Understanding Socioeconomic Inequalities in Zero-Dose Children for Vaccination in Underserved Settings of Ethiopia: Decomposition Analysis Approach

Gashaw Andargie Biks (), Fisseha Shiferie, Dawit Abraham Tsegaye, Wondwossen Asefa, Frank DelPizzo and Samson Gebremedhin
Additional contact information
Gashaw Andargie Biks: Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia
Fisseha Shiferie: Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia
Dawit Abraham Tsegaye: Project HOPE, Ethiopia Country Office, Addis Ababa P.O. Box 45, Ethiopia
Wondwossen Asefa: Project HOPE Headquarter, 1220 19th St NW #800, Washington, DC 20036, USA
Frank DelPizzo: Bill & Melinda Gates Foundation, 500 5th Ave N, Seattle, WA 98109, USA
Samson Gebremedhin: School of Public Health, Addis Ababa University, Addis Ababa P.O. Box 1176, Ethiopia

IJERPH, 2024, vol. 21, issue 8, 1-13

Abstract: Despite considerable global efforts to enhance vaccine distribution in low-income countries, a significant number of children remain unvaccinated, particularly in Ethiopia. The underlying socioeconomic challenges in these regions are recognized as primary contributors to the low vaccination rates. However, the reasons for this persistent disparity in Ethiopia’s remote and underserved regions need further analysis. The study employed a cross-sectional design and was conducted as part of the Project HOPE Zero-Dose Evaluation from 1 February to 31 July 2022. Concentration indices were utilized to quantify the extent of inequality, with further decomposition aimed at identifying contributing factors to this disparity. The findings underscored that populations with lower socioeconomic status encounter high numbers of children receiving no vaccinations. Key factors influencing the number of zero-dose children included distance from healthcare facilities (61.03%), economic status of the household (38.93%), absence of skilled birth assistance (20.36%), underutilization of antenatal care services (Keywords: zero-dose; immunization; Ethiopia; concentration index; decomposition analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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