Universidad Peruana Cayetano Heredia

Missed opportunities for vaccination in Peru 2010–2020: A study of socioeconomic inequalities

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dc.contributor.author Matta-Chuquisapon, Jose
dc.contributor.author Gianella, Camila
dc.contributor.author Carrasco Escobar, Gabriel
dc.date.accessioned 2022-08-15T20:11:08Z
dc.date.available 2022-08-15T20:11:08Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12027
dc.description.abstract Background: Missed Opportunities for Vaccination (MOV) represent a major risk in the re-emergence of immunopreventable diseases. However, in the region, there are few published studies on MOVs using national databases such as demographic and health surveys (DHS). This study aims to describe the frequency and trends of MOVs for the first dose of vaccines against the leading causes of infant morbidity and mortality, their complete vaccination coverage, and trends in socioeconomic inequalities at the national and departmental levels for an 11-years period. Methods: Using DHS data from an 11-year period (2010–2020), we calculated frequencies and trends in MOVs of vaccines for the leading causes of child morbidity and mortality, estimated inequalities in MOVs using the Slope Inequality Index (SII) and conducted a spatial autocorrelation test to identify clusters of higher or lower inequality in MOVs at the national level. Findings: We found that, at the national level, greater inequality was concentrated in the wealthiest categories of each socioeconomic variable. We identified that departments with higher poverty rates concentrated higher levels of inequality in the MOVs in the lowest strata of the socioeconomic variables. In addition, we found that some departments with similar geographic and socioeconomic characteristics had spatially correlated levels of inequality on MOVs. Interpretation: These findings can help to identify the heterogeneity that exists in the distribution of MOVs among departments and socioeconomic strata, which would help to prioritize specific areas and subpopulations for national immunization strategies. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet Regional Health. Americas
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Vaccines en_US
dc.subject Socioeconomic factors en_US
dc.subject Immunization en_US
dc.subject Demographic and health survey en_US
dc.subject Healthcare disparities en_US
dc.subject Immunization programs en_US
dc.title Missed opportunities for vaccination in Peru 2010–2020: A study of socioeconomic inequalities en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.lana.2022.100321
dc.relation.issn 2667-193X


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