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Modeling the effects of immunizations timing on child health outcomes in India

Bhargava, Alok; Guntupalli, Aravinda M.; Lokshin, Michael and Howard, Larry L. (2014). Modeling the effects of immunizations timing on child health outcomes in India. Health Economics, 23(5) pp. 606–620.

DOI (Digital Object Identifier) Link: https://doi.org/10.1002/hec.2939
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Abstract

Timely vaccinations of children in developing countries are important for reducing morbidity and mortality, which are Millennium Development Goals. However, a majority of children do not possess vaccination cards compiling information on timing. We investigated the benefits of vaccination cards for the uptake of immunizations against diphtheria, pertussis and tetanus (DPT), polio, tuberculosis (BCG), and measles using data on over 200,000 Indian children from the District Level Health and Facility Survey 3. Methodological issues such as whether parents of children with higher morbidity levels may have them vaccinated were investigated. The results from the models for DPT, polio, measles, and BCG vaccinations showed significant beneficial effects of maternal education, household possessions, and access to health care facilities. Moreover, models for children's ages at the time of vaccination showed significant interactions between maternal education and access to and availability of health care facilities. Finally, models for child morbidity due to diarrhea, cough, and fever showed that timely vaccinations against DPT, access to piped water, and cooking with electricity or natural gas were associated with lower morbidity. Overall, issuing paper or electronic vaccination cards to children is likely to enhance timely uptake of various immunizations thereby reducing child morbidity.

Item Type: Journal Item
Copyright Holders: 2013 John Wiley & Sons
ISSN: 1099-1050
Keywords: childhood vaccinations; economic development; health care services; morbidity; simultaneity
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Health and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Research Group: International Development & Inclusive Innovation
Item ID: 46340
Depositing User: Aravinda Guntupalli
Date Deposited: 19 May 2016 15:01
Last Modified: 07 Dec 2018 10:41
URI: http://oro.open.ac.uk/id/eprint/46340
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