Monitoring inequality changes in full immunization coverage in infants in Latin America and the Caribbean
Rev Panam Salud Publica
; 44, jun. 2020
Artículo
en Inglés
| PAHO-IRIS
| ID: phr-52154
Biblioteca responsable:
US1.1
ABSTRACT
[ABSTRACT]. Objective. To compare inequalities in full infant vaccination coverage at two different time points between 1992 and 2016 in Latin American and Caribbean countries. Methods. Analysis is based on recent available data from Demographic and Health Surveys, Multiple Indicator Cluster Surveys, and Reproductive Health Surveys conducted in 18 countries between 1992 and 2016. Full immunization data from children 12–23 months of age were disaggregated by wealth quintile. Absolute and relative inequalities between the richest and the poorest quintile were measured. Differences were measured for 14 countries with data available for two time points. Significance was determined using 95% confidence intervals. Results. The overall median full immunization coverage was 69.9%. Approximately one-third of the countries have a high-income inequality gap, with a median difference of 5.6 percentage points in 8 of 18 countries. Bolivia, Colombia, El Salvador, and Peru have achieved the greatest progress in improving coverage among the poorest quintiles of their population in recent years. Conclusion. Full immunization coverage in the countries in the study shows higher-income inequality gaps that are not seen by observing national coverage only, but these differences appear to be reduced over time. Actions monitoring immunization coverage based on income inequalities should be considered for inclusion in the assessment of public health policies to appropriately reduce the gaps in immunization for infants in the lowest-income quintile.
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
Problema de salud:
Objetivo 1: Acceso equitativo a servicios de salud
/
Objetivo 11: Desigualdades e inequidades en la salud
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Meta 3.8: Alcanzar cobertura universal de salud
/
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
Base de datos:
PAHO-IRIS
Asunto principal:
Factores Socioeconómicos
/
Inmunización
/
Región del Caribe
/
Lactante
/
América Latina
Aspecto:
Determinantes sociales de la salud
/
Equidad y inequidad
Idioma:
Inglés
Año:
2020
Tipo del documento:
Artículo