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经济增长对儿童免疫接种利用情况的影响:来自50个非洲国家的新证据。

The Effect of Economic Growth on the Utilisation of Childhood Immunisation: New Evidence From 50 African Countries.

作者信息

Immurana Mustapha, Abdul Rahman Abdul Mumin

机构信息

Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana.

University of Colorado, Denver, CO, USA.

出版信息

Health Serv Insights. 2024 Jul 24;17:11786329241261990. doi: 10.1177/11786329241261990. eCollection 2024.

Abstract

Africa bears the greatest brunt of under-five mortality in the world. Among the major approaches used in tackling under-five deaths is childhood immunisation. While income is regarded as a major determinant of demand for child health inputs including immunisation, the existing studies are microlevel analyses, which do not provide a bigger picture of how an enhancement in economic growth (aggregate income) contributes to the utilisation of childhood immunisation in an economy as a whole. Since Africa has experienced economic growth in the recent decades, this study aims to fill this gap in the literature by examining the contribution of economic growth to the utilisation of childhood immunisation in selected African countries. The study uses a panel design involving data on 50 African countries over the period, 2002 to 2019. Utilisation of DPT (diphtheria, pertussis (or whooping cough) and tetanus) and measles immunisation are used as proxies for childhood immunisation while the system Generalised Method of Moments (GMM) regression is used as the estimation technique. We find economic growth to have a positive significant effect on the utilisation of childhood immunisation. Thus, it is imperative to intensify the enablers of economic growth in Africa in order to increase the utilisation of childhood immunisation.

摘要

非洲承受着全球五岁以下儿童死亡率的最大冲击。在应对五岁以下儿童死亡的主要方法中,儿童免疫是其中之一。虽然收入被视为包括免疫在内的儿童健康投入需求的主要决定因素,但现有研究多为微观层面的分析,并未全面呈现经济增长(总收入)的提升如何在整体经济中促进儿童免疫接种的利用情况。鉴于非洲在近几十年经历了经济增长,本研究旨在通过考察经济增长对选定非洲国家儿童免疫接种利用情况的贡献来填补这一文献空白。该研究采用面板设计,涉及2002年至2019年期间50个非洲国家的数据。白喉、百日咳和破伤风(DPT)疫苗接种以及麻疹免疫接种的利用率被用作儿童免疫接种的代理指标,而系统广义矩估计(GMM)回归被用作估计技术。我们发现经济增长对儿童免疫接种的利用有积极显著的影响。因此,必须加强非洲经济增长的推动因素,以提高儿童免疫接种的利用率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a6/11268013/7296fd47ee01/10.1177_11786329241261990-fig1.jpg

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