Abstract
A previous study in Ethiopia reported significant variation in rotavirus vaccine uptake across socioeconomic strata. This study aims to quantify socioeconomic inequality of rotavirus vaccine uptake in Ethiopia and to identify the contributing factors for the inequality. The concentration curve (CC) and the Erreygers Normalized Concentration Index (ECI) were used to assess the socioeconomic related inequality in rotavirus vaccine uptake using data from the 2016 Ethiopian Demographic and Health Survey. Decomposition analysis was conducted to identify the drivers of inequalities. The CC for rotavirus vaccine uptake lay below the line of equality and the ECI was 0.270 (p < 0.001) indicating that uptake of rotavirus vaccine in Ethiopia was significantly concentrated among children from families with better socioeconomic status. The decomposition analysis showed that underlining inequalities in maternal health care services utilization, including antenatal care use (18.4%) and institutional delivery (8.1%), exposure to media (12.8%), and maternal educational level (9.7%) were responsible for the majority of observed inequalities in the uptake of rotavirus vaccine. The findings suggested that there is significant socioeconomic inequality in rotavirus vaccine uptake in Ethiopia. Multi-sectoral actions are required to reduce the inequalities, inclusive increasing maternal health care services, and educational attainments among economically disadvantaged mothers.
Highlights
Vaccination is one of the most effective and efficient preventive health interventions worldwide [1].Currently, vaccination averts 2–3 million mortalities each year and is expected to play a role in attaining 14 of the 17 Sustainable Development Goals [2,3]
The aim of this study is to quantify the socioeconomic inequalities associated with the uptake of rotavirus vaccine in Ethiopia and to identify the factors contributing to inequalities
Taking into account the reduced effectiveness of the rotavirus vaccine in developing countries setting, we considered that only children who took the full schedule were fully immunized
Summary
Vaccination is one of the most effective and efficient preventive health interventions worldwide [1]. Vaccination averts 2–3 million mortalities each year and is expected to play a role in attaining 14 of the 17 Sustainable Development Goals [2,3]. Vaccine-preventable diseases still claim 1.5 million lives annually because of poor immunization coverage. Organization (WHO) estimated that around 20 million children missed basic vaccinations in 2017 and nearly 60% of these children reside in Afghanistan, Angola, the Democratic Republic of the Congo, Int. J. Res. Public Health 2020, 17, 2696; doi:10.3390/ijerph17082696 www.mdpi.com/journal/ijerph
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
