Intersectional inequalities in immunization in India, 1992-93 to 2005-06: a progress assessment
Intersectional inequalities in immunization in India, 1992-93 to 2005-06: a progress assessment
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DOI：
10.1093/heapol/czu023
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发表时间：
2015-05-01
影响因子：
3.2
通讯作者：
Joe, William
中科院分区：
文献类型：
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作者：
Joe, William
印度的免疫接种在性别、种姓、财富和居住地方面存在明显差异，弱势群体在一个以上方面严重不足。在这方面，明确认识到交叉性和交叉不平等具有两方面的意义：一是健康不平等的途径，二是其对进步的阻碍作用，特别是在更高（更好）的健康水平上。在此背景下，本研究探讨了印度免疫接种中的交叉不平等，并提出了一种水平敏感的进展评估方法。本研究使用基尼系数的群组类比来突显部门间不平等的程度，并了解其与免疫水平的关系。调查结果揭示了弱势交叉群体的困境，并提请注意农村地区在册种姓和部落女性儿童令人不安的短缺。还有一些证据表明，农村男性在免疫接种方面发挥了杠杆作用，而且还可以进一步看出，这种性别优势在农村非在册种姓和在册种姓群体中比在农村在册种姓和在册种姓群体中更大。最后，研究报告呼吁进行密集的免疫规划，以提高农村和城市地区脆弱社区的免疫覆盖率。
Immunization in India is marked with stark disparities across gender, caste, wealth and place of residence with severe shortfalls among those disadvantaged in more than one dimension. In this regard, an explicit recognition of intersectionality and intersectional inequalities has 2-fold relevance; one, being the pathway of health inequality and the other being its role as a deterrent of progress particularly at higher (better) levels of health. Against this backdrop, this study examines intersectional inequalities in immunization in India and also suggests a level-sensitive progress assessment method. The study uses group analogue of Gini coefficient for highlighting the magnitude of intersectional inequality and for comprehending its association with immunization level. The results unravel the plight of vulnerable intersectional groups and draw attention to disquieting shortfalls among female SCST (scheduled castes and tribes) children from rural areas. There is also some evidence to indicate leveraging among rural males in matters of immunization and it is further discerned that such gender advantage is greater among rural non-SCST community than the rural SCST group. In concluding, the study calls for intensive immunization planning to improve coverage among vulnerable communities in both rural and urban areas.