Assessing Health Inequality: Childhood Immunization

KRAVCHENKO, Kateryna

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Theses i5f57l

Assessing Health Inequality: Childhood Immunization – Kateryna KRAVCHENKO

Kateryna KRAVCHENKO

Diplomová práce

Assessing Health Inequality: Childhood Immunization

Abstract:

Background: In the world's strive towards reaching the Sustainable Development Goal 3 (SDG3) as ensuring healthy lives and promoting well-being for all at all ages, Ukraine is not only lagging to reach recommended immunization coverage threshold and showing substantially lower results than the peer countries in the European region but also puts the risks on a stake with recorded poliovirus and measles cases during the last five years. However, there is limited knowledge of the factors underlying the immunization uptake in Ukraine. This research sheds light on the determinants of childhood vaccination and aims to measure and decompose socioeconomic inequalities in the receipt of the third dose of the diphtheria-tetanus-pertussis-containing vaccine (DTP3) in Ukraine. Methods: The analysis was conducted with the use of data from the most recent publicly available Multiple Indicator Cluster Survey performed in Ukraine in 2012. The focal group of this research is children aged between 12 and 23 months. Immunization data was presented disaggregated by the background characteristics. Simple (ratio and difference) and complex (concentration index) measures of inequality were applied for assessing inequality in DTP3 immunization uptake. The Erreygers correction of concentration index was used to quantify and decompose socioeconomic inequalities accompanied by the concentration curve. Results: The results suggest a pro-poor socioeconomic gradient in childhood immunization with the DTP3 vaccine in Ukraine measured by the concentration index (CI=-0.096). The decomposition analysis revealed that a substantial part of inequality was determined by household wealth. Mother's health beliefs and regional disparities were also contributing to inequality, while parental education was following the opposite direction. Conclusion: Specific attention should be directed towards the Northern region while designing regional immunization policies. Tackling possible vaccine hesitancy, the focus should be made on such sources of healthcare information as TV and the Internet, which are negatively affecting the vaccination uptake. Since household economic status was the main factor contributing to pro-poor inequality in DTP3 immunization, further investigation might be needed to identify the reasons for lower vaccination coverage among the wealthier children, especially upon the availability of the new household surveys. …více

Abstract:

Background: In the world's strive towards reaching the Sustainable Development Goal 3 (SDG3) as ensuring healthy lives and promoting well-being for all at all ages, Ukraine is not only lagging to reach recommended immunization coverage threshold and showing substantially lower results than the peer countries in the European region but also puts the risks on a stake with recorded poliovirus and measles cases during the last five years. However, there is limited knowledge of the factors underlying the immunization uptake in Ukraine. This research sheds light on the determinants of childhood vaccination and aims to measure and decompose socioeconomic inequalities in the receipt of the third dose of the diphtheria-tetanus-pertussis-containing vaccine (DTP3) in Ukraine. Methods: The analysis was conducted with the use of data from the most recent publicly available Multiple Indicator Cluster Survey performed in Ukraine in 2012. The focal group of this research is children aged between 12 and 23 months. Immunization data was presented disaggregated by the background characteristics. Simple (ratio and difference) and complex (concentration index) measures of inequality were applied for assessing inequality in DTP3 immunization uptake. The Erreygers correction of concentration index was used to quantify and decompose socioeconomic inequalities accompanied by the concentration curve. Results: The results suggest a pro-poor socioeconomic gradient in childhood immunization with the DTP3 vaccine in Ukraine measured by the concentration index (CI=-0.096). The decomposition analysis revealed that a substantial part of inequality was determined by household wealth. Mother's health beliefs and regional disparities were also contributing to inequality, while parental education was following the opposite direction. Conclusion: Specific attention should be directed towards the Northern region while designing regional immunization policies. Tackling possible vaccine hesitancy, the focus should be made on such sources of healthcare information as TV and the Internet, which are negatively affecting the vaccination uptake. Since household economic status was the main factor contributing to pro-poor inequality in DTP3 immunization, further investigation might be needed to identify the reasons for lower vaccination coverage among the wealthier children, especially upon the availability of the new household surveys. …více

Keywords

Childhood immunization Concentration index Decomposition Inequalities DTP3 vaccination Ukraine

Jazyk práce: angličtina

Datum vytvoření / odevzdání či podání práce: 8. 6. 2020

Obhajoba závěrečné práce

Vedoucí: prof. Cinzia Di Novi

Citační záznam

Citovat tuto práci

Citace dle ISO 690:

KRAVCHENKO, Kateryna. \textit{Assessing Health Inequality: Childhood Immunization}. Online. Diplomová práce. Olomouc: Univerzita Palackého v Olomouci, Přírodovědecká fakulta. 2020. Dostupné z: https://theses.cz/id/i5f57l/.

{{Citace kvalifikační práce
 | příjmení = KRAVCHENKO
 | jméno = Kateryna
 | instituce = Univerzita Palackého v Olomouci, Přírodovědecká fakulta
 | titul = Assessing Health Inequality: Childhood Immunization
 | url = https://theses.cz/id/i5f57l/
 | typ práce = Diplomová práce
 | vedoucí = prof. Cinzia Di Novi
 | rok = 2020
 | počet stran =
 | strany =
 | citace = 2024-12-26
 | poznámka =
 | jazyk = 
}}

Jak správně citovat práci

KRAVCHENKO, Kateryna. Assessing Health Inequality: Childhood Immunization. Olomouc, 2020. diplomová práce (Mgr.). UNIVERZITA PALACKÉHO V OLOMOUCI. Přírodovědecká fakulta

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Instituce archivující a zpřístupňující práci: UNIVERZITA PALACKÉHO V OLOMOUCI, Přírodovědecká fakulta

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UNIVERZITA PALACKÉHO V OLOMOUCI

Přírodovědecká fakulta

Magisterský studijní program / obor:
Geography / International Development Studies

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Theses i5f57l i5f57l/2

8. 6. 2020

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thesis Assessing_Health_Inequality_Childhood_Immunization.pdf

MARKLOVÁ, E.

9. 6. 2020

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Assessing Health Inequality: Childhood Immunization – Kateryna KRAVCHENKO

Kateryna KRAVCHENKO

Diplomová práce

Assessing Health Inequality: Childhood Immunization

Assessing Health Inequality: Childhood Immunization

Abstract:

Abstract:

Keywords

Obhajoba závěrečné práce

Citační záznam

Citace dle ISO 690:

Jak správně citovat práci

Plný text práce

Obsah online archivu závěrečné práce

Jak jinak získat přístup k textu

UNIVERZITA PALACKÉHO V OLOMOUCI

Práce na příbuzné téma

Složky

Soubory

Co je jinak přidání souboru

Co je jinak další operace se soubory

Co je jinak pohled pro experty

Co je nové vyhledávání souborů

Co je nové rychlý přístup k souborům

Co se chystá