ArticleHealth economics review2018
Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis.
Article in Health economics review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Coverage and determinants of childhood immunization in Somalia: A systematic review and meta-analysis.Human vaccines & immunotherapeutics · 2026Pooled it
- Socioeconomic inequality in second-dose measles vaccination dropout among children aged 15-35 months in East Africa: A decomposition analysis of a recent Demographic Health Survey.Human vaccines & immunotherapeutics · 2026Article
- Progress and gaps in childhood immunization among two-year-olds in Ghana (1993-2022): A trend and equity analysis.PloS one · 2026Article
- Immunization Coverage and Associated Factors Among Children Aged 18 to 72 Months in Communities With High Malaria Transmission, Bioko Island.International journal of public health · 2026Article
- Formative qualitative assessment of caregiver barriers to childhood immunization in a Peri-urban District in Ghana.Discover public health · 2026Article
- Routine childhood immunization coverage, timeliness, dropout, and missed opportunities in Northern Ghana: Evidence from a community-based survey in Tamale Metropolis, Ghana.PLOS global public health · 2026Article
- Rural Inhabitants' Perception-Induced Immunisation Status: The Case of Yellow Fever Vaccination in the Ashanti Region of Ghana.Rwanda journal of medicine and health sciences · 2025Article
- Modelling the determinants of uptake of complete immunization of children in Ghana.BMC pediatrics · 2025Article
- Routine immunization coverage among children under 24 months and its determinants in Eastern and Oti regions of Ghana.BMC pediatrics · 2025Article
- Inequalities in full immunization coverage among one-year-olds in the Democratic Republic of the Congo, 2007-2017.BMC public health · 2025Article
- Feature representation in analysing childhood vaccination defaulter risk predictors: A scoping review of studies in low-resource settings.PLOS digital health · 2025Article
- Coverage and predictors of full measles-rubella immunization among children aged 24-59 months in Northern Ghana: a post measles outbreak assessment.BMC public health · 2025Article
- Trends and inequalities in full immunisation coverage among one-year-olds in Sierra Leone, 2008-2019.BMC pediatrics · 2025Article
- Unveiling the Drivers of Polio Vaccine Uptake: Insights from a Multi-Country Study of 37 Nations in Sub-Saharan Africa.PloS one · 2025Article
- Socioeconomic inequalities in immunisation of 12-23 months old children in Malawi: a decomposition analysis.Frontiers in public health · 2025Article
- Socioeconomic-related inequities in child immunization: horizontal and vertical dimensions for policy insights.Health economics review · 2024Article
- Article
- Bayesian spatial analysis of incomplete vaccination among children aged 12-23 months in Nigeria.Scientific reports · 2024Article
- Inequality in Childhood Immunization Coverage: A Scoping Review of Data Sources, Analyses, and Reporting Methods.Vaccines · 2024Article
- Decomposition Analysis of Socioeconomic Inequalities in Vaccination Dropout in Remote and Underserved Settings in Ethiopia.The American journal of tropical medicine and hygiene · 2024Article
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3 authors.
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Abstract
Childhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Using data from the recent two waves of the Ghana Demographic and Health Survey, we examine the probability that a child between 12 and 59 months receives the required vaccinations and proceed to decompose the sources of inequalities in the probability of full immunization between rural and urban areas. We find significant child-specific, maternal and household characteristics on a child's immunization status. The results show that children in rural areas are more likely to complete the required vaccinations. The direction and sources of inequalities in child immunizations have changed between the two survey waves. We find a pro-urban advantage in 2008 arising from differences in observed characteristics whilst a pro-rural advantage emerges in 2014 dominated by the differences in coefficients. Health system development and campaign efforts have focused on rural areas. There is a need to also specifically target vulnerable children in urban areas, to maintain focus on women empowerment and pay attention to children from high socio-economic households in less favourable economic times.
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