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Migration, community context, and child immunization in Ethiopia

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

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.

Suggested Citation

  • Kiros, Gebre-Egzbiabher & White, Michael J., 2004. "Migration, community context, and child immunization in Ethiopia," Social Science & Medicine, Elsevier, vol. 59(12), pages 2603-2616, December.
  • Handle: RePEc:eee:socmed:v:59:y:2004:i:12:p:2603-2616
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    Cited by:

    1. Lara Cockx, 2022. "Moving toward a Better Future? Migration and Children’s Health and Education," Economic Development and Cultural Change, University of Chicago Press, vol. 70(3), pages 1229-1293.
    2. Ulrich Nguemdjo & Bruno Ventelou, 2020. "How do migrations affect under-five mortality in rural areas? Evidence from Niakhar, Senegal," Working Papers halshs-03078776, HAL.
    3. Viet Nguyen, Cuong, 2016. "Does parental migration really benefit left-behind children? Comparative evidence from Ethiopia, India, Peru and Vietnam," Social Science & Medicine, Elsevier, vol. 153(C), pages 230-239.
    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. Nguyen Viet Cuong & Vu Hoang Linh, 2018. "The Impact of Migration and Remittances on Household Welfare: Evidence from Vietnam," Journal of International Migration and Integration, Springer, vol. 19(4), pages 945-963, November.
    6. 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.
    7. Cockx, L., 2018. "Moving towards a better future for your children? The impact of maternal migration on child nutrition in Tanzania," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 276996, International Association of Agricultural Economists.
    8. Abukari I Issaka & Kingsley E Agho & Andre M N Renzaho, 2016. "The Impact of Internal Migration on under-Five Mortality in 27 Sub-Saharan African Countries," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-16, October.
    9. Kenneth Harttgen & Stephan Klasen, 2011. "A Human Development Index by Internal Migrational Status," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 12(3), pages 393-424.
    10. Zhao, Q. & Sun, X. & Guo, P. & Liu, X., 2018. "China s Migrant and Left-behind Children: Correlation of Parental Migration on Health, Cognitive and Non-cognitive Outcomes," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277164, International Association of Agricultural Economists.
    11. Satis Devkota & Christopher Butler, 2016. "Caste-ethnic disparity in vaccine use among 0- to 5-year-old children in Nepal: a decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 693-699, July.
    12. Tesfatsion Dominiko, 2016. "A Qualitative Study on Internal Migrants in Ethiopia: Causes, Experiences, Perceptions, Challenges and Future Life Orientations," Journal of Social Economics, Research Academy of Social Sciences, vol. 3(2), pages 54-72.
    13. Dorosh, Paul A. & Schmidt, Emily, 2010. "The rural-urban transformation in Ethiopia," ESSP working papers 13, International Food Policy Research Institute (IFPRI).
    14. Bbaale, Edward, 2015. "Immunization Status and Child Survival in Uganda," African Journal of Economic Review, African Journal of Economic Review, vol. 3(1), January.
    15. Blessing Mberu, 2006. "Internal migration and household living conditions in Ethiopia," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 14(21), pages 509-540.
    16. Blunch, Niels-Hugo & Laderchi, Caterina Cruggeri, 2015. "The Winner Takes It All: Internal Migration, Education and Wages in Ethiopia," IZA Discussion Papers 8926, Institute of Labor Economics (IZA).
    17. Tom Lavers, 2008. "Reconciling the needs and wants of respondents in two rural Ethiopian communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(1), pages 129-147, March.
    18. 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.
    19. Long Thanh Giang & Cuong Viet Nguyen & Tuyen Quang Tran & Vu Thieu, 2017. "Does Firm Agglomeration Matter to Labor and Education of Local Children? Evidence in Vietnam," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 10(4), pages 1015-1041, December.
    20. Emily Smith-Greenaway & Kevin Thomas, 2014. "Exploring Child Mortality Risks Associated with Diverse Patterns of Maternal Migration in Haiti," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(6), pages 873-895, December.
    21. Morgan, Peter J. & Trinh, Long Q., 2018. "Heterogeneous Effects of Migration on Child Welfare: Empirical Evidence from Viet Nam," ADBI Working Papers 835, Asian Development Bank Institute.
    22. 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;Population Association of America (PAA), vol. 48(2), pages 531-558, May.
    23. Giannelli, Gianna Claudia & Mangiavacchi, Lucia, 2010. "Children's Schooling and Parental Migration: Empirical Evidence on the," IZA Discussion Papers 4888, Institute of Labor Economics (IZA).

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