The decision to vaccinate a child: an economic perspective from southern Malawi

Social Science & Medicine
Jon H HolteJagrati V Jani

Abstract

The dynamics of childhood vaccination uptake in developing countries are unclear. Numerous studies document the relationship between vaccination coverage and access, socio economic and demographic factors. However, there is less knowledge about the relationship between vaccination coverage and carers' motivation and willingness to seek childhood vaccinations. The aim of this paper is to introduce a framework for studying demand for childhood vaccination and to examine the coherence between theoretical predictions and empirical findings in a rural area in Malawi. We interviewed 635 carers with children aged 18-59 months. About 96 percent of the respondents reported to have fully vaccinated their youngest eligible child for all routine vaccinations scheduled in the Expanded Program on Immunization. This paper concludes that easy access to vaccination services cannot explain why demand is high. Many carers had to travel long distances to reach vaccination delivery points and a considerable share of the respondents scored waiting and travelling time as long. Results from the present study, in combination with theoretical predictions, suggest that a high level of trust in distributors of information and vaccines may be an essential ...Continue Reading

References

Jan 23, 2010·Biologicals : Journal of the International Association of Biological Standardization·UNKNOWN WHO
Jun 1, 2007·Malawi Medical Journal : the Journal of Medical Association of Malawi·Alister C Munthali

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Citations

Dec 17, 2017·BMC Public Health·Tenley K BrownwrightWillem G van Panhuis
Apr 13, 2018·Health Economics Review·Derek AsumanUlrika Enemark
May 28, 2019·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Rupali J LimayeKanayo Omonoju
May 14, 2020·International Journal for Equity in Health·Ayal DebieGetayeneh Antehunegn Tesema
Oct 17, 2020·BMC Health Services Research·Rodrigue Nda'chi Deffo, Benjamin Fomba Kamga

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