儿童免疫接种中的社会经济相关不平等:政策见解的水平和垂直维度
M D Azharuddin Akhtar1, Indrani Roy Chowdhury2, Pallabi Gogoi3
1Institute for Human Development, Delhi, NCR, India.
Health economics review
|November 26, 2024
概括
儿童免疫不完全不成比例地影响着贫困儿童. 教育和农村生活等非必要因素推动了这种不平等,尽管社区卫生服务有助于减少它.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会流行病学 社会流行病学
背景情况:
- 不完整的免疫接种对弱势儿童构成风险,特别是来自弱势社会经济群体的儿童.
- 疫苗的公平分配对于最大限度地提高社会利益和公共卫生结果至关重要.
研究的目的:
- 分析印度儿童免疫接种的社会经济和区域不平等情况.
- 确定导致疫苗分配水平和垂直不平等的因素.
主要方法:
- 利用来自印度国家样本调查 (NSS第75轮,2017-18年) 的单位级数据.
- 为了代表性,雇员分层多阶段抽样.
- 应用间接标准化方法和 Erreygers 校正度指数来衡量和分解不平等.
主要成果:
- 不完整的免疫接种主要集中在来自贫困家庭的儿童中.
- 横向不平等 (对同等需求的不平等待遇) 是有利于穷人的,由低教育,低消费和农村居住驱动.
- 垂直不平等 (不平等的需求不平等的待遇) 在统计学上并不显著.
结论:
- 非必要因素是免疫不平等的主要驱动因素.
- 社区卫生服务,如阿南瓦迪中心,显著减少免疫不平等.
- 政策建议强调针对推动横向不平等的因素,并将分配与风险风险调整.
关键词:
Erreygers 校正度指数 (CCI) 是一个指数.横向不平等 (HI) 是指水平的不平等.免疫接种 免疫接种一个不完整的孩子.间接标准化的间接标准化.风险 风险暴露 风险暴露统一的每月家庭人均消费支出 (UMPCE)垂直不平等 (VI) 是指垂直不平等的情况.更多相关视频
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