IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i8p1086-d1458252.html
   My bibliography  Save this article

Understanding Socioeconomic Inequalities in Zero-Dose Children for Vaccination in Underserved Settings of Ethiopia: Decomposition Analysis Approach

Author

Listed:
  • Gashaw Andargie Biks

    (Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia)

  • Fisseha Shiferie

    (Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia)

  • Dawit Abraham Tsegaye

    (Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia)

  • Wondwossen Asefa

    (Project HOPE Headquarter, 1220 19th St NW #800, Washington, DC 20036, USA)

  • Frank DelPizzo

    (Bill & Melinda Gates Foundation, 500 5th Ave N, Seattle, WA 98109, USA)

  • Samson Gebremedhin

    (School of Public Health, Addis Ababa University, Addis Ababa P.O. Box 1176, Ethiopia)

Abstract

Despite considerable global efforts to enhance vaccine distribution in low-income countries, a significant number of children remain unvaccinated, particularly in Ethiopia. The underlying socioeconomic challenges in these regions are recognized as primary contributors to the low vaccination rates. However, the reasons for this persistent disparity in Ethiopia’s remote and underserved regions need further analysis. The study employed a cross-sectional design and was conducted as part of the Project HOPE Zero-Dose Evaluation from 1 February to 31 July 2022. Concentration indices were utilized to quantify the extent of inequality, with further decomposition aimed at identifying contributing factors to this disparity. The findings underscored that populations with lower socioeconomic status encounter high numbers of children receiving no vaccinations. Key factors influencing the number of zero-dose children included distance from healthcare facilities (61.03%), economic status of the household (38.93%), absence of skilled birth assistance (20.36%), underutilization of antenatal care services (

Suggested Citation

  • Gashaw Andargie Biks & Fisseha Shiferie & Dawit Abraham Tsegaye & Wondwossen Asefa & Frank DelPizzo & Samson Gebremedhin, 2024. "Understanding Socioeconomic Inequalities in Zero-Dose Children for Vaccination in Underserved Settings of Ethiopia: Decomposition Analysis Approach," IJERPH, MDPI, vol. 21(8), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1086-:d:1458252
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/8/1086/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/8/1086/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LP, vol. 16(1), pages 112-138, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. M. Djiguemde & D. Dubois & A. Sauquet & M. Tidball, 2022. "Continuous Versus Discrete Time in Dynamic Common Pool Resource Game Experiments," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 82(4), pages 985-1014, August.
    2. Asada, Yukiko & Grignon, Michel & Hurley, Jeremiah & Stewart, Samuel A. & Smith, Nathan K. & Kirkland, Susan & McMillan, Jacqueline & Griffith, Lauren E. & Wolfson, Christina & Raina, Parminder, 2023. "Trajectories of the socioeconomic gradient of mental health: Results from the CLSA COVID-19 Questionnaire Study," Health Policy, Elsevier, vol. 131(C).
    3. Slawa Rokicki & Mark E. McGovern, 2020. "Heterogeneity in Early Life Investments: A Longitudinal Analysis of Children's Time Use," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 66(3), pages 647-676, September.
    4. Atakorah, Yaw Boateng & Arthur, Eric & Osei-Fosu, Anthony Kofi & Novignon, Jacob, 2024. "Economic inequalities in health insurance subscription renewal: Evidence from Ghana's National Health Insurance Scheme," Social Science & Medicine, Elsevier, vol. 341(C).
    5. Azharuddin Akhtar & Indrani Roy Chowdhury, 2023. "The socioeconomic inequity in healthcare utilization among individuals with cardiovascular diseases in India," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1000-1018, May.
    6. Barrenho, Eliana & Halmai, Réka & Miraldo, Marisa & Tzintzun, Iván & Raïs Ali, Setti & Toulemon, Léa & Dupont, Jean-Claude K. & Rochaix, Lise, 2022. "Inequities in cancer drug development in terms of unmet medical need," Social Science & Medicine, Elsevier, vol. 302(C).
    7. David Madden, 2020. "The Base of Party Political Support in Ireland: An Update," The Economic and Social Review, Economic and Social Studies, vol. 51(1), pages 93-103.
    8. Conrad Murendo & Gamuchirai Murenje & Pepukai Prince Chivenge & Rumbidzai Mtetwa, 2021. "Financial Inclusion, Nutrition and Socio‐Economic Status Among Rural Households in Guruve and Mount Darwin Districts, Zimbabwe," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(1), pages 86-108, January.
    9. Khaled, Mohamad A. & Makdissi, Paul & Yazbeck, Myra, 2018. "Income-related health transfers principles and orderings of joint distributions of income and health," Journal of Health Economics, Elsevier, vol. 57(C), pages 315-331.
    10. Sveréus, Sofia & Kjellsson, Gustav & Rehnberg, Clas, 2018. "Socioeconomic distribution of GP visits following patient choice reform and differences in reimbursement models: Evidence from Sweden," Health Policy, Elsevier, vol. 122(9), pages 949-956.
    11. Laura Rossouw & Hana Ross, 2021. "Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    12. Gustav Kjellsson & Dennis Petrie & Tom (T.G.M.) van Ourti, 2018. "Measuring income-related inequalities in risky health prospects," Tinbergen Institute Discussion Papers 18-007/V, Tinbergen Institute.
    13. Wesselbaum, Dennis & Smith, Michael D. & Barrett, Christopher B. & Aiyar, Anaka, 2023. "A food insecurity Kuznets Curve?," World Development, Elsevier, vol. 165(C).
    14. Bartram, Mary & Stewart, Jennifer M., 2019. "Income-based inequities in access to psychotherapy and other mental health services in Canada and Australia," Health Policy, Elsevier, vol. 123(1), pages 45-50.
    15. Blessing J Akombi & Kingsley E Agho & Andre M Renzaho & John J Hall & Dafna R Merom, 2019. "Trends in socioeconomic inequalities in child undernutrition: Evidence from Nigeria Demographic and Health Survey (2003 – 2013)," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    16. Rajah, Nasir & Mattock, Richard & Martin, Adam, 2023. "How do childhood ADHD symptoms affect labour market outcomes?," Economics & Human Biology, Elsevier, vol. 48(C).
    17. Yu Fu & Mingsheng Chen, 2022. "The Impact of Multimorbidities on Catastrophic Health Expenditures among Patients Suffering from Hypertension in China: An Analysis of Nationwide Representative Data," Sustainability, MDPI, vol. 14(13), pages 1-15, June.
    18. Walsh, Brendan & Wren, Maev-Ann & Smith, Samantha & Lyons, Seán & Eighan, James & Morgenroth, Edgar, 2019. "An analysis of the effects on Irish hospital care of the supply of care inside and outside the hospital," Research Series, Economic and Social Research Institute (ESRI), number RS91.
    19. Neema Langa & Tirth Bhatta, 2020. "The rural-urban divide in Tanzania: Residential context and socioeconomic inequalities in maternal health care utilization," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-18, November.
    20. Dinh-Toi Chu & Hoang-Long Vo & Dang-Khoa Tran & Hao Nguyen Si Anh & Long Bao Hoang & Phong Tran Nhu & Khanh Nguyen Ngoc & Trang Thu Nguyen & Quyet Pham Van & Nguyen Le Bao Tien & Vo Van Thanh & Vu Thi, 2019. "Socioeconomic Inequalities in the HIV Testing during Antenatal Care in Vietnamese Women," IJERPH, MDPI, vol. 16(18), pages 1-11, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1086-:d:1458252. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.