Risk Factors for Delay in Age-Appropriate Vaccination

Dombkowski, Kevin J.; Lantz, Paula M.; Freed, Gary L.

doi:10.1177/003335490411900207

Cited by 85 publications

(74 citation statements)

References 21 publications

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“…While a number of studies have examined the socio-economic factors influencing the probability of being vaccinated, important temporal, cultural, health-system, and socio-economic factors influencing the timing of measles vaccination coverage remain under-researched. The very few studies that have explored vaccination timing have focused on delays in vaccination, a major reason for measlesrelated mortality (Dombkowski et al 2004;Morris et al 2013). However, it is also critical to examine the role of premature vaccination, especially prior to 5 months of age, due to the possibility of reduced protection against measles at best, or greater susceptibility to all-cause mortality at worst.…”

Section: Introductionmentioning

confidence: 99%

Gender differentials in the timing of measles vaccination in rural India

Rammohan¹,

Awofeso²,

Iqbal³

2014

DemRes

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BACKGROUNDMeasles is a highly contagious but vaccine-preventable disease. Gender differences in measles vaccination outcomes have been widely reported in India. OBJECTIVEAn overlooked factor is whether female children are less likely to be vaccinated ageappropriately. METHODSIn this paper we use data from the nationally representative 2008 District Level Household Survey (DLHS) to analyse if there are any gender differences in the propensity to vaccinate a child for measles, and, among the vaccinated sample, whether there are any gender differences in the probability of age-appropriate measles vaccination. RESULTSOur analysis confirms that girls have both a significantly lower probability of being vaccinated and of being vaccinated age-appropriately.

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Section: Introductionmentioning

confidence: 99%

Gender differentials in the timing of measles vaccination in rural India

Rammohan¹,

Awofeso²,

Iqbal³

2014

DemRes

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“…Additionally, there is a very few socioeconomic studies to understand the barriers to receiving timely immunization dosage. However, those were done in developed countries (20,21).…”

Section: Introductionmentioning

confidence: 99%

Access and Barriers to Immunization in West Bengal, India: Quality Matters

Barman

Dutta

2014

J Health Popul Nutr

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performance (7). The maintenance of time schedule has been considered crucial proxy indicator of the quality of coverage of immunization (7-9). The other possible ways to look into the quality of immunization is to consider the availability of manpower, equipment, and drugs (10-12). The results of studies in Africa and Asia report that the quality of vaccination services still leaves much to be improved in developing countries (12). They found that the principal problems in maintaining the quality in vaccination process are as follows:• Inadequate supplies, particularly of vaccines, vaccination cards, registration materials, and other drugs• Lack of providing appropriate information on vaccines, vaccine-preventable diseases, and vaccination schedules in the vaccination sessions• Poor training facilities for health workers adversely affecting the frequency and regularity of vaccination sessions• Inaccuracies in the registration of vaccinations. Access and Barriers to Immunization in ABSTRACTWhile many studies attempted to evaluate performance of immunization programmes in developing countries by full coverage, there is a growing awareness about the limitations of such evaluation, irrespective of the overall quality of performance. Availability of human resources, equipment, supporting drugs, and training of personnel are considered to be crucial indicators of the quality of immunization programme. Also, maintenance of time schedule has been considered crucial in the context of the quality of immunization. In addition to overall coverage of vaccination, the coverage of immunization given at right time (month-specific) is to be considered with utmost importance. In this paper, District Level Household and Facility Survey-3 (DLHS-3) 2007-2008 data have been used in exploring the quality of immunization in terms of month-specific vaccine coverage and barriers to access in West Bengal, India. In West Bengal, the month-specific coverage stands badly below 20% but the simple non-month-specific coverage is as high as 75%. Among the demand-side factors, birthplace of the child and religion of the household heads came out as significant predictors while, from the supply-side, availability of male health workers and equipment at the subcentres, were the important determinants for month-specific vaccine coverage. Hence, there should be a vigorous attempt to make more focused planning, keeping in mind the nature of the barriers, for improvement of the month-specific coverage in West Bengal.

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“…This further increases the risk for infections for the individual and also from a public health perspective [6].…”

Section: Discussionmentioning

confidence: 99%