Monitoring inequality changes in full immunization coverage in infants in Latin America and the Caribbean

Datos Bibliográficos

ID14966882
AutoresManuel Colomé-Hidalgo (Universidad Rey Juan Carlos, Madrid, Spain.), Manuel Colomé‐Hidalgo (0000-0002-4562-6491, Universidad Rey Juan Carlos, autor de correspondencia), Juan Donado Campos (0000-0002-8230-6286, Universidad Autónoma de Madrid, Madrid, Spain.), Ángel Gil de Miguel (0000-0003-1295-7101, Universidad Rey Juan Carlos, Madrid, Spain.)
Año2020
Volumen44
Páginas1
Fecha de publicación2020-06-08
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista Panamericana de Salud Pública (JOURNAL)
Identificadores de la revistaISSN: 1020-4989 • E-ISSN: 1680-5348
EditorialPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2020.56
PMID32523606
OpenAlexW3025637348
IdiomaEN
Citas recibidas5
Referencias citadas13

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

Confidence interval · Environmental health · Geography · Immunization · Inequality · Latin Americans · Political science · Population · Sociology · COVID-19 Impact on Reproduction · Demography · Global Maternal and Child Health · Medicine · Vaccine Coverage and Hesitancy