Department of Pharmaceutics, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, P.O.Box 196 Gondar, Ethiopia.
Department of Health Sciences, University Medical Center Groningen (UMCG), University of Groningen, 9713 AV Groningen, The Netherlands.
Int J Environ Res Public Health. 2020 Apr 14;17(8):2696. doi: 10.3390/ijerph17082696.
A previous study in Ethiopia reported significant variation in rotavirus vaccine uptake across socioeconomic strata. This study aims to quantify socioeconomic inequality of rotavirus vaccine uptake in Ethiopia and to identify the contributing factors for the inequality. The concentration curve (CC) and the Erreygers Normalized Concentration Index (ECI) were used to assess the socioeconomic related inequality in rotavirus vaccine uptake using data from the 2016 Ethiopian Demographic and Health Survey. Decomposition analysis was conducted to identify the drivers of inequalities. The CC for rotavirus vaccine uptake lay below the line of equality and the ECI was 0.270 ( < 0.001) indicating that uptake of rotavirus vaccine in Ethiopia was significantly concentrated among children from families with better socioeconomic status. The decomposition analysis showed that underlining inequalities in maternal health care services utilization, including antenatal care use (18.4%) and institutional delivery (8.1%), exposure to media (12.8%), and maternal educational level (9.7%) were responsible for the majority of observed inequalities in the uptake of rotavirus vaccine. The findings suggested that there is significant socioeconomic inequality in rotavirus vaccine uptake in Ethiopia. Multi-sectoral actions are required to reduce the inequalities, inclusive increasing maternal health care services, and educational attainments among economically disadvantaged mothers.
先前在埃塞俄比亚开展的一项研究报告称，在社会经济阶层中，轮状病毒疫苗的接种率存在显著差异。本研究旨在定量评估埃塞俄比亚轮状病毒疫苗接种的社会经济不平等，并确定不平等的促成因素。本研究使用 2016 年埃塞俄比亚人口与健康调查的数据，采用集中曲线（CC）和 Erreygers 归一化集中指数（ECI）来评估轮状病毒疫苗接种率的社会经济相关不平等。进行分解分析以确定不平等的驱动因素。轮状病毒疫苗接种的 CC 位于平等线以下，ECI 为 0.270（<0.001），这表明埃塞俄比亚轮状病毒疫苗的接种率明显集中在社会经济地位较高的家庭的儿童中。分解分析表明，孕产妇保健服务利用方面的基本不平等，包括产前保健的利用（18.4%）和机构分娩（8.1%）、媒体接触（12.8%）和产妇教育程度（9.7%），是导致轮状病毒疫苗接种率观察到的不平等的主要原因。研究结果表明，埃塞俄比亚轮状病毒疫苗接种率存在显著的社会经济不平等。需要采取多部门行动来减少不平等，包括增加经济弱势群体母亲的孕产妇保健服务和教育程度。
