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Modeling the effects of immunizations timing on child health outcomes in India

Modeling the effects of immunizations timing on child health outcomes in India
Modeling the effects of immunizations timing on child health outcomes in India
Timely vaccinations of children in developing countries are important for reducing morbidity and mortality, which are Millennium Development Goals. However, a majority of children do not possess vaccination cards compiling information on timing. We investigated the benefits of vaccination cards for the uptake of immunizations against diphtheria, pertussis and tetanus (DPT), polio, tuberculosis (BCG), and measles using data on over 200,000 Indian children from the District Level Health and Facility Survey 3. Methodological issues such as whether parents of children with higher morbidity levels may have them vaccinated were investigated. The results from the models for DPT, polio, measles, and BCG vaccinations showed significant beneficial effects of maternal education, household possessions, and access to health care facilities. Moreover, models for children's ages at the time of vaccination showed significant interactions between maternal education and access to and availability of health care facilities. Finally, models for child morbidity due to diarrhea, cough, and fever showed that timely vaccinations against DPT, access to piped water, and cooking with electricity or natural gas were associated with lower morbidity. Overall, issuing paper or electronic vaccination cards to children is likely to enhance timely uptake of various immunizations thereby reducing child morbidity.
1099-1050
606-620
Bhargava, Alok
5326625d-0023-47d2-8cf0-2130f0eb534f
Guntupalli, Aravinda Meera
1a135cb0-54e2-4dda-ab9b-0806d75cfcf2
Lokshin, Michael
8a58bc32-3554-48f4-8b40-9851d8b1e0e0
Howard, Larry
75b34615-1335-47d5-b64f-3d2e8260d779
Bhargava, Alok
5326625d-0023-47d2-8cf0-2130f0eb534f
Guntupalli, Aravinda Meera
1a135cb0-54e2-4dda-ab9b-0806d75cfcf2
Lokshin, Michael
8a58bc32-3554-48f4-8b40-9851d8b1e0e0
Howard, Larry
75b34615-1335-47d5-b64f-3d2e8260d779

Bhargava, Alok, Guntupalli, Aravinda Meera, Lokshin, Michael and Howard, Larry (2014) Modeling the effects of immunizations timing on child health outcomes in India. Health Economics, 23 (5), 606-620. (doi:10.1002/hec.2939). (PMID:23670874)

Record type: Article

Abstract

Timely vaccinations of children in developing countries are important for reducing morbidity and mortality, which are Millennium Development Goals. However, a majority of children do not possess vaccination cards compiling information on timing. We investigated the benefits of vaccination cards for the uptake of immunizations against diphtheria, pertussis and tetanus (DPT), polio, tuberculosis (BCG), and measles using data on over 200,000 Indian children from the District Level Health and Facility Survey 3. Methodological issues such as whether parents of children with higher morbidity levels may have them vaccinated were investigated. The results from the models for DPT, polio, measles, and BCG vaccinations showed significant beneficial effects of maternal education, household possessions, and access to health care facilities. Moreover, models for children's ages at the time of vaccination showed significant interactions between maternal education and access to and availability of health care facilities. Finally, models for child morbidity due to diarrhea, cough, and fever showed that timely vaccinations against DPT, access to piped water, and cooking with electricity or natural gas were associated with lower morbidity. Overall, issuing paper or electronic vaccination cards to children is likely to enhance timely uptake of various immunizations thereby reducing child morbidity.

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More information

e-pub ahead of print date: 14 May 2013
Published date: May 2014
Organisations: Faculty of Medicine, Social Sciences, Faculty of Humanities

Identifiers

Local EPrints ID: 354213
URI: http://eprints.soton.ac.uk/id/eprint/354213
ISSN: 1099-1050
PURE UUID: d99c8885-c959-4680-ac3c-31a0198c03cf

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Date deposited: 04 Jul 2013 10:13
Last modified: 12 Dec 2018 17:42

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