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Janani Suraksha Yojana's legacy: Determinants of child immunization in Bodoland
1Department of Economics, Vidyasagar University, Midnapore, 721102, West Bengal, India.
Insights
Mothers' autonomy and awareness significantly improve child immunization rates in the Bodoland Territorial Council (BTC). Enhancing these factors and educational programs is recommended for better public health outcomes.
Area of Science:
- Public Health
- Demography
- Health Economics
Background:
- Child immunization is crucial for public health, yet coverage varies significantly across regions.
- The Bodoland Territorial Council (BTC) faces unique socio-economic challenges impacting health service delivery.
- Understanding factors influencing immunization is vital for targeted interventions.
Purpose of the Study:
- To assess the immunization scenario within the Bodoland Territorial Council (BTC).
- To identify social, economic, and demographic factors affecting child immunization (ages 6-12) in the BTC.
Main Methods:
- Empirical analysis using secondary and primary field survey data from 504 children.
- Development of a health infrastructure index using Principal Component Analysis (PCA).
- Creation of "Mother's Autonomy" and "Mother's Awareness" indices via Multiple Correspondence Analysis.
- Logistic regression to determine factors influencing child immunization.
Main Results:
- Maternal autonomy, awareness, program perception, and education positively correlate with higher child immunization rates.
- Factors such as birth order, number of female children, and total number of children were found to decrease immunization likelihood.
- Health infrastructure and socio-economic status are key determinants of immunization coverage.
Conclusions:
- Interventions should focus on empowering mothers and increasing program awareness to boost immunization coverage.
- Future research should explore the long-term impact of these factors and potential policy interventions.
- Addressing socio-economic disparities is essential for equitable child health outcomes.
Objectives:
This research aims to explore two key objectives. Initially, the immunization scenario in Bodoland Territorial Council (BTC) was examined, followed by an exploration of the social, economic, and demographic factors impacting child immunization for those aged 6-12 years in the BTC.
Study Design:
The empirical analysis is facilitated by using both secondary and primary data. However, the empirical investigation of these objectives relies on novel data collected specifically through a field survey. Initially, the standardized health-block level health infrastructure index is calculated, and then two blocks with the highest and lowest values are selected for the field survey. Finally, relevant information approximately 504 children was gathered through personal interviews.
Methods:
This predominantly empirical study employed principal component analysis (PCA) to develop the standardized health-block-level health infrastructure index. The research employs multiple correspondence analysis to develop two original indices: the "Mother's autonomy index" and the "Mother's awareness and perception index." Logistic regression was used to identify the key factors influencing child immunization in the previously mentioned group.
Results:
The empirical findings indicate that mothers' autonomy, awareness, perceptions of the program, and educational level positively affect child immunization. In contrast, the order of birth, the number of female children, and the number of children reduce the likelihood of a child being fully vaccinated.
Conclusions:
This research recommends enhancing mothers' autonomy and emphasizing initiating more awareness campaigns for such programs. This study highlights the constraints and potential directions for future investigations.
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