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Intranasal Immunization and Milk Collection in Studies of Maternal Immunization in New Zealand White Rabbits Oryctolagus cuniculus
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Immunization coverage and infant mortality rate in developing countries

A Shimouchi1, K Ozasa, K Hayashi

  • 1Kyoto Prefectural University of Medicine, Department of Preventive Medicine, Japan.

Asia-Pacific Journal of Public Health
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Immunization coverage (IMC) is a key predictor of infant mortality rate (IMR) in developing nations. Higher IMC correlates with lower IMR, indicating its role in primary healthcare availability.

Keywords:
Child Health ServicesChild SurvivalCorrelation StudiesData AnalysisDeath Rate--determinantsDelivery Of Health CareDemographic FactorsDeveloping CountriesHealthHealth ServicesImmunization--beneficial effectsInfant Mortality--determinantsIntermediate VariablesLength Of LifeMaternal-child Health ServicesMortalityMortality DeterminantsMultivariate AnalysisPopulationPopulation DynamicsPrimary Health CareResearch MethodologyStatistical StudiesStudiesSurvivorship

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Area of Science:

  • Global Health
  • Public Health Policy
  • Demography

Background:

  • Infant mortality rate (IMR) remains a critical global health challenge, particularly in developing countries.
  • Assessing primary healthcare (PHC) service availability is crucial for understanding IMR determinants.
  • Immunization coverage (IMC) is proposed as a potential proxy indicator for PHC services.

Purpose of the Study:

  • To investigate if immunization coverage (IMC) predicts infant mortality rate (IMR) in developing countries.
  • To determine if IMC serves as a proxy for primary healthcare (PHC) service availability.
  • To analyze the relationship between IMR and other socioeconomic and healthcare indicators.

Main Methods:

  • Multiple regression analysis was employed to assess the relationship between IMR and selected variables.
  • Data were analyzed for 97 developing countries, representing over 97% of the global developing population.
  • Simple correlation analysis examined IMC's association with specific PHC indicators.

Main Results:

  • IMR was significantly correlated with IMC, per capita GNP, total fertility rate, and adult literacy rate (p < 0.001).
  • These four variables explained over 80% of the variation in IMR across 97 developing countries (R=0.921).
  • IMC showed strong correlations with primary healthcare access, maternal care, delivery care, and infant care indicators (p < 0.001).

Conclusions:

  • Immunization coverage is a significant predictor of infant mortality rate.
  • IMC can serve as a valuable proxy indicator for the availability of primary healthcare services in developing countries.
  • Improving immunization coverage is a critical health intervention for reducing infant mortality.