Measuring the progress of the timeliness childhood immunization compliance in Vietnam between 2006-2014: A decomposition analysis

Do Thi Thuy, Thuy, Nguyen, Quang Dung, Nguyen Van, Huy, Thomas-Agnan, Christine and Trinh, Thi Huong (2018) Measuring the progress of the timeliness childhood immunization compliance in Vietnam between 2006-2014: A decomposition analysis. TSE Working Paper, n. 18-920, Toulouse

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Official URL: http://tse-fr.eu/pub/32646

Abstract

Vietnam launched the national Expanded Program on Immunization in 1981. Since then, this program has contributed signi cantly to the improvement of child health and to the reduction of child mortality rate. Despite of the fact that the coverage of the national EPI keeps expanding, the number of children who complied with the recommended immunization schedule remains low. This article studies the progress of the timeliness childhood immunization compliance among children between 0-5 years of age in Vietnam from 2006 to 2014 and analyzes the socio-economic factors that account for the changes of the compliance rate during this period. The dataset is extracted from the Multiple Indicator Cluster Survey in 2006 and 2014. We rst identify the socio-economic factors that impact on the vaccination compliance rate using a logistic regression model. Next, we apply the decomposition method to determine the contribution of each factor on the evolution of the timeliness childhood immunization compliance. The progress of the timeliness childhood immunization has been positive and the major contribution comes from the structure e ect (unmeasured e ect). Rural areas show a stronger improvement as of 2014. Among the socio-economic factors, mother education and birth order are the ones that have the larger in uence on the childhood immunization compliance rate. However, these factors have di erent implications in urban and rural areas. These ndings are critical to the current context of Vietnam where the government is designing a strategy focusing on the e ectiveness rather than the traditional coverage indicator.

Item Type: Monograph (Working Paper)
Language: English
Date: May 2018
Place of Publication: Toulouse
Uncontrolled Keywords: Vaccination, timeliness childhood immunisation compliance, decomposition, logistic model, MICS data, Vietnam
JEL codes: C02 - Mathematical Methods
C21 - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions
C51 - Model Construction and Estimation
P46 - Consumer Economics; Welfare and Poverty
Subjects: B- ECONOMIE ET FINANCE
Divisions: TSE-R (Toulouse)
Institution: Université Toulouse 1 Capitole
Site: UT1
Date Deposited: 24 May 2018 10:15
Last Modified: 15 Jul 2019 12:06
OAI ID: oai:tse-fr.eu:32646
URI: http://publications.ut-capitole.fr/id/eprint/25984

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