Sociological Research Unit, Indian Statistical Institute, 203 BT Road, Kolkata 700 108 West Bengal, India.
Singapore Med J. 2010 May;51(5):406-12.
Knowledge of inter-district variations in immunisation coverage and the reasons for their existence is of utmost importance in a region in which variations in the socioeconomic factors are known to have a marked influence on immunisation coverage.
This study was based on a sample of 1,279 children aged 12-35 months. Data was obtained from the District Level Household Survey under the Reproductive and Child Health project (DLHS-RCH-2) that was conducted from 2002 to 2004. Descriptive studies and logistic regression analyses were conducted to examine the variations in immunisation coverage.
Approximately 54 percent of children in West Bengal were covered for immunisation. The results for receiving full immunisation varied greatly between the various districts, ranging from 23.3 percent in Murshidabad to 72.2 percent in Hugli. Low rates of coverage were found among the vulnerable groups of poor minorities, especially in rural areas. No evidence of gender differences was found. The educational level of the parents was found to have a significant influence on child immunisation coverage.
In order to improve upon the rates of child immunisation coverage in West Bengal, efforts should be concentrated on poor children from minority groups and those living in rural areas.
了解免疫接种覆盖率的地区间差异及其存在的原因对于一个地区非常重要,因为在该地区,社会经济因素的差异对免疫接种覆盖率有显著影响。
本研究基于 12-35 个月龄的 1279 名儿童的样本。数据来自于 2002 年至 2004 年开展的生殖健康和儿童健康项目下的地区层面家庭调查(DLHS-RCH-2)。采用描述性研究和逻辑回归分析来研究免疫接种覆盖率的变化。
西孟加拉邦约有 54%的儿童接受了免疫接种。在不同地区,接受完全免疫接种的比例差异很大,从穆尔希达巴德的 23.3%到胡格利的 72.2%不等。在贫困少数群体等弱势群体中,尤其是在农村地区,覆盖率较低。没有发现性别差异的证据。父母的教育水平对儿童免疫接种覆盖率有显著影响。
为了提高西孟加拉邦儿童免疫接种覆盖率,应集中精力帮助贫困的少数群体儿童和农村地区的儿童。