Beal, Ty, Le Danh, Tuyen, Nguyen, Duy Son, Simioni, Michel, Thomas-Agnan, Christine and Trinh, Thi Huong (2018) Macronutrient balances and body mass index: a new insight using compositional data analysis with a total at various quantile orders. TSE Working Paper, n. 18-921, Toulouse

[thumbnail of wp_tse_921.pdf]
Download (2MB) | Preview


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 Classification: C02 - Mathematical Methods
C31 - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions
C51 - Model Construction and Estimation
I18 - Government Policy; Regulation; Public Health
I38 - Government Policy; Provision and Effects of Welfare Programs
Q18 - Agricultural Policy; Food Policy
Divisions: TSE-R (Toulouse)
Institution: Université Toulouse 1 Capitole
Site: UT1
Date Deposited: 15 May 2018 08:20
Last Modified: 02 Apr 2021 15:57
OAI Identifier:
View Item


Downloads per month over past year