印度五岁以下儿童对私营部门疫苗接种的偏好及其相关因素：来自全国代表性样本的调查结果。

Preference for Private Sector for Vaccination of Under-Five Children in India and Its Associated Factors: Findings from a Nationally Representative Sample.

机构信息

Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Centre for Operational Research. International Union Against Tuberculosis and Lung Disease (The Union), New Delhi, India.

出版信息

J Trop Pediatr. 2019 Oct 1;65(5):427-438. doi: 10.1093/tropej/fmy071.

DOI:10.1093/tropej/fmy071

PMID:30698773

Abstract

BACKGROUND

Understanding the factors associated with private sector preference for vaccination will help in understanding the barriers in seeking public facility and also the steps to improve public-private partnership (PPP) model.

METHODS

We analysed the recent National Family Health Survey-4 data (NFHS-4; 2015-16) gathered from Demographic Health Survey programme. Stratification and clustering in the sample design was accounted using svyset command.

RESULTS

Weighted proportion of children receiving private vaccination was 10.0% (95% CI: 9.7-10.3). Children belonging to highest wealth quantile (adjusted Prevalence ratio; aPR-1.58), male child (aPR-1.07) urban area (aPR-1.11), not receiving anganwadi/Integrated Childhood Development Services (aPR-1.71) and receiving antenatal care in private sector was significantly associated with higher proportion of private vaccination.

CONCLUSION

Current study showed that 1 in 10 <5 years child in India received vaccination from private health facility. Preference for private health facility was found to be influenced by higher socio-economic strata, urban area residence and seeking private health facility for antenatal and delivery services.

摘要

背景

了解与私营部门对疫苗接种的偏好相关的因素将有助于了解在寻求公共设施方面存在的障碍，以及改善公私伙伴关系（PPP）模式的步骤。

方法

我们分析了最近的国家家庭健康调查-4 数据（NFHS-4；2015-16 年），这些数据来自人口健康调查计划。在样本设计中，使用 svyset 命令对分层和聚类进行了处理。

结果

接受私营部门疫苗接种的儿童比例加权为 10.0%（95%CI：9.7-10.3）。属于最高财富分位数的儿童（调整后的患病率比；aPR-1.58）、男童（aPR-1.07）、城市地区（aPR-1.11）、未接受安甘瓦迪/综合儿童发展服务（aPR-1.71）和在私营部门接受产前护理的儿童，与更高比例的私营部门疫苗接种显著相关。