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

  1. Colomé-Hidalgo, Manuel 12
  2. Donado Campos, Juan de Mata 3
  3. Gil de Miguel, Ángel 1
  1. 1 Universidad Rey Juan Carlos, Madrid, Spain.
  2. 2 manuel.colome@intec.edu.do
  3. 3 Universidad Autónoma de Madrid, Madrid, Spain.
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Revue:
Revista Panamericana de Salud Pública

ISSN: 1020-4989,  1680-5348

Année de publication: 2020

Volumen: 44

Pages: 1-8

Type: Article

DOI: 10.26633/RPSP.2020.56 GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Revista Panamericana de Salud Pública

Résumé

saggregated 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.

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