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Migration, community context, and child immunization in Ethiopia
Gebre-Egzbiabher Kiros1, Michael J White
1Institute of Public Health, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, FL 32307, USA.
Social Science & Medicine (1982)
|October 12, 2004
Summary
Children of rural-rural migrant mothers in Southern Ethiopia face lower full immunization rates. Limited social networks and community factors contribute to this disparity, highlighting the need for targeted health interventions.
Area of Science:
- Public Health
- Demography
- Sociology
Background:
- Southern Ethiopia faces high child mortality and morbidity.
- Child immunization is crucial for reducing preventable diseases.
- Parental migration status is a potential determinant of child health outcomes.
Purpose of the Study:
- To examine the relationship between parental migration status and child immunization coverage in Southern Ethiopia.
- To identify social mechanisms and community-level factors influencing immunization disparities.
- To inform targeted health policy interventions for vulnerable populations.
Main Methods:
- Utilized the 1997 Community and Family Survey data.
- Employed a multilevel modeling approach to analyze data.
- Controlled for individual, household, and community-level characteristics.
Main Results:
- Children of rural-rural migrant mothers had significantly lower full immunization coverage.
- Limited social networks among migrant mothers explained part of this disparity.
- Child age, mother's education, health center distance, ethnicity, and community effects were significant factors.
Conclusions:
- Parental migration status is a significant determinant of child immunization in Southern Ethiopia.
- Interventions should target migrant women and their children, considering social networks and community factors.
- Community and ethnic group targeting can enhance the efficiency of health activities.