Immunization Status and Child Survival in Uganda

Authors

  • Edward Bbaale

DOI:

https://doi.org/10.61538/ajer.v3i1.479

Abstract

Using the UDHS 2006 and 2011 and employing the Cox model, we tested the hypothesis that childhood immunization equalizes all children irrespective of parental background. Our findings reject this hypothesis. However, we find strong support to the view that childhood immunization decisively dampens child mortality. Immunised children reduce the risk of mortality by 17-38%. Immunised children with DPT/Polio reduce risk of mortality by 2543%. Children immunised with measles and BCG shots reduce the risk of mortality by 3844%. Efforts intended to improve child survival need to go beyond the childhood immunization campaigns and recognise other sources of mortality and morbidity.

Author Biography

Edward Bbaale

School of Economics, Makerere University, Edward_bbaale@yahoo.com/ebbaale@bams.mak.ac.ug

References

Ahmad, B.A., A.D. Lopez, and M. Inoue. 2000. The decline of child mortality: A reappraisal. Bulletin of the World Health Organization 78(10): 1,175–1,191.

Bbaale, E., and Buyinza, F. 2012. Micro-analysis of Mother’s Education and Child Mortality: Evidence from Uganda. Journal of International Development 24: S138– S158.

Bhandari, P., Shrestha, S.S., and Ghimire, D.J. 2007. Sociocultural and Geographical Disparities in Child Immunization in Nepal. Asia-Pacific Population Journal 22:4364.

Bawah AA, Phillips JF, Adjuik M, Vaugha-Smith M, MacLeod B, and Binka FN. 2006. The impact of immunization on the association between poverty and child Survival: Evidence from Kassena-Nankana District of Northern Ghana. Policy Research Division Working Paper No.218. New York: Population Council.

Black, Robert E., Saul Morris, and Jennifer Bryce. 2003. Where and why are 10 million children dying every year? The Lancet 361(9,376): 2,226–2,234.

Cox, D. R. 1972. Regression Models and Life Tables (with Discussion). Journal of the Royal Statistical Society, Series B 34: 187-220.

Frosta, M.B., Forsteb, R., and Haas, D.W. 2005. Maternal Education and Child Nutritional Status in Bolivia: Finding the Links. Social Science & Medicine 60: 395–407.

Gwatkin, Davidson, Adam Wagstaff, and A.S. Yazbeck. 2005. Reaching the Poor with

Health,Nutrition, and Population Services: What Works, What Doesn’t, and Why. Washington, DC: World Bank Publication.

Hill, Allan. 1993. Trends in childhood mortality. In Demographic Change in Sub-Saharan Africa. National Research Council. Washington, DC: National Academic Press. Pp.153– 217.

Kiros GE and White MJ. 2004. Migration, community context, and child immunization in Ethiopia. Social Science & Medicine 59: 2603–2616.

Koenig MA, Khan MA, Wojtyniak B, Clemens JD, Chakraborty J, Fauveau V, et al. 1990. The impact of measles vaccination upon childhood mortality in Matlab, Bangladesh. Bulletin of World Health Organization 68:441-7.

Kristensen I., P. Aabby, and H. Jensen. 2000. Routine Vaccination adn Child Survival: A Follow-up Study in Guinea-Bissau, West Africa†British Medica Journal 321:14351439.

Levine, Ruth and the What Works Working Group of the Global Health Policy Network. 2005. Millions Saved: Proven Successes in Global Health. Washington, DC: Center for Global Development.

Mosley W. and Chen, L.C. 1984. An analytical framework for the study of child survival in developing countries. Population and Development Review 10: 25-45.

Ndirangu J, Ba¨rnighausen T, Tanser F, Tint K, and Newell ML. 2009. Levels of childhood vaccination coverage and the impact of maternal HIV status on child vaccination status in rural KwaZulu-Natal, South Africa. Tropical Medicine and International Health 14:1383–1393.

Nyarko, Philomena, Brian Pence, and Cornelius Debpuur. 2001. Immunization status and child survival in rural Ghana. Policy Research Division Working Paper No. 147. New York: Population Council.

Rosenzweig, Mark R., and Schultz, T. Paul. 1983. Estimating a Household Production Function: Heterogenity, the Demand for Health Inputs, and their Effects on Birth Weight. Journal of Political Economy 91(2): 723-746.

Roth A, Gustafson P, Nhaga A, Djana Q, Poulsen A, Garly ML, et al. 2005. BCG vaccination scar associated with better Childhood Survival in Guinea-Bissau. International Journal

of Epidemiology 34: 540-547

Uganda Bureau of Statistics (UBOS) and ICF International Inc. 2012 Uganda Demographic and Health Survey 2011. Kampala, Uganda: UBOS and Calverton, Maryland, ICF International Inc., 2012.

United Nations 2005a. The Millennium Development Goals Report 2005. New York: UN. 2005b. World and Regional Trends. Millennium Indicators Database, .

Victoria, Cesar, Adam Wagstaff, J. Armstrong-Schellenberg, D. Gwatkin, M. Claeson, and Jean-Pierre Habicht. 2003. Applying an equity lens to child Health and Mortality: More of the same is not enough. The Lancet 362 (9379): 233-244.

World Bank 2005. Improving Health, Nutrition and Population outcomes in Sub-saharan Africa: The Role of the World Bank, Washington,DC: The World Bank.

Wagstaff, Adam. 2000. Socioeconomic inequalities in Child Mortality: Comparisons across nine Developing countriesâ€. Bulletin of the World Health Organisation 78(1): 1929.

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