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Migration, community context, and child immunization in Ethiopia

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  • Kiros, Gebre-Egzbiabher
  • White, Michael J.
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    Abstract

    This paper examines the relationship between parental migration status and child immunization in Southern Ethiopia, a region characterized by high mortality and morbidity. Using the 1997 Community and Family Survey and a multilevel modeling approach, we find that children born to rural-rural migrant mothers have significantly less chance of receiving full immunization coverage than children born to non-migrant mothers. The social mechanism that explains this huge disparity is that rural-rural migrant women have limited social networks in the host community. In addition, significant variation in receiving complete immunization is found by age of child (a likely period effect), mother's education, and distance to nearest health center. Marked child immunization differentials are also observed by ethnicity. The results from the multilevel analysis confirm the persistence of substantial community effects, even after controlling for a standard array of personal and household characteristics. Given the low levels of vaccination among children born to migrant women, health policy interventions and information campaigns might be effectively augmented to reach such migrant women and their children. Community and ethnic group effects suggest that further targeting of health activities could be efficient and effective.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 59 (2004)
    Issue (Month): 12 (December)
    Pages: 2603-2616

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    Handle: RePEc:eee:socmed:v:59:y:2004:i:12:p:2603-2616

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    Related research

    Keywords: Migration Social networks Immunization Multilevel Ethiopia;

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    Cited by:
    1. Harttgen, Kenneth & Klasen, Stephan, 2009. "A Human Development Index by Internal Migrational Status," MPRA Paper 19237, University Library of Munich, Germany.
    2. Nguyen, Cuong Viet & Vu, Linh Hoang, 2014. "Should Parents Work Away from or Close to Home? The Effect of Temporary Parental Absence on Child Poverty and Children’s Time Use in Vietnam," MPRA Paper 52877, University Library of Munich, Germany.
    3. Philippe Bocquier & Nyovani Madise & Eliya Zulu, 2011. "Is There an Urban Advantage in Child Survival in Sub-Saharan Africa? Evidence From 18 Countries in the 1990s," Demography, Springer, vol. 48(2), pages 531-558, May.
    4. Gianna Claudia Giannelli & Lucia Mangiavacchi, 2010. "Children's Schooling and Parental Migration: Empirical Evidence on the ‘Left‐behind’ Generation in Albania," LABOUR, CEIS, vol. 24(s1), pages 76-92, December.
    5. Yabiku, Scott T. & Agadjanian, Victor & Cau, Boaventura, 2012. "Labor migration and child mortality in Mozambique," Social Science & Medicine, Elsevier, vol. 75(12), pages 2530-2538.
    6. Dorosh, Paul A. & Schmidt, Emily, 2010. "The rural-urban transformation in Ethiopia:," ESSP working papers 13, International Food Policy Research Institute (IFPRI).
    7. Tom Lavers, 2008. "Reconciling the needs and wants of respondents in two rural Ethiopian communities," Social Indicators Research, Springer, vol. 86(1), pages 129-147, March.

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