OBJECTIVES: This paper asks whether intensive outreach services can eliminate socioeconomic differentials in vaccine coverage. METHODS: In 1990, the Matlab Maternal and Child Health/Family Planning Project (MCH-FP) surveyed 4238 respondents in an intervention area that received outreach and 3708 respondents in a comparison area in rural Bangladesh. Interacted multiple regression methods assessed the degree to which various socioeconomic indicators predicted the probability of vaccine receipt in each area. RESULTS: Low parental schooling, small dwelling size and female gender were significantly associated with incomplete vaccination in the comparison area, where only the limited government services existed. Residence in the MCH-FP outreach area greatly reduced, and in some cases eliminated, the effects of these socioeconomic barriers to vaccine receipt. CONCLUSIONS: Public health programmes utilizing outreach can reduce prevailing gender and socioeconomic differentials in vaccine receipt.
OBJECTIVES: This paper asks whether intensive outreach services can eliminate socioeconomic differentials in vaccine coverage. METHODS: In 1990, the Matlab Maternal and Child Health/Family Planning Project (MCH-FP) surveyed 4238 respondents in an intervention area that received outreach and 3708 respondents in a comparison area in rural Bangladesh. Interacted multiple regression methods assessed the degree to which various socioeconomic indicators predicted the probability of vaccine receipt in each area. RESULTS: Low parental schooling, small dwelling size and female gender were significantly associated with incomplete vaccination in the comparison area, where only the limited government services existed. Residence in the MCH-FP outreach area greatly reduced, and in some cases eliminated, the effects of these socioeconomic barriers to vaccine receipt. CONCLUSIONS: Public health programmes utilizing outreach can reduce prevailing gender and socioeconomic differentials in vaccine receipt.
Authors: Angela Oyo-Ita; Charles S Wiysonge; Chioma Oringanje; Chukwuemeka E Nwachukwu; Olabisi Oduwole; Martin M Meremikwu Journal: Cochrane Database Syst Rev Date: 2016-07-10
Authors: Steven Mitchell; Neil Andersson; Noor Mohammad Ansari; Khalid Omer; José Legorreta Soberanis; Anne Cockcroft Journal: BMC Int Health Hum Rights Date: 2009-10-14
Authors: Jennifer A Callaghan-Koru; Bareng A S Nonyane; Tanya Guenther; Deborah Sitrin; Reuben Ligowe; Emmanuel Chimbalanga; Evelyn Zimba; Fannie Kachale; Rashed Shah; Abdullah H Baqui Journal: BMC Public Health Date: 2013-11-07 Impact factor: 3.295
Authors: Cynthia Sau Ting Wu; Enid Wai Yung Kwong; Ho Ting Wong; Suet Hang Lo; Anthony Siu Wo Wong Journal: Int J Environ Res Public Health Date: 2014-02-14 Impact factor: 3.390