What's in a country average? Wealth, gender, and regional inequalities in immunization in India

Pande, Rohini; Yazbeck, Abdo S.

doi:10.1016/s0277-9536(03)00085-6

Cited by 142 publications

(130 citation statements)

References 13 publications

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“…The data seems to indicate a successful effort in addressing complete system failure that is captured by the no immunization variable, but an expanding partial failure of continuity of services that is reflected in the increasing population of children with only partial immunization. 14 The distributional analysis using the concentration index as in Pande and Yazbeck (2003) shows a decrease in wealth-based inequality in urban but not rural areas. More revealing than the concentration index, Wagstaff's extended achievement index applied to immunization allows us to pinpoint whether the gains over the six-year period were more or less equally distributed across wealth quintiles.…”

Section: Summary Of Findings and Conclusionmentioning

confidence: 99%

“…Indeed, we find that the gender gap decreases, disappears, or even reverses when looking at cases of complete system failure but holds steady or increases for full immunization. Pande and Yazbeck (2003) showed the importance of looking beyond national averages in the case of India. The state level findings summarized here confirm a strong and continuing heterogeneity between states and the persistence of a North/South divide, especially when looking at full immunization.…”

Section: Summary Of Findings and Conclusionmentioning

confidence: 99%

“…The situation in 1992/3, as described in Pande and Yazbeck (2003), was mostly dismal with 70 percent of children aged 12-60 months in rural areas still not fully immunized and close to 40 percent with no immunization at all. Even in urban areas, only about half of the children were fully immunized and close to 20 percent had not received any immunization.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immunization in india 1993–1999: Wealth, gender, and regional inequalities revisited

Gaudin

Yazbeck

2006

Social Science & Medicine

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Section: Summary Of Findings and Conclusionmentioning

confidence: 99%

Section: Summary Of Findings and Conclusionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immunization in india 1993–1999: Wealth, gender, and regional inequalities revisited

Gaudin

Yazbeck

2006

Social Science & Medicine

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“…Evidence about the inequalities in vaccination practices exist even though Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Mangalore, India childhood immunization has been an important part of maternal and child health services since the 1940s. 1 In 2010 it was estimated that 1.7 million children died from vaccine preventable diseases. 2 It was also noted that 19.3 million children had been incompletely vaccinated, leaving them susceptible to vaccine preventable disease mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Mangalore, India

et al. 2014

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Objective: Vaccination is a cost-effective intervention to prevent major illnesses that contribute to child mortality in the country. Increase in parental knowledge about vaccination will lead to increase in vaccination rates of children The main aim of our study was to assess the Knowledge (K), attitudes (A) and perceptions (KAP) of mothers with children under five years of age about vaccination.We also compared the KAP data between urban and rural setup. Methodology: This cross sectional descriptive study was conducted on mothers attending the Urban Health Centre (in Mangalore city) and on mothers attending a Peripheral Health Centre (Bengre, outskirts of Mangalore) havingchildren under five years of ageA semi structured pre validated questionnaire designed to assess the Knowledge, Attitudes and Perceptions about vaccination was administered to mothers attending the Urban Health Centre and on mothers attending a Peripheral Health Centre havingchildren under five years of age. Results: Among the study participants, 74 were from urban setup and 126 from rural set up. Around 8 (10.8%) from urban area and 78(61.9%) from rural area were illiterate. Mothers were the main decision makers regarding vaccination of the child in both urban and rural setup. The main source of information regarding vaccination differed among urban and rural setup, being the hospital and the anganwadi worker respectively. There was a statistically significant difference between urban and rural mothers when it was asked whether they knew why vaccination was important. A majority of the mothers both in the urban and rural areas believed that vaccines were safe. Among the urban mothers 90.5% and 62.7% of mother from rural were able to identify polio as a vaccine preventable disease.On a net analysis, 64(86.5%) mothers in the urban area and only 64 (50.8%) mothers in the rural areamothers found to have favourable knowledge, attitudes, perceptions and practices towards vaccination. Conclusion: A significant number of mothers in rural areas were unaware about the vaccination and its implications. Even in the urban areas we found significant lacunae in the KAP of mothers towards childhood vaccination.

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“…Even when treatment is sought, significantly smaller sums of money are spent on treatment of women than on men [2]. Gender discrimination exists in child feeding, health care, and nutrition status in India [3][4][5][6][7][8][9], and other South Asian countries [10,11].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Self Help Groups on Access to Maternal Health Services: Evidence from Rural India

Saha

Annear²,

Pathak

2013

SSRN Journal

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Introduction: The main challenge for achieving universal health coverage in India is ensuring effective coverage of poor and vulnerable communities in the face of high levels of income and gender inequity in access to health care. Drawing on the social capital generated through women's participation in community organizations like SHGs can influence health outcomes. To date, evidence about the impact of SHGs on health outcomes has been derived from pilot-level interventions, some using randomised controlled trials and other rigorous methods. While the evidence from these studies is convincing, our study is the first to analyse the impact of SHGs at national level. Methods: We analyzed the entire dataset from the third national District Level Household Survey from 601 districts in India to assess the impact of the presence of SHGs on maternal health service uptake. The primary predictor variable was presence of a SHG in the village. The outcome variables were: institutional delivery; feeding new-borns colostrum; knowledge about family planning methods; and ever used family planning. We controlled for respondent education, wealth, heard or seen health messages, availability of health facilities and the existence of a village health and sanitation committee.

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What's in a country average? Wealth, gender, and regional inequalities in immunization in India

Cited by 142 publications

References 13 publications

Immunization in india 1993–1999: Wealth, gender, and regional inequalities revisited

Immunization in india 1993–1999: Wealth, gender, and regional inequalities revisited

Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Mangalore, India

The Effect of Self Help Groups on Access to Maternal Health Services: Evidence from Rural India

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