Wealth-based inequity in full child vaccination coverage: An experience from Mali, Bangladesh, and South Africa. A multilevel poison regression.

Birhanu, F; Yitbarek, K

Wealth-based inequity in full child vaccination coverage: An experience from Mali, Bangladesh, and South Africa. A multilevel poison regression.

Birhanu, F Yitbarek, K

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Publisher:: Public Library of Science (PLoS)
Publication Type:: Journal Article
Citation:: PLoS One, 2023, 18, (12), pp. e0293522
Issue Date:: 2023

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Field	Value	Language
dc.contributor.author	Birhanu, F
dc.contributor.author	Yitbarek, K
dc.contributor.editor	Hossain, MM
dc.date.accessioned	2024-01-19T05:14:39Z
dc.date.available	2023-10-15
dc.date.available	2024-01-19T05:14:39Z
dc.date.issued	2023
dc.identifier.citation	PLoS One, 2023, 18, (12), pp. e0293522
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/174806
dc.description.abstract	OBJECTIVES: Every child around the globe should get routine childhood vaccination, which is mostly affected by the country's economic capacity besides the socioeconomic differences. However, how well countries with different economic capacities address equitable child vaccination remains unanswered. METHODS: Cross-sectional data from the latest Demographic and Health Survey (DHS) database of Mali, Bangladesh, and South Africa was used for this study. The dependent variable was full child vaccination, and wealth-based inequality was assessed using rate-ratio, concentration curve, and concentration index. A multilevel Poisson regression analysis was used to determine the predictors of inequalities. A risk ratio (RR) with a p-value of 0.05 was used to declare statistical significance. All analysis was weighted. RESULTS: Full child vaccination status was 30.15%, 62.18%, and 46.94% in Mali, Bangladesh, and South Africa respectively. Even if the disparity is higher in Mali, the full vaccination favors the better-off family both in Mali, and Bangladesh respectively [CInd: 0.05, 95% CI: 0.01, 0.09], [CInd: 0.02, 95% CI: 0.001, 0.03], wealth status did not have an effect in South Africa. The multilevel poison regression indicated maternal age, occupation, wealth of household, and frequency of watching television to positively affect full vaccination, whereas the number of children in the house negatively affected full vaccination. CONCLUSION: Wealth-based inequality in child vaccination was higher in Mali followed by Bangladesh. There was no observable significant equity gap in South Africa. Wealth status, maternal occupation, maternal age, frequency of watching television, and number of children were predictors of full child vaccination.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Public Library of Science (PLoS)
dc.relation.ispartof	PLoS One
dc.relation.isbasedon	10.1371/journal.pone.0293522
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.subject.mesh	Child
dc.subject.mesh	Humans
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Mali
dc.subject.mesh	South Africa
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Bangladesh
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Vaccination
dc.subject.mesh	Humans
dc.subject.mesh	Vaccination
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Child
dc.subject.mesh	South Africa
dc.subject.mesh	Mali
dc.subject.mesh	Bangladesh
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Child
dc.subject.mesh	Humans
dc.subject.mesh	Vaccination Coverage
dc.subject.mesh	Mali
dc.subject.mesh	South Africa
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Bangladesh
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Vaccination
dc.title	Wealth-based inequity in full child vaccination coverage: An experience from Mali, Bangladesh, and South Africa. A multilevel poison regression.
dc.type	Journal Article
utslib.citation.volume	18
utslib.location.activity	United States
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-01-19T05:14:37Z
pubs.issue	12
pubs.publication-status	Published online
pubs.volume	18
utslib.citation.issue	12

Abstract:

OBJECTIVES: Every child around the globe should get routine childhood vaccination, which is mostly affected by the country's economic capacity besides the socioeconomic differences. However, how well countries with different economic capacities address equitable child vaccination remains unanswered. METHODS: Cross-sectional data from the latest Demographic and Health Survey (DHS) database of Mali, Bangladesh, and South Africa was used for this study. The dependent variable was full child vaccination, and wealth-based inequality was assessed using rate-ratio, concentration curve, and concentration index. A multilevel Poisson regression analysis was used to determine the predictors of inequalities. A risk ratio (RR) with a p-value of 0.05 was used to declare statistical significance. All analysis was weighted. RESULTS: Full child vaccination status was 30.15%, 62.18%, and 46.94% in Mali, Bangladesh, and South Africa respectively. Even if the disparity is higher in Mali, the full vaccination favors the better-off family both in Mali, and Bangladesh respectively [CInd: 0.05, 95% CI: 0.01, 0.09], [CInd: 0.02, 95% CI: 0.001, 0.03], wealth status did not have an effect in South Africa. The multilevel poison regression indicated maternal age, occupation, wealth of household, and frequency of watching television to positively affect full vaccination, whereas the number of children in the house negatively affected full vaccination. CONCLUSION: Wealth-based inequality in child vaccination was higher in Mali followed by Bangladesh. There was no observable significant equity gap in South Africa. Wealth status, maternal occupation, maternal age, frequency of watching television, and number of children were predictors of full child vaccination.

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http://hdl.handle.net/10453/174806