the democratic republic of the congo: a cross-sectional analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8540931/
https://www.ncbi.nlm.nih.gov/pubmed/34696225
http://dx.doi.org/10.3390/vaccines9101117
work_keys_str_mv AT luxinran womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT fuchuchu womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT wangqianyun womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT heqiwei womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT heejiayi womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT takesuerie womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis
AT tangkun womensempowermentandchildrenscompletevaccinationinthedemocraticrepublicofthecongoacrosssectionalanalysis