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Abstract
Factors such as education, caste, religion, and wealth index have been known to influence child immunization coverage in India. We are interested in understanding whether migration has any influence on these factors. Not many studies have analyzed migration as a factor for child immunization uptake in India. This paper is therefore attempts to understand the inequality in accessing different child vaccination coverage across migrants and non-migrants in India. The objective of this study to look at the immunization uptake among migrants children in different socio-economic groups in comparison to non-migrants children in India. Study used data from the National Family Health Survey, the fourth in the NFHS series which was conducted in 2015–2016. Logistic regression was done to compare migrants and non– migrants by the selected background characteristics. Further, decomposition analysis was employed to decompose the difference between migrant and non-migrant. Overall, migrants’ children have better vaccination coverage compared to non-migrant. Education and wealth index is found to be an important variables to explain the vaccination status between migrants and non-migrants. The age of the mother is also an important variable explaining the difference between migrant and non-migrant. Regression analysis suggests that migration among poor, SC/ST and non-literate groups might not improve vaccination compared to non-migrants in those groups. On the contrary, migration help in improving vaccination of children in literate, other caste groups, and non-poor groups. The finding adds to the notion that migrants in literate, wealthy, non-SC/ST groups will be better positioned to improve their health. A focused approach to improving immunization for the low socio-economic vulnerable groups can be useful in improving immunization among children in India.
Published Version
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