Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
AbstractThere is little research on state-level differences in child health outcomes in India. The aim of this study was to identify state-level characteristics that relate to childhood immunizations. Most state-level characteristics came from the 2011 Indian Census. Individual-level data and other state-level characteristics were obtained from the 2007–2008 District Level Household and Facility Survey. Predictors of full vaccination were assessed with logistic regression models. Among 86,882 children 12–36 months, 53.2% were fully vaccinated. Children living in bigger households (≥7 members), born in non-institutional settings, and female had lower odds of complete vaccination. Individuals living in states in the mid-range of poverty had lower odds of full vaccination compared to those in lower or higher poverty states (3rd vs. 1st quintile: odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.30, 0.42). Greater average population per primary health center was associated with decreased odds of full vaccination (5th vs. 1st quintile: OR: 0.37, 95% CI: 0.30, 0.47). Vaccination coverage in India can be explained by a complex interplay of individual- and state-level factors. Solutions to increasing vaccination must be multisectoral and acknowledge the cultural and socio-economic diversity that influences an individual child’s vaccination coverage along with within-state disparities. View Full-Text
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Shrivastwa, N.; Wagner, A.L.; Boulton, M.L. Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India. Vaccines 2019, 7, 24.
Shrivastwa N, Wagner AL, Boulton ML. Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India. Vaccines. 2019; 7(1):24.Chicago/Turabian Style
Shrivastwa, Nijika; Wagner, Abram L.; Boulton, Matthew L. 2019. "Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India." Vaccines 7, no. 1: 24.
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