Janani Suraksha Yojana's legacy: Determinants of child immunization in Bodoland

Shrabanti Maity1

  • 1Department of Economics, Vidyasagar University, Midnapore, 721102, West Bengal, India.

Public Health
|May 26, 2026
PubMed

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.
Abstract

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