http://www.heapol.oupjournals.org/cgi/content/abstract/17/4/412
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Health Policy and Planning; 17(4): 412-419
© Oxford University
Press 2002
1 Department of Population and Family Health
Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
and
2 International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B),
Dhaka, Bangladesh
Objectives: This paper asks whether intensive outreach services can eliminate socioeconomic differentials in vaccine coverage.
Methods: In 1990, the Matlab Maternal and Child Health/Family Planning Project (MCH-FP) surveyed 4238 respondents in an intervention area that received outreach and 3708 respondents in a comparison area in rural Bangladesh. Interacted multiple regression methods assessed the degree to which various socioeconomic indicators predicted the probability of vaccine receipt in each area.
Results: Low parental schooling, small dwelling size and female gender were significantly associated with incomplete vaccination in the comparison area, where only the limited government services existed. Residence in the MCH-FP outreach area greatly reduced, and in some cases eliminated, the effects of these socioeconomic barriers to vaccine receipt.
Conclusions: Public health programmes utilizing outreach can reduce prevailing gender and socioeconomic differentials in vaccine receipt.
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Copyright © 2002 Oxford University Press.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
