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Preference for Private Sector for Vaccination of Under-Five Children in India and Its Associated Factors: Findings from a Nationally Representative Sample
Authors: Sarveswaran G, Krishnamoorthy Y, Sakthivel M, Vijayakumar K, Priyan S, Thekkur P, and Chinnakali P
Source: Journal of Tropical Pediatrics, fmy071; DOI: 10.1093/tropej/fmy071
Topic(s): Child health
Children under five
Immunization
Country: Asia
  India
Published: JAN 2019
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.
Web: https://academic.oup.com/tropej/advance-article-abstract/doi/10.1093/tropej/fmy071/5303947?redirectedFrom=fulltext