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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
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    References listed on IDEAS

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    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.
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