ArticleAmerican journal of public health2005
Inequities in coverage of preventive child health interventions: the rural drinking water supply program and the universal immunization program in Rajasthan, India.
Article in American journal of public health, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Trends in Urban Immunization Coverage in India: A Meta-Analysis and Meta-Regression.Indian journal of pediatrics · 2023Pooled it
- Article
- Tetanus seroprotection among children in the Democratic Republic of the Congo, 2013-2014.PloS one · 2022Article
- Change in full immunization inequalities in Indian children 12-23 months: an analysis of household survey data.BMC public health · 2021Article
- Individual- and community-level determinants of child immunization in the Democratic Republic of Congo: A multilevel analysis.PloS one · 2018Article
- Birth spacing and child mortality: an analysis of prospective data from the Nairobi urban health and demographic surveillance system.Journal of biosocial science · 2013Article
- Parents' education, mothers' vocabulary, and cognitive development in early childhood: longitudinal evidence from Ecuador.American journal of public health · 2011Article
- Spatial and socio-demographic predictors of time-to-immunization in a rural area in Kenya: Is equity attainable?Vaccine · 2010Article
- Equity and vaccine uptake: a cross-sectional study of measles vaccination in Lasbela District, Pakistan.BMC international health and human rights · 2009Article
- Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: the dynamics of population growth, immunization, and access to clean water.BMC public health · 2007Article
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Abstract
objectivesI assessed whether the Rural Drinking Water Supply Program (RDWSP) and the Universal Immunization Program (UIP) have achieved equitable coverage in Rajasthan, India, and explored program characteristics that affect equitable coverage of preventive health interventions.
methodsA total of 2460 children presenting at 12 primary health facilities in one district of Rajasthan were enrolled and classified into economic quartiles based on possession of assets. Immunization coverage and prime source of drinking water were compared across quartiles.
resultsA higher access to piped water by wealthier families (P< .001) was compensated by higher access to hand pumps by poorer families (P<.001), resulting in equal access to a safe source (P=.9). Immunization coverage was inequitable, favoring the wealthier children (P<.001).
conclusionsThe RDWSP has achieved equitable coverage, while UIP coverage remains highly inequitable. Programs can make coverage more equitable by formulating explicit objectives to ensure physical access to all, promoting the intervention's demand by the poor, and enhancing the support and monitoring of frontline workers who deliver these interventions.
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