Childhood Immunization and Access to Health Care: Evidence From Nepal
Childhood Immunization and Access to Health Care: Evidence From Nepal
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DOI：
10.1177/1010539515626268
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发表时间：
2016-03-01
影响因子：
2.5
通讯作者：
Panda, Bibhudutta
中科院分区：
文献类型：
--
作者：
Devkota, Satis;Panda, Bibhudutta
本文利用2004年和2011年尼泊尔生活水平衡量调查的数据，从旅行时间的角度，研究了尼泊尔儿童接种疫苗对卫生保健中心的影响。我们采用概率单位和工具变量概率单位估计方法来估计旅行时间对免疫概率的因果影响。结果表明，到最近的卫生院的旅行时间与免疫概率呈显著负相关（系数=-0.015，P < .05）。此外，旅行时间的影响在尼泊尔山区和丘陵地区的农村和偏远地区往往更大。结果表明，政策干预措施应增加农村移动的诊所的数量，并提供有条件的现金转移，以激励家庭层面的免疫覆盖率。此外，家庭收入、父母教育程度、种族和家庭所在地也成为尼泊尔免疫接种的重要决定因素。
This article examines the effect of access to health care center, in terms of travel time, on childhood immunization in Nepal using the 2004 and 2011 waves of the Nepal Living Standards Measurement Surveys. We employ probit and instrumental variable probit estimation methods to estimate the causal effect of travel time on the probability of immunization. Results indicate that travel time to the nearest health center displays a significant negative association with the probability of immunization (coefficient = -0.015, P < .05). Furthermore, the effect of travel time tends to be stronger in rural and distant areas of Nepal's mountain and hill regions. The results suggest that policy interventions should increase the number of mobile clinics in rural villages and provide conditional cash transfer to incentivize immunization coverage at the household level. In addition, household income, parental education, ethnicity, and household location emerge as important determinants of immunization in Nepal.