Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis

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dc.contributor.authorAsuman, D.
dc.contributor.authorAckah, C.G.
dc.contributor.authorEnemark, U.
dc.date.accessioned2018-09-05T13:23:50Z
dc.date.available2018-09-05T13:23:50Z
dc.date.issued2018
dc.description.abstractChildhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Using data from the recent two waves of the Ghana Demographic and Health Survey, we examine the probability that a child between 12 and 59 months receives the required vaccinations and proceed to decompose the sources of inequalities in the probability of full immunization between rural and urban areas. We find significant child-specific, maternal and household characteristics on a child’s immunization status. The results show that children in rural areas are more likely to complete the required vaccinations. The direction and sources of inequalities in child immunizations have changed between the two survey waves. We find a pro-urban advantage in 2008 arising from differences in observed characteristics whilst a pro-rural advantage emerges in 2014 dominated by the differences in coefficients. Health system development and campaign efforts have focused on rural areas. There is a need to also specifically target vulnerable children in urban areas, to maintain focus on women empowerment and pay attention to children from high socio-economic households in less favourable economic times. © 2018, The Author(s).en_US
dc.identifier.otherdoi:10.1186/s13561-018-0193-7
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/23962
dc.language.isoenen_US
dc.publisherSpringer Verlagen_US
dc.subjectChildhooden_US
dc.subjectDecompositionen_US
dc.subjectGhanaen_US
dc.subjectHealth inequalityen_US
dc.subjectImmunization coverageen_US
dc.subjectRural-urbanen_US
dc.subjectVaccinationen_US
dc.titleInequalities in child immunization coverage in Ghana: evidence from a decomposition analysisen_US
dc.typeArticleen_US

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