,
Abdoulaye Maciré Camara,
Daniel William Athanase Leno,
Kadio Jean-Jacques Olivier Kadio,
Moussa Fanta Keita,
Sékou Solano,
Iya Condé,
Sékou Sidate Sylla,
Serge Manitu Mayaka
Background: The aim of this study was to describe trends in inequalities in full immunization of children aged 12 to 23 months and to identify associated socioeconomic factors. Methods: A secondary analysis was carried out using data from three Demographic and Health Surveys (DHS) conducted in 2005, 2012 and 2018 in the Republic of Guinea. The concentration, or Lorenz curve, and associated index were used to measure inequalities over time. Multivariate logistic regression was employed to identify socioeconomic factors associated with full vaccination of children aged 12 to 23 months. Results: The study found a strongly positive overall concentration index (CI > 0.5) for complete vaccination of children aged 12 to 23 months, indicating inequalities in favor of wealthier households. This inequality decreased in 2012 but increased again in 2018. Children from wealthy families were nearly twice as likely to be fully vaccinated compared to children from very poor families (adjusted OR 1.79, 95% CI: 1.38 - 2.32). Conclusion: This study revealed significant inequalities favoring wealthy families in the use of immunization services by children aged 12 to 23 months in Guinea. It also underscores the need for planning and implementing strategies to reduce these inequalities in access to and use of immunization services.
| Published in | Science Journal of Public Health (Volume 12, Issue 6) |
| DOI | 10.11648/j.sjph.20241206.11 |
| Page(s) | 178-188 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Full Immunization, Inequality, Trend, Children 12-23 Months, Guinea
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APA Style
Leno, N. N., Camara, A. M., Leno, D. W. A., Kadio, K. J. O., Keita, M. F., et al. (2024). Analysis of Trends in Immunization Coverage Inequalities Among Children Aged 12–23 Months in Guinea: Data from Demographic and Health Surveys in 2005, 2012, and 2018. Science Journal of Public Health, 12(6), 178-188. https://doi.org/10.11648/j.sjph.20241206.11
ACS Style
Leno, N. N.; Camara, A. M.; Leno, D. W. A.; Kadio, K. J. O.; Keita, M. F., et al. Analysis of Trends in Immunization Coverage Inequalities Among Children Aged 12–23 Months in Guinea: Data from Demographic and Health Surveys in 2005, 2012, and 2018. Sci. J. Public Health 2024, 12(6), 178-188. doi: 10.11648/j.sjph.20241206.11
AMA Style
Leno NN, Camara AM, Leno DWA, Kadio KJO, Keita MF, et al. Analysis of Trends in Immunization Coverage Inequalities Among Children Aged 12–23 Months in Guinea: Data from Demographic and Health Surveys in 2005, 2012, and 2018. Sci J Public Health. 2024;12(6):178-188. doi: 10.11648/j.sjph.20241206.11
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Download@article{10.11648/j.sjph.20241206.11,
author = {Niouma Nestor Leno and Abdoulaye Maciré Camara and Daniel William Athanase Leno and Kadio Jean-Jacques Olivier Kadio and Moussa Fanta Keita and Sékou Solano and Iya Condé and Sékou Sidate Sylla and Serge Manitu Mayaka},
title = {Analysis of Trends in Immunization Coverage Inequalities Among Children Aged 12–23 Months in Guinea: Data from Demographic and Health Surveys in 2005, 2012, and 2018
},
journal = {Science Journal of Public Health},
volume = {12},
number = {6},
pages = {178-188},
doi = {10.11648/j.sjph.20241206.11},
url = {https://doi.org/10.11648/j.sjph.20241206.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20241206.11},
abstract = {Background: The aim of this study was to describe trends in inequalities in full immunization of children aged 12 to 23 months and to identify associated socioeconomic factors. Methods: A secondary analysis was carried out using data from three Demographic and Health Surveys (DHS) conducted in 2005, 2012 and 2018 in the Republic of Guinea. The concentration, or Lorenz curve, and associated index were used to measure inequalities over time. Multivariate logistic regression was employed to identify socioeconomic factors associated with full vaccination of children aged 12 to 23 months. Results: The study found a strongly positive overall concentration index (CI > 0.5) for complete vaccination of children aged 12 to 23 months, indicating inequalities in favor of wealthier households. This inequality decreased in 2012 but increased again in 2018. Children from wealthy families were nearly twice as likely to be fully vaccinated compared to children from very poor families (adjusted OR 1.79, 95% CI: 1.38 - 2.32). Conclusion: This study revealed significant inequalities favoring wealthy families in the use of immunization services by children aged 12 to 23 months in Guinea. It also underscores the need for planning and implementing strategies to reduce these inequalities in access to and use of immunization services.
},
year = {2024}
}
TY - JOUR T1 - Analysis of Trends in Immunization Coverage Inequalities Among Children Aged 12–23 Months in Guinea: Data from Demographic and Health Surveys in 2005, 2012, and 2018 AU - Niouma Nestor Leno AU - Abdoulaye Maciré Camara AU - Daniel William Athanase Leno AU - Kadio Jean-Jacques Olivier Kadio AU - Moussa Fanta Keita AU - Sékou Solano AU - Iya Condé AU - Sékou Sidate Sylla AU - Serge Manitu Mayaka Y1 - 2024/11/13 PY - 2024 N1 - https://doi.org/10.11648/j.sjph.20241206.11 DO - 10.11648/j.sjph.20241206.11 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 178 EP - 188 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20241206.11 AB - Background: The aim of this study was to describe trends in inequalities in full immunization of children aged 12 to 23 months and to identify associated socioeconomic factors. Methods: A secondary analysis was carried out using data from three Demographic and Health Surveys (DHS) conducted in 2005, 2012 and 2018 in the Republic of Guinea. The concentration, or Lorenz curve, and associated index were used to measure inequalities over time. Multivariate logistic regression was employed to identify socioeconomic factors associated with full vaccination of children aged 12 to 23 months. Results: The study found a strongly positive overall concentration index (CI > 0.5) for complete vaccination of children aged 12 to 23 months, indicating inequalities in favor of wealthier households. This inequality decreased in 2012 but increased again in 2018. Children from wealthy families were nearly twice as likely to be fully vaccinated compared to children from very poor families (adjusted OR 1.79, 95% CI: 1.38 - 2.32). Conclusion: This study revealed significant inequalities favoring wealthy families in the use of immunization services by children aged 12 to 23 months in Guinea. It also underscores the need for planning and implementing strategies to reduce these inequalities in access to and use of immunization services. VL - 12 IS - 6 ER -
Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea; African Center of Excellence for the Prevention and Control of Transmissible Diseases (CEA-PCMT), Gamal Abdel Nasser University of Conakry, Conakry, Guinea; Expanded Vaccination Program of the Ministry of Health, Conakry, Guinea
Expanded Vaccination Program of the Ministry of Health, Conakry, Guinea
Department of Gynecology and Obstetrics, National Donka Hospital, Conakry, Guinea
Guinea Infectious Disease Research and Training Center, Gamal Abdel Nasser University of Conakry, Conakry, Guinea; Department of Public Health and Pharmaceutical Legislation, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Support Unit for the Management and Coordination of Programs of the Ministry of Health and Public Hygiene, Conakry, Guinea
World Health Organization, Country Office Guinea, Conakry, Guinea
Expanded Vaccination Program of the Ministry of Health, Conakry, Guinea
Prefectural Department of Health and Public Hygiene, Dalaba, Guinea
Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo
