Perplexing condition of child full immunisation in economically better off Gujarat in India: An assessment of associated factors.
Perplexing condition of child full immunisation in economically better off Gujarat in India: An assessment of associated factors.
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印度经济状况较好的古吉拉特邦儿童全面免疫的令人困惑的状况：相关因素的评估。
DOI：
10.1016/j.vaccine.2020.06.041
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发表时间：
2020
期刊：
影响因子：
5.5
通讯作者：
Goli S
中科院分区：
文献类型：
--
作者：
Goli S
背景尽管在过去十年中印度的儿童完全免疫（CFI）取得了不错的进展，但令人惊讶的是，经济较发达的古吉拉特邦的CFI覆盖率（50%）在全国排名第二，低于经济欠发达的邦，如比哈尔邦（62%）。此外，古吉拉特邦未接种疫苗的儿童比例从2005年的5%上升到2016年的9%。本文探讨了与低水平的CFI覆盖率在Gujarat.MethodsThe研究使用了两种类型的数据集：（1）从7730名12-23个月的儿童和他们的母亲从全国家庭健康调查（NFHS 2015-16）古吉拉特邦第四轮的免疫接种的信息。(2)从多个来源编制了关于CFI的供应和需求方面因素的宏观（地区）数据。采用二元和多元线性和逻辑回归技术，以确定与CFI coverage.ResultsIn古吉拉特邦，在2015-2016年，50%的12-23个月的儿童没有得到充分的免疫接种相关的因素。母亲持有母婴保护卡（MCP）的儿童（OR：1.97，95% CI 1.48-2.60）和母亲接受“高”孕产妇保健服务利用率（OR：1.59，95% CI 1.10-2.26）的儿童接受CFI的几率高于其对应人群。最富有的家庭接受CFI的可能性比贫困家庭高出约三倍（OR：6.50，95% CI 3.75-11.55）。宏观层面的分析表明，贫困，孕产妇保健，和高阶出生的定义因素的CFI覆盖率在Gujarat.ConclusionsIn顺序的重要性，专注于贫困，经济不平等，怀孕登记，孕产妇保健服务的利用率可能会提高接受CFI摄取在古吉拉特邦。城市地区和非在册部落在初级保健保险覆盖面方面的不利地位需要进一步调查。
BackgroundDespite decent progress in Children Full Immunisation (CFI) in India during the last decade, surprisingly, Gujarat, an economically more developed state, had the second-lowest coverage of CFI (50%) in the country, lower than economically less developed states such as Bihar (62%). Further, the proportion of children with no immunisation in Gujarat has risen from 5% in 2005 to 9% in 2016. This paper investigated factors associated with the low level of CFI coverage in Gujarat.MethodsThe study used two types of datasets: (1) the information on immunisation from 7730 children aged 12–23 months and their mothers from the fourth round of the Gujarat chapter of National Family Health Survey (NFHS 2015–16). (2) A macro (district) level data on both supply and demand-side factors of CFI are compiled from multiple sources. Bivariate and multivariate linear and logistic regression techniques were employed to identify the factors associated with CFI coverage.ResultsIn Gujarat, during 2015–2016, 50% of children aged 12–23 months did not receive full immunisation. The odds of receiving CFI was higher among children whose mothers had a Maternal and Child Protection (MCP) card (OR: 1.97, 95% CI 1.48–2.60) and those who received “high” maternal health services utilisation (OR: 1.59, 95% CI 1.10–2.26) compared to their counterparts. The odds of receiving CFI was about three times higher among the richest households (OR: 6.50, 95% CI 3.75–11.55) compared to their counterparts in the poorer households. Macro-level analyses suggest that poverty, maternal health care, and higher-order births are defining factors of CFI coverage in Gujarat.ConclusionsIn order of importance, focusing on poverty, economic inequalities, pregnancy registration, and maternal health care services utilisation are likely to improve receiving CFI uptake in Gujarat. The disadvantageous position of urban areas and non-scheduled tribes in CFI coverage needs further investigation.
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影响因子：
8.7
作者：
Montgomery JP;Ganguly P;Carlson BF;Shrivastwa N;Boulton ML
通讯作者：
Boulton ML
DOI：
10.1016/j.ijgo.2009.09.008
发表时间：
2009-12-01
影响因子：
3.8
作者：
Mavalankar, Dileep;Singh, Amarjit;Singh, Prabal V.
通讯作者：
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影响因子：
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作者：
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影响因子：
4.5
作者：
Mbengue MAS;Sarr M;Faye A;Badiane O;Camara FBN;Mboup S;Dieye TN
通讯作者：
Dieye TN
影响因子：
4.5
作者：
Lakew Y;Bekele A;Biadgilign S
通讯作者：
Biadgilign S